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r <br /> Jana Chart for Tank sy; 3m Tightness Test <br /> C"",EA$r;PRINT <br /> 1. OWNER QOM tY❑ <br /> T.nkl,l❑ Nam' <br /> Aa4rap <br /> 1•ame RepreaeniAl,W Trlpr�--` <br /> . N <br /> Add­ <br /> 2. <br /> 2. OPERATOR A l T"'�^• <br /> anY r �/ ` <br /> Ad4rfw <br /> 3. REASON FOR T,TEST <br /> wa^. <br /> IEAP a,n FddYF �1N dl�#t LG f <br /> 4. WHO REQUESTED <br /> TEST AND.WHEN """' me <br /> ComP.rry ar Adlu•Gan�`�'"�-�.�� <br /> ' gars <br /> Addrfaa <br /> Ie•nhry w Daeclion Caoaary Taaghaae <br /> 5. TANK INVOLVEDBgnd.SuPPEifr bpd a Age <br /> wed. <br /> 51p0,111afrglap .. <br /> .. We ed'Mional 11 has <br /> Of <br /> I� for manifoltle4 lank. <br /> i LxaVart Cgr•r 1'aa . <br /> 6. INSTALLATION �E L-J'D.Zo F veno ^ �S Pho a• pump. <br /> DATA <br /> �/�ji�T�i f��lr x �p/��c'r?f ru a� L N,4-Ti�L✓s?t <br /> No"in n.".y. Codd,.,,.El and TOP. Sna,Tilfli El mak.,Crop <br /> Rear of.laGan,H¢ E1rth,•!C. I ON,Remale Fills &Ml*-.Ramota, <br /> 7. UNDERGROUND ra M1rSr•,WnIW4fd Nmdhtlnk,? MlkfrkAawn <br /> WATER - loth• 11t•rc,•riM t+nk7 . <br /> D1pth 14 Ina Walfr table . <br /> S. FILL-UP Tahk.to be 111)44 hr.—•��Dale .vnnq•d by _ <br /> ARRANGEMENTS Ekira product td ion Orr ana an lank teal.,"fraw and wha to Provide?Ca iilder NO Lead" Na na <br /> Yelfpnone <br /> Terminal or other wmaei <br /> fw aotiee or Inquiry <br /> Name T•I•phana <br /> 9. CONTRACTOR, <br /> MECHANIC . <br /> ARY Other contra <br /> Y - Invalrad _ <br /> 1 10. OTHER <br /> INFORMATION <br /> OR REMARKS <br /> A4dklenal InldrrNlkan on enY Ilam Man.OFSCIaa or I ten to be adriaed when telling 4 in y"raka w ComPiflfd.lnai[or.dr naaarnn <br /> c - Hnrnt dunnq lest,eta <br /> 3 11. TEST Tnta wen made on fha Abdra lank Systems in <br /> RESULTS Ye e4"j w h with tea!Procadra rPrereribed for <br /> AN dolrilad on atlerhed Inelea <br /> t rh wllh reauih n toUowe: <br /> Tana laenlllknlae Tight . <br /> leakageDole TWO <br /> rnaic.l.a <br /> r _ � iE EG —•x'1811 G•R lI. /Z-�ti <br /> ,1 iZ-�ld-•�t3 - <br /> 12 SENSOR 13.=a b taartEy uwt ideas wit rYvleme wen tooted on the dele(.).bawn Those klafcatad a'i3Fth;meq) <br /> �l <br /> CERTIFICATION tiauolul Fir,PmWetton Amodetkxt Panvhlar 32ts um aflerlp nUbIlli iad by the <br /> J 12 <br /> ^ i-F vee�ytew r <br /> —''.rf�-- fj.t• I2f <br /> -. s«Ict�^ Two-6 r•lai _. J Grnhutloe■` I H(. —f _ ..'01 OQ Twtlrp canuaaor r• er Co'hPr.Y Y: S4^ntwe + �. <br /> pg : k ( 2. <br /> _ Addrep _ .. <br /> i - - -condgen•h l _ <br />