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2004 Piccoli #9 <br /> (209)931-1828 <br /> Stockton, Ca 95205 <br /> TEST REPORT <br /> OWNER OF SITE �(J_n Cha- . � i 0j . <br /> ADDRESS ` 17 S� CITY .)&c, (eye STATE ?A ZIP Com. <br /> OWNER OF TANKS �CKf�71Cc s C�t�z�- <br /> t'.DDRESST �i I&Y f �'Yt��i7 -- C I T Y oya STATE�Z IP ,fid . <br /> O FRATOR AT LOCATION k16-,M fu &I blz_�bx_ a �,� <br /> ADDr'FSS Ob .4� MA-iA CITY,_Vie�4Z4)2 STATE eA ZIPL <br /> NAME L" COUNTY ai.•z <br /> TANK # 'y��� ON PLOT PLAN. AGE OF TANK <br /> DESCRIPl `i l OF TANK: <br /> CAPACII : _',lmn ,DIAMETER, METAL FIBERGLASS X <br /> TYPE OF SYS<i_M: SUCTION y : SUBMERSIBLE OTHER <br /> VAPOR RECOVEI,Y SYSTEM? 0 ; TYPE <br /> PRODUCT BEING TESTED r�c�u/G r MEASURED GRAVITY '9 <br /> COEFFICIENT �� ' . TEMPERATURE OF PRODUCT -jji, AIR 75 <br /> STORAGE PJSTEN:- Ei,`.i FZ - �' � , TIME D� <br /> TESTED - pAIC STARToFINISH <br /> LENGTH OF TEST_ <br /> MEASURED WATER IN TANK - -- HEIGHT OF LIQUID LEVEL J55 <br /> DEPTH Oi' GROUND WATER PSI AT TANK BOTTOM U <br /> RESULTS OF TEST: <br /> 'ERTIFIED TIGHT? - YES NO IF NO 'EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + / ; or - <br /> REMARKS BN OPERATOR <br /> NAME OF OPERATOR Gl 1 <br /> SIGNATURE OF OPERATOR <br /> DATE <br /> AUo 151988 <br /> ENWROME FERMlf;SVic HEALTH <br />