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D.L. LawrenceCX <br /> Lawrence Tank Testin ownw <br /> P.O. Box 407 Downieville,California 95936 (916) 289-3109 <br /> STATION N_ A)eCy <br /> PETRO-TITS PRODUCT LINE TEST SHEET <br /> p <br /> ve,L I VE7444- DATEOWNER <br /> LOCATI0N__� .2 <br /> It 10 tKHrT' 1e nue 1s lee oo,TcsT r{eecou'lltt 1s►11[swe[ �{VOWN[ It 1[tT 11[IVLTs <br /> LACK L111t �YIUfAA A1tsl[NT 7(4/[11ATYaG <br /> AS T(1c[O h rd 0A ke. UUUuM{Y![Tit 11 CA04.4 MR <br /> M[A1M[1L{Tt: C11Amor CON4us10MG RtrA4U AND <br /> •[/011t AMA :17011[ ARIA , <br /> 3.a CHARGE LINE TO 50 LINE TEST TOL + .010 <br /> 670 RECHARGED TO 50 WITH BURETTE SET AT o7Y BLEED BACK TOL—+ . 050 <br /> kQ IST 15 MIN PERIOD 50 <br /> W 2ND 15 MIN PERIOD S()CA Zf <br /> 5 v O' •�, ,� <br /> 3RD 15 MIN PERIOD '7�� �� 012,1 ,O 7y ra�- <br /> -v is 4TH 15 MIN PERIOD r <br /> Q O .O 9 v I .4 �- ./Y— � G . P.)i <br /> BLEF,I) RACK <br /> �U C . �T O J��o r OZL PASS FAIL <br /> 7 CHARGE LINE TO 50 <br /> 0 Ud RECHARGED TO 50 WITH BURETTE SET AT <br /> IST 15 MIN PERIOD 50 51Q <br /> < g '2ND 15 MIN PERIOD <br /> 50 SV <br /> 3RD 15 MIN PERIOD 50 S?� o y (✓7 �_ <br /> ls� 4TH 15 MIN PERIOD 50 S 0 PJL <br /> BLEED HACK j p !/ G . P H. <br /> '� G[� fiCeLo SS FAIL <br /> ' CHARGE LINE TO 50 <br /> RECHARGED TO 50 WITH BURETTE SET AT <br /> CL <br /> 0 IST 15 MIN PERIOD 50 <br /> UJ , 2ND 15 MIN PERIOD 50 <br /> L¢i[ 3RD 15 MIN PERIOD 50 <br /> 4TH 13 MIN PERIOD 50 <br /> BLEED BACK*. � G . P.H. <br /> PASS FAIL <br /> .CHARGE LINE 4'n '50 . _. <br /> RECHARGED TO 50 WITH BURETTE SET AT <br /> IST 15 MIN PERIOD 50 <br /> 21 2ND 15 MIN PERIOD <br /> � 50 <br /> 3RD 15 MIN PERIOD 'if) <br /> 4TH 15 MIN PERIOD 50 <br /> BLEED BACK G.P.H. <br /> PASS. FAIL <br /> TECHNICIANS SIGNATURE <br /> LICENSE NO, y/- z zy <br />