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Data Cht for Tank System Tights Test <br /> petro T f <br /> PLIASE PRINT IANK TESIER <br /> 1. OWNER nooa:y <br /> 2. OPERATOR F Ll 3VVO t >oC A-7e CA. 209- 5(c_' <br /> 7. REASON FOR 1,14.4 1,V 7_;r / F <br /> TEST <br /> I E.dlin FDtgl <br /> t. WHO REOUESTED <br /> TEST AND VIXEN <br /> aed.at t..a <br /> S. WHO IS PAYING <br /> FOR THIS TEST? <br /> aicinv♦em.tt Gb 5:•u I•v <br /> Ide�Tyy <br /> 0y Direction Csci: Brant/SuOpLer GnGe r n.vle woaro..ai- 'I Le<I;FMrebss <br /> 6. TANK(S) INVOLVED / NR I /O oo I ACo.✓ I RE LAP I <br /> elle{oo MP / UWL,5.4DE I' <br /> .VoRTN F I ^. i• E C /-) I•s✓P NLEA <br /> Louden cch," Fi:ls Veno 9pnonn P.n," <br /> 7. INSTALLATION S//%E OF BLACK o,F L/" Wif' RE/^o7� <br /> DATA _<T/,Tio.✓ DkJP T✓6= z N� 7-0K/W <br /> Hort.i.sld. Co.,.....91.1.Toe. Sit..-Lr:u m..<.0.eo SMewn, <br /> A.II el!1.01...11. Ilrnr•nf. IUD.L R.mO:.{6111 $i:..M•nil°le.e I• Wni<n l.net! •..i In.- <br /> 8. <br /> no n8. UNDERGROUND :n<W,:.r 1•<,Ane lank+ <br /> WATER 10,oth.o me W.I.,uDl< f (] Y., Ho <br /> Tanks to be flied M, Oae Nraneed by , ...... <br /> 9. FILL-UP <br /> ARRANGEMENTS Rua Product to`top off"and mn TSTT. HOW and—no to pmd<! Consid.+NO Lead. <br /> Tominat.1 em<,contact <br /> W notice e,ino..✓y Gmm.r r+.e.i' Ll.anen. <br /> 10. CONTRACTOR. <br /> MECHANICS. <br /> m.awed <br /> anyconuiner - <br /> ..ea <br /> 11. OTHER !//T>✓. - A _A <br /> INFORMAT1011 AB' L'//9 J,PG�uCf U.E/c TEai <br /> OR REMARKSVd.on Oe <br /> ea..e.nwen: <br /> •00.61.-1 W-Itn-tion on any items aDo+r.OII•e•ah or"'e"n<n.o be-d.n.di..hen ws.•n 1 in 01-9111,a eOr..pldad. <br /> e...:ne <br /> Teals Wen made on the above lank syvenna in ac C.1d.nC,with lest proeeevres Preserle<G tot Pf:'O Tdf <br /> 12. TEST RESULTS as dclaaed on a:uened lest cleans with'ca Wla as follows: ' <br /> ..k IC.n0k.1so. I Trvnl I L..L,Oa I.droled I Data."'ad <br /> LA 17wN7- If.o A G PH I/y-TuCYaB <br /> t)AvL A IT/GNT 1/ys`ALYBa <br /> uP L Ep Ti6NT I+•o /l 6 R H i/SSULY8� <br /> I <br /> I i I <br /> T1s b to Bendy that these cans -',Slant were tested on:he eale(-i ahC—n.those indicated as"Trghl­meet I.e enre•.<ab Y4tnrC by <br /> ID. CEATIFICA1101: in. N.aon.l Fv< Prol<alion as«boon P-mpb4: 7:9. <br /> G-3o 9a i 1,4ARK SNAuL_ <br /> %�C- /&PS ,u( (`» s.�t•rvr% �p�rJ�X._B�fiEi�D __ZSo�_ o.9K ST_i1/AP/Iy_C���S`� <br />