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ISP TANK TESTING o.+�E R o► ►Iri <br /> 0 W. ALDER � AY � ` – a� = � an.u� BAh 44— <br /> ocKTON, to 952o+>r STLN METHOD - �,r � -= j .ao RLas <br /> HORNER EASY TE G �, ` <br /> WORK SHEET v <br /> C1Yr :, T, <br /> E�NVIROME!\ITAL HEALTH -, <br /> FERMIT/SERVICES <br /> J 1 I OVINER OF TANOU <br /> I'PINK Ho. TEST LEVEL �1✓It PRODUCT DI fS41tL CAPAC'.TYZ., n00 CRART 'CAL -C%5— 2 . .OdD% IAI <br /> � Ap D R E55 <br />(EAZUREDGRAvrrY PRODUCT TEMP (G COEFFICIENT TEMP CAL,nO::) +' 0DC� - (B) <br />�'..'T`F_ST LE%'EL LEVEL GAIIN• *(A) LEVEL TEMP. T•EI.+F, SAIN� z ml T"E'++�. VINA� CIYv.STATE-21f CODE <br /> p- fTAR? END LOSS— a (A.) otESULT CTART LN6 LDSS-- a (6) RESULT RF_SULT TIME <br /> FF <br /> �� t1 7[ Ty+ s 01 G s �V x • �` DV [V r 4/( T� I ..J ` OPERATORS NAME AT 91 TE <br /> /S'/ � ��.J Jam Qvr.� ,��✓�,� <br /> O j ✓/S g . $ �. 7 , t/✓'f� x �• �1, 4' 1.r�2? i I 1 LG C I il✓ -J / r TY i'�OF!<YSTEM <br /> ❑LUbMERCE 19 SUCTION <br /> 9 ` {p d� / � .7 s ©L/ x�. .V� • 4f�4I ! 1� I i t/ 4+� 10 q.' �J LL PIP f COLD F, C8 D€OF fRODUC_. <br /> ©r CLEAR tJ R.ANGE <br /> RED <br /> / ,/ A /•�/��j s `f 7 /�Jy f� ` 0 '] X r •t /''� (/L1 i L/ p I� � 43 DIA].IETER OF TANK in METAL <br /> 4 l 1 ❑ fiRER4L.ASS <br /> V V / TM € F RECOVERY iYSTE1a� <br /> Q <br /> *I.LANCL ❑ RED JACKET ❑HEA1X; <br /> 04" 't <br /> 4, .000r. V/� ! / /ic+ i �Y03 ,r,35— • D0 f0 t L/I13 I � .'�� WATER L£VELINTAMK <br /> _ _ -�-- <br /> S.S" - .3 t' 17 o Dl�, . ' 9 - .q4s- .Od4� "j. �. , , or9 ib. 2fit' <br /> 's <br /> i DEPTH o►aRpUFio WATER (IF Rftx++r+) <br /> } <br /> — 6 -3 �� . 0007 tC)/C) 4o2 <br /> DATL STORAGE SYSTEM FILLED <br /> DATE Tyr,#+ <br /> STATION LOCATION Sg r �Q O CERTIFIED TIGHT <br /> -- 41 L— AGE 365— <br /> � � AOE OF TF.MKS <br /> ,kDDRESS, f 2�� �). ��tlaE$ " --- - LEAK RATE PER HOUR — f 3 y`RS <br /> CITY sar fi 01'x, _STATE ,' OPERATOR L��•�A�2 D _ AQE OF LIN Cl <br /> DATE_ II.1 SIGNATURE <br /> TESTING FLUID.IF DIFFLREKT THAN <br /> ' _ STOREDKATERIAL <br />