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A DATA CHART <br /> . ' ! <br /> For Use With <br /> E LOCATION 3Syy0 E /�?.c Ira 5.•-. Toc,E7v� <br /> _ ,/E� ro..nnK ,CPene. S <br /> O 2 OWNER: <br /> 3ei �I,�' W. <br /> N.TI / AUCreer <br /> So /Sd . roauen <br /> Tx.arwn.N., <br /> D OPERATOR: <br /> Yen Dn.1er.. e10111er Addl.r.fr(C:I'ere Ilnen Luaerbn <br /> Tx.PnOn1 N0, <br /> E REASON POR TEST, <br /> z <br /> a01 ETEST Reoufsr6eBY <br /> iG M1yArs''•��' �� �J / / iaa,l n/� DI{.,rN. / II,OnV AnPr.0 <br /> J I SPECIAL INSTRUCTIONS: u�= !/AC Fi ✓ (.x� �j j,Z/fir <br /> CONTRACTOR OR COMPANY 'RAKING TEST <br /> MECHAN(CI S) NAM6 � I <br /> pN 8 ISA HANK TEST TO BE LJ YES 9 MAKE AND TYPE OF <br /> < MADE WITH THIS IINf TESTI � PUMP OP DISPENSERS /�,•(,G JGL ` m/f� �f <br /> r ~ ��/^ V/l7Q(} COVER ,/L /(PROXIMATE / %a <br /> 10 WEATVEfl TELA RATURE IN TANK$—'F��'C OVER LINES L (J/'✓ s/-G —BURIAL DEPTH <br /> Gonerare.Y6c.teP..re. <br /> 1E TIME is LOG Of TEAT PROGOURES. 14 PRESSURE tb VOLUME <br /> 11 TEST RESULTS <br /> AA:P@NT TEI. C%.URE. <br /> (MIUiARYI ~ae�^'I.Pa READING <br /> WEATN ER. ['C' CNa Ge CONCLUSIONS, REPAIRS AND COMMENTS <br /> BPPCFE a=TER BEFORE AFTER <br /> 75 f G�L_�f <br /> S`�S ya G7,Y �3�s =pis <br /> I <br /> Z/3 Il 1� J <br /> votes G, �J <br /> i -ct�3� <br /> 'in 6� <br /> _43 IK <br /> —� OCT 0 8 2001 <br /> 77 <br /> ENVIRONMENT HEALTH Sip TT ��� �'n �s9S- 33.3 �x <br /> PERMIT/SERVICES <br />