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140W. ALDER <br /> STOCKTON, CA 95204 HORNER EASY TESTING METHOD ADDRESS <br /> WORK SHEET t C2 f 25 <br /> TY-ET ATE-ZI►CODE <br /> TANK No. (N ( TESTLEVEL _PRODUCTCAPACITY CHARTCAL OWNER OF TANK <br /> -� .� -�--SIA, <br /> MEASURED GRAVITY J PRODUCT TEMP_ COEFFICIENT 1 200 '�4 't TEMP CAL,0 00 Y& -2 1 (B) AODRE&S <br /> /O � <br /> TEST LEVEL LEVEL GAIN• k(A) LEVEL TEMP. TEMP. GAIN♦ k OI) TEMP, FINAL CITY-STATE-21P CODE <br /> NO. START END LOib- k1A) RESULT START IND LOSS- RQ(m) RESULT RESULT TIME <br /> 77 k . 00 /0 - . - C k . / O - O {;6 'I OOO<f OPERATORS NAME AT SITE <br /> - X <br /> "7 7 77 <br /> 040/0 spa S - . 0 k • 9 G - ` D 3 , O O 3ic //S TYRE of SYSTEM <br /> tRSUGMERGE El SUCTION <br /> 2 k <br /> s _ a <br /> �✓ Q <br /> LENGTH OF COLOR CODE OF PRODUC <br /> 7 7 - Coto ' 0660 � . S cow . 9 c' o0 7 / FILL PIPE <br /> _ CLEAR ORANGI <br /> _ k RED <br /> 3 F� , 00 /0 0 a 73 O Q 0 06,.5-61 /5�S DIAMLTER OF TANK ® FETAL <br /> _ / 0 s ❑ F/tEROW <br /> . 73 d 3 S , 0olo -• oo.3O /y O� R -90 "' 003't/7 Op 0, �V• 00 TYPE OF RECOVERY SYSTEM A <br /> _ ❑ AN <br /> .^LCE p REO.ACI�ET (REALE <br /> •F O " l 0./C c''• ' V\� ! Y�L9 -hOoi..a` 00 •OO 3 /.2 WATER LEVEL IN TANK <br /> 66 _ <br /> k - - _ - o <br /> - 0 00 O 3 x - , OD 0 <br /> ' p00 /-2 � <br /> DEFTN OF GROUND WATER OF RJVOMN) <br /> f DATE/TWE ETOR"E SYSTILM FILLED <br /> STATION LOCATION c DATE TIME <br /> S CERTIFIED TIGHT <br /> AGE OF TANKS <br /> ADDRESS e7 P r ' f LEAK RATE PER HOUR t• 00 �S <br /> CITY L- n STATE ' OPERATOR 41C0A'/fJ 2D �f / S <br /> AGE OF LINES <br /> DATE- ', a SIGNATURE Ll lel <br /> TESTOM MWID.K DIFFERENT THAN <br /> OVER FOR REMARKS STORED MATERIAL <br />