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Apr-13-01 11 :40A CHAIVON TANK TESTING 9167 7345 P_03 <br /> IIII II,� Champion P.O. Box 13050 <br /> SaCr;nnlent0 CA 95313-3059 <br /> Precision Tank Testing CA 800-660-9443 <br /> License No, 73818 NV 800-949-9443 <br /> 1-916-927-1557 <br /> Fax (016)Q27-7345 <br /> Site ID: r <br /> OperatorVv,[QNa - TCylimm e'fimm66�`tJ./lr l� <br /> Site Address: I N 5100 W, kj%m 4o re "t- <br /> City. ,- uMC� State: &A <br /> Zip: _ Phone: ... .--- <br /> Petro -Tile Precision Line Test <br /> System Type: PressuM�© Type4gft1M4M7f" Suction ❑ Type <br /> Piping: Steel ❑ Fiberglass --Q Other: <br /> Secondary Containmentn Yes ❑ Nd�l Leak Detector Yes' 0 No ❑ <br /> Pump Operating Pfessure:SO 150%Test Pressure So 0--sr– <br /> Line <br /> -iLLine Isolation Method:Ll 1:4 <br /> Test Start Time: Test Finish Time: <br /> 15 Minute Peading Pressure Volume Net Change__ __ <br /> Prodticl„Zy>r„Q Before After Before After <br /> 1.) <br /> 2.) <br /> 3.) 6b 5p_. .. <br /> �ac� C7 •Y-i�_0L 4-0X4. _.--.... _ ._ <br /> Line Test _Criterion ' ' ' Pegs M Fail ❑' 001 <br /> Blood Back Criterion — Pass ® Fail 0 <br /> m <br /> Coments: —MS'MY0 I j.-i- 01 <br /> 1 B Minu Readin0 Pressure—_ Volume Net Chanue _M <br /> Product, _Before After Before After <br /> Ws 5 ra .. ;'�S 1 635 "' M-Z <br /> 41 <br /> Line Test -_Criterion ,i' _: ..-. Paste Fail_❑ hD3 <br /> Bleed Back — Criterion . _. k - _,.Pass Fail ❑ +0'%.L6omments: <br /> 15 Minute Reedin _ Pressure ,. Volume Net Change <br /> Prodtwt C]% lr_ „ „Before After _ Before After <br /> �... . _ nugs <br /> 2.) 'nu:, �.ao <br /> 3.1 _x. - , pllr, <br /> 5.t _ our, 0-15 + acv <br /> Lille Test Criterion alb i.• _ Palls" 3 Fail ❑ .'OU5 <br /> Bleed Back_ Criterion 1 • two -Pass 9 Fail ❑ -4. * r, <br /> Comments: <br /> TECHNICIAN:William Campbell - LIC. 90-1324-SIGNATURE:% �.l��w -- Date:t l-IG�'.oG <br />