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S - r T\VTRo-lqMENTA-�- hC0. <br /> AINLAY TANK `TEGPITY TESTER`" FIELD TEST DATA <br /> ) NAME ADDRESS <br /> TANK 's 70sc , �2 V r40Nc <br /> OPERATOR Sll> Y-(- <br /> Sic � o�n �S <br /> 2 10ENTIFiCATION I CAPACITY—GALS. I MANUFACTURER STEE-='-/F13RGL5 I AG-—YRS_ <br /> c— <br /> TANKS TO <br /> BE TESTED <br /> 13 _ <br /> I I I <br /> WATER ER 0(STANCE FROM GRADE TO WATER. �3� � INS. <br /> TABLE <br /> Q TANK WILL BE FILLED ,r�YYr (TIME) ON <br /> I <br /> T'',INK EXTRA 5 GALS PRODUCT AVAILASLE=ROM SQ`<1 �V�)G Y\ <br /> FILL-UP FiLLUP TO SE ARRANGED BY MR. PHONE ( <br /> CONTACT AT STORAGE TERMINAL!S MR. PHONE ( I <br /> I <br /> NAME <br /> ..coREBS ==:oNE <br /> OUTSIDE <br /> I CONTRACTORS i •n . <br /> I <br /> Is NAME AUTHORITY -HONE <br /> OFFiCI ALS <br /> TO BE <br /> CONTACTED Q, S <br /> I I <br /> 7 <br /> ISPECIAL <br /> NOTES OR j <br /> PR_CAUTlOI`'S <br /> a IALL TESTS `.^:E4E PERFORMED IN ACCORDANCE WITH PROCEDURES OESCRISED IN SOIL ES-- <br /> INSTR'UCTiON BOCK. CRITERIA FOR TIG'r.TNESS iS ESTASL!SHED BY NATIONAL .-!RE <br /> ASSOC(AT!CN SULLF IN. N.F.?.A. 329. <br /> _ KS 7`NK IS L=4K RATE TEST DA TE <br /> EST <br /> TANK ID`E?V T TANTIG iiT I NOT TiG'rJ I 3. ?.H. <br /> RESULTS I fi. S •J C- V O 7` II ` � ( "aZ _ <br /> I I i I I <br /> I I ! I <br /> • <br /> TrilS 1.L 11IFiE5 r.AT T HE TANKS OESCRIoED WERE TEST ED BY TiiE UNOcFSiuNEJ ANO T iiAT nc S- •- <br /> - <br /> RESULTS REP F.E S ENT THE TRUE STATE OF THE IAN KS ON THIS'0ATE TO TFiE 5EST OF MY KNOW LED G <br /> 1 S EVE YOUNG <br /> LT i-iCAT_No. <br /> CZRTIFiCAT ION SiGUED \ SSUE DATE <br /> F'DR � ST OOMPANY) V S��l WAN '�1—PU1:i�t1T.?� CiO. <br /> `I ADDRESS P.O. oOX .OS <br /> F.ARMEFISVILL CA 93223-0205 <br /> =!P <br /> STATE E <br /> _ i <br /> I <br />