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6 <br /> C "Sp TANK TES*ING <br /> 2004 Piccoli #9 <br /> Stockton, Ca 95205 (209)931-1828 <br /> TEST REPORT <br /> OWNER OF SITE <br /> ADDRESS cj / CITE,1L, STAT( ZIP`75�� <br /> OWNER OF TANKS Uf) <br /> ADDRESS "F 'ij\jjf/ CIT L STATED ZIFjj,&)L/ <br /> OPERATOR AT OCATION <br /> ADDRESS V. )A-4sQ CITi��STATECAZIPJ5536 <br /> NAME OF COUNTY <br /> TANK llljON LOT PLAN. <br /> DESCRIPTION OF TANK: <br /> CAPACITY V o ,DIAMETER , METALV FIBERGLASS_,AGE 5 / ,s <br /> TYPE OF SYSTEM: SUCTION : SUBMERSIBLE OTHER -� <br /> VAPOR RECOVERY SYSTEM?- _ ; TYPf=��L/L/L (2� <br /> PRODUCT BEING TESTED 01jedtAl . MEASURED GRAVITY r _, <br /> COEFFICIENT 3. 5 TEMPERATURE OF PRODUCT7!/ <br /> 5y EEMM <br /> STORAGE FILLED'- DATE - ' <br /> b TIME �_7n' . <br /> TESTED - DATE _/ , START 0 �(� , FINISH <br /> LENGTH OF TEST a - <br /> MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL_/<Sc' <br /> DEPTH OF GROUND WATER 5 PSI AT TANK BOTTOM, <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES _; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: +, f'd1�0 G ; or - <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR <br /> SIGNAT E ZF OP��jR TO {�I <br /> DATE ' �f — <br /> f_.'i <br />