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Ufl�AJ TA VESTING I ING Zx CONIRUCTION CO. <br /> P-U- DUX 30497 <br /> Si11CK70N, CA 95213 LICENSED <br /> (2(19) 931- 1920 INSURED <br /> FAX (2(19) 465-3096 <br /> * ** * *TEST REPORT* * ** * <br /> OWNER OF SITE:__- 1,4C ,_1V1. LICENSE , 9. ! <br /> LEONARD E CRIS2 <br /> CITY: CrY� <br /> OWNER OFQ_ V rXi-. <br /> _-_ <br /> -- ----- --- <br /> ZIP <br /> OPERATOR AT LOCATION:----__ %U.YYIC . , t --- <br /> �J <br /> AUDRF,SS:_ <br /> CITY: <br /> F Q ZIP:_ <br /> COUNTY.+ __ - v_ <br /> .., -- AGE -- ---- GALLONS:- <br /> METAL( <br /> ALL ONS:METAL( ) FIBERGLASS( ) SINGLE WALLED( ) DOIJBI.E WALLED( ) <br /> OIF,SEI,(,yq UNI,EADFD ( ) PREMIUM UNI.. ( ) <br /> S(ICTION( ) SUBMERSIBI,F,( ) OVI:RSPII.1, CONTAINER**YES( ) NO(( )) <br /> SHEAR VA1,VF**YF,S( ) NO( ) IN-LANE LEAK DETECTOR"YF.S( ) NO( ) <br /> VAPOR RECOVERY SYSTEM**YFS( ) NO( ) IP YES, PHASE I( ) PHASE 11( ) <br /> TANK FILA. I)ATF:(j_,3U.-?�4- TIMP, /NC) <br /> TANK TEST DATE;:V:�3[-gy-_ START: 0 <br /> . 7d_(, F.NU:P_4 .G <br /> I,FNGTH OF TEST':.�t__/ZJZ$_ - <br /> TANK BOTTOM TO DRADF,..... TEST LFVFL, TO TANK BOT-Tom. <br /> '24 . <br /> . <br /> �8__ <br /> TANK TOP TO GRADE.............__ - GROUND WATER ABOVE TANK.. .. <br /> DIAMETER..;:.........................._ ._" PST.......... <br /> GROUND--/OT ABOVE TEST <br /> .........................................J_Q�J_ ._ <br /> iLEVELABOVEI)ND.-/O-.-_-^ NET TEST' PRF,SSIJRB.......................y�.1j� <br /> WATER IN TANK....................— __." API SPECIFIC GRAVITY.......-...... <br /> TE ...- 3. -�_-- <br /> DEPTH FOR TAKING SAMPI.F....71j-__" TEMPERATURE:................................__��_ ._TEMPERATURE PROBE UF.PTH...S�$ " API SPECIFIC GRAVITYco 60' F......-3,Z, u___ <br /> COFFFJCIFNT OF F,XP.................._DQO. Sa7 <br /> LEAK RATE PFR/HR: <br /> CERTIFIED TIGHT: YES( ) NO( ) <br /> PRODUCT LINE. TEST: SUCTION( ) PRESSURE( ) <br /> LEAK RATE PF,R/AIR: /-- <br /> /I CF,RTIFIED TIGHT: YES( J /NO( ) <br /> SIGNATURE OF TESTFR: QHS U <br /> COMMENTS:_---_-- __-- <br />