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CI:ISf TANK TESTING I eSt Kep��� <br /> W- ALDER Underground Storage Tank <br /> S ,OCKTON, CA 95204 HORNER SYSTEM <br /> OWNER OF SITE f}8KA <br /> ADDRESS OF OWNER__1245 L). _ eE CITY r ocxr`a✓ STATE zip <br /> OWNER OF TANK <br /> r C I TY�� STATE ZIP '?_5_2o'3 <br /> ADDRESS 0r" OWNER I2�.Sl�1. IrU.E�E+� <br /> NAME OF OPERATOR AT LOCATION '9 Qv,.J BEt/EiPAGE <br /> ADDRESS OF LOCATION 12q-6 ii. L,_),!F430e_ CITY S 7Lc ph,,✓ 5TAT E 'G.4 Zip 9Szv3 <br /> NAME OF COUNTY ,,1 ,1.q '.J - <br /> ANK l ON PLOT PLAN LOCATION. STORAGE SYSTEM FILLED DATE//-� �'� T I ME 12-D o <br /> DATE OF TEST / T i ME OF I3AY: START 5tZ FINISH /P z/3 <br /> LENGTH OF TEST��2 /M/�) • Ai R TEMPERATURE 3 n y <br /> DISCRlPTION OF TANK-CAPACITY ,� dv DIAMETER 7e7l" METAL FIBERGLASS <br /> TYPE OF SYSTEM- SUCTION__y SUBMERSIBLE OTHER <br /> TYPE OF VAPOR RECOVERY SYSTEM tiI <br /> TYPE OF PRODUCT BEING TESTED/E5,�F L MEASRURED GRAVITY - COEFFI C I ENT boo 5-s <br /> TEMPERATURE OF PRODUCT <br /> MEASURED WATER IN TANK DEPTH OF TANK TOP FROM GROUND LEVEL <br /> DEPTH OF GROUND WATER HEIGHT OF LIQUID LEVEL IN TEST STAND OR STAND PIPE ��� <br /> AGE OF TANK AND LINES WYi25. <br /> RESULTS OF TEST: CERTIFIED TIGHT: YES__,��No IF NO EXPLAIN IN REMARKS BELOW <br /> LEAs: RATE PER HOUR: + <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR le 0A1. •9,C_2> /Q <br /> 1 <br /> S I GI4ATURE OF OPERATO�e- <br /> DATE <br />