Laserfiche WebLink
Data Clart for Tank System Tigh4ess Test <br /> pPtrO T)fP <br /> TANK TESTER <br /> PLEASE PRINT <br /> 1. OWNER Ploparly ❑ <br /> N•m• AGarr.• P•o,••rnrru•• 1•IreMnr <br /> Tink(l) O n nr <br /> rT Aee,•• P•p,•r•nrr„•• I.1•p p <br /> 2. OPERATOR <br /> G AC z ,✓./v1A/i✓ ,v TE G <br /> N.m. Aee,.f <br /> 3. REASON FOR An/ EA/An/G <br /> it— <br /> TEST <br /> (E.pl+in Fully) <br /> 4. WHO REOUESTED Nm rill. CDTD.n.D,Al1YUYen D.Ir <br /> TEST AND WHEN <br /> •, AGer.f <br /> S. WHO IS PAYING cema.nt.wa.n<v e.mei.iov P.nen wmne,a;np bee la.Dron. <br /> FOR THIS TEST? <br /> Swine Aeer.0 City sI"• ZiD <br /> uum:en ori Om.r No. Dm ,mnmu,em - <br /> Idenllty by Direction Capacity Bnnd/Supplier Oratl[ • Apples-Age Stael/Filurpbss <br /> Wf-1 f dG <br /> 6. TANK(S) INVOLVED rlya_E o 00o n/ FG LAR zo YPS . STEEL <br /> 9A4T of ZoeY.PS STEEL <br /> H E / OoO i✓ nILE/1OE,O <br /> MtDAHR EF ZK <br /> / 000 CO� •SuuNL DF 2 o YRS . STEEL <br /> Lection <br /> Cover Fg13 Vants Siphon es Pumps . <br /> 7. INSTALLATION f fo.✓T o F co ucRE>E y'E w/TH Z" MA�1/Fob REQ"I oTE <br /> DATA �>Ario ✓ oRoR TUBE ,✓o .7oKHL iiM <br /> New.Imid.dw.-+y. Cenaeta,elect Tom $ita•Them,in.ts.Cies <br /> Pur el+u Yen-.I0. Fann.•IL Ive•L R[moU Fial Sire.Manilolwd Mrl[n untf 1 M+t•J eM-n <br /> h she water ever the tank] <br /> 8- UNDERGROUND � S .t— <br /> WATER Depth to the Water table Yu ® No <br /> Tanks to be filled M. Date Mrenged by lelepron. <br /> N.me <br /> S. FILL-UP <br /> ARRANGEMENTS Esba pledecl to-top o1P'and hill TSTT. Now and who to provide I Consider NO Lead. - <br /> Terminal«other contact <br /> for notice or inquiry Meme la.wne <br /> [emo+ny <br /> 10. CONTRACTOfl. <br /> MECHAN11 <br /> CS. <br /> any other wnuan« <br /> involved <br /> 11. OTHER LL A ✓KS E E G ✓E w/rN f GLASS ✓ uGu >o F <br /> INFORMATION <br /> OR REMARKS <br /> Addnbnal inIwlMlien on my itrma grove.011iciala w ethos to D<adw[ed when Iesbllg is YI progress p competed.Visit«a or ODwrvns pom: <br /> diving last etc. <br /> Tests were made on the above lank systems in accordance with teal procedures prescribed lar P-s!ro T11P <br /> 12 TEST RESULTS <br /> .s detailed on ansched last chons with results as follows: +via <br /> Tank Idenlilicnion Tight Leakage Indicated Data Tested <br /> EG✓LAR r/GHf 4• o/S G. .H. 85u.c/E 58 <br /> J�yl LAOED H T 000 G•P•H- 8 Zt_JAJf ss <br /> P,5R H T •o/ G•P•H. 2 8Su.vE <br /> This Is to snlly IMI these lank systema were listed on the dates)shown.Those IrldicaaeE as-right-meet the criteria establish,ed by <br /> 13- CERTIFICATION Ne Nalionet Fire Protection As«lalion Pamphlet 329. <br /> (0-30- 90 Ag tRK SI+IAW R�ESw• <br /> D.y IONM Cpn le r <br /> G�� ✓[ /bzss [ •)j3 gQadEY BuRfiti/D Zso/ OAK 5T NAPA CA. 95SS9 <br />