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PtecisionAnk Testing <br /> License 50. 73848 <br /> DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> PLEASE PRINT <br /> 7 <br /> 1. OWNER Pmperty❑ <br /> Karn. Adtlresa zip R.pr.wn+■tti. rN.c•+one <br /> Tonktsl❑ <br /> Name Address Zip Rprsrntative TeNplgne <br /> 2. OPERATOR STOCKTON—EAST WATER DISTRICT 6767 EAST MAIN STREET STOCKTON,CALIF.�p <br /> rlany Address zip T+ "one <br /> 3. REASON FOR REGULATION GOVERNING UNDERGROUND STORAGE O HA SUBSTANCES <br /> TEST SUBCHAPTER 16 CHAPTER TITLE OF CALIFDRN A <br /> (EVIsin Fully) CODE: <br /> 4. WHO REQUESTED <br /> TEST AND WHEN ""n' Title Company or AMiliatron t. <br /> oa <br /> Address Zip TelePhone <br /> k4wj,N bv oiredion Capacity Brand/SuooliW Grade Aaoros Ape SledfFiber 17!15 <br /> 5. TANK INVOLVED EAST WEST 4, 000 UNLEADED N FIBERGLASS <br /> EAST WEST 4, 000 UNLEADED S FIBERGLASS <br /> Use additional°nes NORTH SOUT 10 r 000 DIESEL IBERGLASS <br /> for mandoided tanks <br /> Location - Coiref Fills Vents Siphons SUCTION <br /> 6. INSTALLATION BLACKTOP 4" 21, WITH TOKHEIM <br /> DATA VENT UNLEADED <br /> REMOTE <br /> DIESEL <br /> 7. UNDERGROUND Is the water Over the lank? <br /> WATER Depintothe water tablefrom grade BELOW TANK / WELL POINT Elly. ❑No <br /> 8. FILL-UP Tanks to be filled 0700 br, 1/15/93- Date Arranged by Name Telephone <br /> ARRANGEMENTS Extra product to Zop otf-and run tank tester How and who to provide? Consider ND Lead. } I i <br /> TESTING CO. 11110v ; <br /> Terminal or a6m contact <br /> for notice or inquiry Company NameJAN 2-7 one <br /> 9. CONTRACTOR, <br /> MECHANICS, <br /> any othw contractor <br /> involved <br /> 10. OTHER SELF LEVELING STANDPIPE AND DTS. 2,000 <br /> — <br /> INFORMATION <br /> OR REMARKS <br /> Additional information on any items above.006e111 a others Io be eMiSed when telling is in progress Of Completed.Visitors Or onfarven present during last,etc. <br /> 11. TEST METHOD Q PETRO TITS # 2 ❑ PETRO COMP ❑ QUICK CHECK 2000 <br /> Tests wen made on the above tank systems In accordance tafllh loll procedures prescribed for <br /> 11 a. TEST RESULTS as datalled on attached lest charts wNh results as 10Nows: <br /> Tank Identilicalan -right Vokar Charge Pr Flow Dau Tasted - <br /> UNLEADED NORTH PASS +.008 1/15/93 <br /> UNLEADED SOUTH FASS +•011 1/15/93 <br /> DIESEL PASS- —•022- 1/15/93 <br /> 12. SENSOR <br /> CERTIFICATION <br /> 1/23/92W. CAMPBELL CHAMPION'S PRECISON TANK TESTING � <br /> Cala ,- <br /> 418 92-1324 P.O. BOIL 13059 SACRAMENTO CALIF. <br /> Sarlail No.of Thermal COAWA *M a <br /> Sensor <br /> 916-927-1557 1-800-660-9443 CALIF. <br /> SACRAMENTO 1-800-949-9443 NEV. I <br /> caraacaaon a <br />