Laserfiche WebLink
. ••sn ;,-.• i�4I'.I. ri:„ pm, ..:Wk 1. �wa411'�'1N 'IfXi8IV1 Fi►�1.r^l'i <br /> '. <br /> 4�rANK <br /> 2004 Piccoli :eg <br /> Stockton, Ca 95205 <br /> (209)931-11328 <br /> 1 .S'r RLTOz-r <br /> OWNER OF SITE [ <br /> ADDRESS v _ <br /> STATE,_ZIQ! <br /> OWNER OF,JANKS <br /> ADDRESS_ - _` CITX . STATE ZIP <br /> —. _ <br /> OPERATOR AT L0Jr�1TIE� ' � �, . , <br /> ADDRESS_,(,,g2 / a STATt1ZIP � <br /> CITY <br /> NAME OF COUNTY < <br /> TANK 11 ON PLOT PLAN. AGE OF TANK <br /> DESCRIPTION qF TANK: <br /> CAPACITY ('O Q ,DIAMETER ,,) ., METAL FIBERGLASS <br /> TYPE OF SYSTEM: SUCTION : SU[3MERSIOLE X OT11f R <br /> VAPOR RECOVERY SYSTEM? �'>< _E TYPE <br /> PRODUCT BEING TIESTE.L r <br /> Uf <br /> COFFICIENT MPERAIURE OF PRODUCT_ (1 , AIR <br /> STORAGE <br /> ILL � DATE <br /> .� <br /> 1ESTED -- DATE — .. , START FINISH_ 3 <br /> LENGTH OF TE=S1 . --' <br /> MEASURED WATER IN TANK I IL IGIIT OF� LIQUID E.EVEL_�I � / I <br /> DEPTH OF GROUND WATER= 0 �. PSI AT TANK ESOT TOI' Q <br /> RESULTS OF' TEST: <br /> CERTIFIED TIGHT? -- YES_X P1U 7C NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER TIOUR: + or <br /> REMARKS BY OPERATOR <br /> NAME= OF OPERATORS �4 <br /> SIGNAIURE OF OPERATO <br /> DATE -- • <br /> M A 1994 <br /> ENVIRONMENTAL HEAL18 <br /> PERW I SERVICES <br />