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all <br /> Data Chart for Tank System Tightness Test <br /> PLEASE PRINT <br /> 1. OWNER Propel Beacon Oil 525 W. Third St. , Hanford CA <br /> Name Addrsde Rspreelenva Telephone <br /> T'n""'� Beacon Oil2 W. THird St. Hanford CA an <br /> Nance Aoaraee Rapresenteuve Telephone <br /> 2. OPERATOROil #492 470 Manteca. CA <br /> Name Add. Telephone <br /> 3. REASON FOR To test system for tightness. <br /> TEST <br /> (Explain Fully( <br /> 4. WHO REQUESTED <br /> TEST AND WHEN Nam' dee Company orAnihinin Date <br /> Beacon Oil 525 W. Third St. , Hanford CA <br /> Addl. Tebpn... <br /> identity oy Direction Capectty Brand/Supplier Grade Approx.Age Steel/Fberglade <br /> 5. TANKINVOLVED It E(�ST to,06 O vrNJWoW VriLed,,v 0 IN k/\(2 w « <br /> L 'o +ail , VN eta) eeketw . N 9"/0 L <br /> Llan additional dines * — U pi, k,4111,_ o <br /> for mandoddad tanks <br /> Location Cover Fina vwte Simons Pump. <br /> 6. INSTALLATION yoerA or'St'oreCwvuer j—� NONE l�cei✓ Tccrf <br /> DATA t <br /> IN Qerba W%,Y <br /> No Imide dr,wreay. Gpncnte.Black Top. Side.ntenll meka.Drop - Sutllon.Remote. <br /> Rear of.nation.etc. <br /> Earth,etc loos.Remote Fills Sae.Mandolded Wni.tank., Make it known <br /> 7. UNDERGROUND Q Ie me waterover the lank? <br /> WATER 0"'n w ma W.I.table /-30 L-yea Xod <br /> 8. FILL-UP Tent to s.tined hr Data Arranged by <br /> Name Talepnons <br /> ARRANGEMENTS Extra product to"top pill and not it Inter. Now and end to provide? C ruiidar NO Land. <br /> T..'rel or Omer contact <br /> for none or Inputry <br /> Compury Name Tnepnone <br /> 9. CONTRACTOR, <br /> MECHANICS. <br /> any other contractor <br /> inv.lw" <br /> 10. OTHER <br /> INFORMATION <br /> OR REMARKS <br /> Addnwnn inmrrrepon on any none above.Omclele or centers to W aarsd when thong is in prograde or ddmplateo.vnnon or oosernn present during ren.etc. <br /> Tai wee made on the above tank syemmw In acoordmm with t*M PMCDWrew Preecdbed for <br /> 11. TEST RESULTS we detailed en attached tat cn.n with real we flaiww„ <br /> Tank Identification ngm lMki ge Indicated Data rented <br /> &YX r ., o -J - `1 <br /> 12.SENSOR _- - - 13.Tltm r m decay art awwe tart alwwnw wee rowed on the dwalg whireve-Trow.Indluted r"Nhr mew dw a tleaft .hblwwd by the <br /> CERTIFICATION NOW"Are Ramadan Anodaimn Pamphlet 3M <br /> 6 _ ;L_ Tacanlpkwe <br /> .pee N 1. CC2! �i e/braval. <br /> t� 4 z l� .7 Z rating eonenetw or cpmpem. By: sron.eu. � <br /> sates Ne.o.metmat Carwn+none 4/4$ I�b� � <br /> Sakai <br /> - Addtes <br /> s <br /> :.��Y m.�.. ..1--. '. -y. .... '.'.�^3t"T1��.�C.t .nti i3f�wM�i.''r..b✓'' .. }. .N.< . a ... .:� .. .Yi.". ...... <br />