Laserfiche WebLink
OWNER OF LITE <br /> CRISP TANK TESTING <br /> 4 <br /> 140 W. ALDER <br /> STOCKTON, CA 95204 HORNER EASY TESTING METHOD ADDRESS <br /> WORKSHEET CITY STATE ZIP COOL <br /> OWNER OF TANKS <br /> TANK No. 4*4e TEST LEVEL PRODUCT CAPACITY CHART CAL - , 001 �JA) <br /> MEASURED GRAVITYADDRESS <br /> u --PRODUCTTEMP COEFFICIENT 00096 TEMP CAL, 4!�00 <br /> TEST LEVEL LEVEL GAIN♦ x(A) LrVEL TEMP. TEMP. GAIN• x(B) TEMP. FINAL CITY-STATE-ZIP CODE <br /> O. START END LOSS- RESULT START END LJDSS- x(B) RESULT RESULT TIME <br /> x <br /> 3 '7 . 0009 . 0 ' 06Y5 0090 16q-�j OPERATORS NAME AT SITE <br /> Ll Of x 41- <br /> S <br /> 0001 141, 00 e16 ' 0063 TYPE OF SYSTEM <br /> 4 DSUSMERGE ®,SUCTION <br /> LENGTH OF COLOR COOL OF PRODUCT <br /> 0007 0 FILL PIPE <br /> CLEAR ORANGE <br /> RED <br /> (ol . 0090 00�3 . / 72'/ <br /> 0 6 OL7 6,5-cl o o x DIAMETER OF TANK Gr.METAL <br /> + DFIRERQLAVS,* <br /> '0001 • 0009 009 o -, 00 g 1 T�L OF RECOVERY SYSTEM <br /> .6 <br /> :7- ❑ Cz ❑,REDJACKET DHEALEV <br /> 9 <br /> -977 ) <br /> 0005 00/9 4% V -.0 Oq� 00 0 WATER LEVEL IN TANK_ <br /> 415-0 0 0 9 0 <br /> 0009 40� -b <br /> DEPTH OF GROUND WATER (IF KNOWN) <br /> 0 ,,c/ 1,00 27 L4 —623 Lool Sq-,5-0 60 q7 0•00/ lo ic /e)Co - 0 <br /> DATE/TIME STORAGE SYSTEM FILLED <br /> DATE TIME <br /> STATION LOCATION CERTIFIED TIGHT eS <br /> --ll 0 Z cl 7 AGE OF TANKS <br /> ADDRESS +9 0 LEAK RATE PER HOUR <br /> CITY c STATE OPERATOR AGE OF LINES <br /> DATE SIGNATURE <br /> v rTESTIN FLUID.OF DIFFERENT THAN <br /> TESTING <br /> STORED MATERIAL <br /> OvFR FOR REMARKS <br />