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LDERESTINw e 3 t Re . <br /> ON, CA 95204 10 <br /> Underground Storage Tanh <br /> HORNER SYSTEM <br /> OWNER OF SITE I13n11C ��8KA <br /> AuURESS OF OWNER_j cis f�J,E8E2 C I TY STATE�z I P '95 zU3 . <br /> OWNER OF TANK r"rJt-l' � y! <br /> ADDRESS OF OWNERC i Ty' . STATE �.� ZIP <br /> NAME OF OPERATOR AT LOCATION <br /> ADDRESS OF LOCATION 125LC rev, c E C I TY S cx STATE C'_.9 ZIP 9SZo3 <br /> NAME OF COUNTY <br /> TANK # I ON PLOT PLAN LOCATION. STORAGE SYSTEM FILLED, DATE///$- TIME <br /> DATE OF TEST /' b TIME OF DAY: START Of 5f2_ FINISH /p 3 <br /> LENGTH OF TEST, P4 f m;,U . AIR TEMPERATURE 3 * <br /> DISCRIPTION OF TANK-CAPACITY 3,00o DIAMETER 75 - METAL FIBERGLASS <br /> TYPE OF SYSTEM- SUCTION—/\/—SUBMERSIBLE OTHER <br /> TYPE OF VAPOR RECOVERY SYSTEM <br /> TYPE OF PRODUCT BEING TESTED /e,$_'L MEASRURED GRAVITY k-:5:2, COEFFICIENT o o s4S <br /> TEMPERATURE OF PRODUCT <br /> MEASURED WATER IN TANK -0- DEPTH OF TANK TOP FROM GROUND LEVEL <br /> DEPTH OF GROUND WATER to HEIGHT OF LIQUID LEVEL IN TEST STAND OR STAND PIPE <br /> AGE OF TANK AND LINES 13 y25, <br /> RESULTS OF TEST: CERTIFIED TIGHT: YES X NO IF NO EXPLAIN IN REMARKS BELOW <br /> LEAK RATE PER HOUR: <br /> REMARKS BY OPERATOR <br /> JAM Or, <br /> ENV1ROtir,E.rlTAL HEALTH NAME OF OPERATOR <br /> F ERMI-i/SERVICES 1 <br /> SIGNATURE OF OPEP,ATO <br /> DATE <br />