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AFFORDA-TE$ <br />416 2nd Street Galt, Ca. 95632 <br />209 744-0112 Fax 209 744-0116 <br />ANN AR <br />TANK TEST <br />Site: ' ?L �i iYYr� (�L P- <br />Test Date: <br />Equipment: <br />I P-/ / <br />/+ <br />Address: <br />City: l p <br />Test Method Developed By: Tank Manufacturer dustry Standard Professional Engineer <br />Other (Spec): <br />Test Method Uses: - ' Pressurep" <br />*cify)' <br />Vacuum Hydrostatic <br />Measuring Equipment Used for Testing: <br />w <br />Tank # <br />Tank # <br />Tank # <br />Tank # <br />Tank Capacity: <br />Tank Material: <br />Product Stored: <br />[�t/ <br />Wait time between applying <br />Presstuelvacuum/ water and starting <br />test: <br />. <br />Test Start Time: <br />i5 <br />Initial Reading Ri): <br />Test End Time: <br />Final Reading ( <br />Test Duration: <br />h / <br />Chane in Reading (Rf-Ri): <br />Pass/Fail Threshold: <br />Test Result: <br />5. <br />Was sensor removed for testin ? <br />Was sensor properly replaced after <br />testing? <br />`& <br />Comments — (include information on repairs made to testing) <br />Technician: Lyle D. Nimmo ICC #5249115 Exp. 07/01/09 <br />r ' <br />Signature: /?G IP <br />Date: lam- LS-- <br />