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ORDA-TE$ <br />6 2"' Street Galt, Ca. <br />95632 <br />AST TANK TEST <br />744-0112 Fax 209 744-0116 <br />PSiteAFF <br />, <br />Test Date: <br />1 a / 10 <br />: <br />Address: <br />�� <br />City: am i is <br />Equipment: <br />lkLtP <br />Test Methal Developed By: Tank Manufacturer Industry Standard Professional Engineer <br />Other (Specify): <br />Test Method Uses: <br />Pressure <br />Vacuum Hydrostatic <br />Peclfy1: <br />Measuring Equipment Used for Testmg: <br />i! <br />Tank # Tank <br />Tank # Tank # <br />Tank Ca ci : <br />e. <br />Tank Material: <br />Product Stored: <br />Wait time between applying <br />Pressure/vacuutn/ water and starting <br />test: <br />Test Start Time: <br />Initial Reading Ri): <br />Test End Time: <br />a �— <br />Final Reading (RO: <br />< <br />Test Duration: <br />r' <br />Change in Reading (Rf-Ri : <br />-d5l- <br />Pass/Fail Threshold: <br />Test Result: <br />' <br />Was sensor removed for testing? <br />C? <br />Was sensor properly replaced after <br />testa ? <br />Comments — (include information on repairs made to testing) <br />Technician: Lyle D. Nimmo ICC #5249115 -UT Exp. 07/01/09 <br />Date: _ D 0 <br />