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CRI TA Nka T �:2; : l ay G <br /> 2004 Piccoli #9 <br /> (209)931-1828 <br /> Stockton, Ca 95205 <br /> TEST REPORT <br /> OWNER OF SITE YJ UJ 3 �� K C. 14 r It) a 5 12 . <br /> ADDRESS 4r';l D ! CITY a 4tCa STATEL& ZIP 9��6 <br /> OWNER OF TANKS_ �— <br /> ADDRESS �Jr2 U GU I s p m �'t-e CITY 127 a 4 f eg- a STATEjCa_ZIP9S T7b <br /> OPERATOR AT LOCATION a j\jg GVf') Y- ,a /_ <br /> ADDRESS 1,1d o ev �o t a km; f.g CITY -m-R ��"! a STATEL0-_ZIP4.5 3 3e <br /> NAME OF COUNTY__S :q <br /> TANK 11 O11 P ON 0 LAN. <br /> DESCRIPTION OF TANK: <br /> CAPACITY ,DIAMETER_! 's r , METAL X F IBERGLASS� jAGE <br /> TYPE OF SYSTEM: SUCTION SUBMERSIBLE.`: OTHER <br /> VAPOR RECOVERY SYSTEM? ; TYPE <br /> PRODUCT BEING TESTED MEASURED GRAVITY <br /> COEFFICIENT_$EE MS, f� M RATURE OF PRODUCT (o � , AIR . <br /> STORAGE FILLED - DATE 9 C{ TIME D Q <br /> TESTED - DATE , STARTQ B Q 0 , FINISH , / 0 D C9 <br /> LENGTH OF TEST <br /> MEASURED WATER IN TANK (3-+ HEIGHT OF LIQUID LEVEL /.6 <br /> DEPTH OF GROUND WATER PSI AT TANK BOTTOM , <br /> RESULTS OF TEST! <br /> CERTIFIED TIGHT? - YES N0. . IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + , or <br /> REMARKS BY OPERATOR <br /> c' <br /> / c <br /> NAME OF OPERATOR 'L e. n a ✓� <br /> SIGNATURE OF' OPERATOR <br /> DATE Lj -,� i <br /> Mme" <br />