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•'�i.i;1'lt1�f.'�R1�'Tn:�t:s,�?r_n:sn.s�ra�+'Jt li�:ti;l��. <br /> - ��.!l��l7t1!!'�"�`-y`'•�`''t"".'�'ri t�n�► 'vu"uKF.1X�M+ pa�u�+►w�►ar'fwt�b«?�H�Mw1�'� <br /> to TANK Tes`1f' <br /> IIT <br /> 2004 Piccoli *9 <br /> Stockton, Ca 95205 (209)931-1828 <br /> TEST REPORT <br /> OWNER OF SITE 1 1 J <br /> ADDRESS r - 7` CITY <br /> STATE�_ZIP '136 <br /> OWNER Or TANKS j•�•7 ,�^ •� q a �, n V r — <br /> ADDRESS CITY <br /> STATE _IP _-• <br /> OPERATOR AT LOCATION)���!/I)�I )1 (. \ I -1 <br /> ADDRESS / � f - 7 CITY./ /1 -/C - STATEr44� ZIP'9'� <br /> NAME OF COUNTY r, :J �► 1 c) ;� C �' 4 1 <br /> TANK � (,tJ r ON PLOT PLAN. AGE OF TANK <br /> DESCRIPTION OF TANK: <br /> CAPACITY G� 6 G ,DIAMETER_, METAL FIBERGLASS <br /> TYPE OF SYSTEM: SUCTION_; SUBMERSIBLE OTHER • <br /> VAPOR RECOVERY SYSTEM?. (' ; TYPE <br /> PRODUCT BEING TESTED ? FtEASURED GRAVITY • <br /> COEFFICIENT 1.— tEMPERATURE OF PRODUCT �� AIR <br /> STORAGE FILLEU DATE_I- f TIME ---- <br /> TESTED - DATE - - ; ' , START C) `j S U FINISH <br /> il <br /> LENGTH OF TEST ;-,j L ' 11 y • <br /> �. <br /> MEASURED WATER IN TANK � t � HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER – d PSI AT TANK BOTTOM 0 <br /> RESULT$ OF TEST: <br /> CERTIFIED TIGHT? - YES <br /> �_� N__.___• IF NO EXPLAIN IN REMARKS• �'• ' <br /> LEAK RATE PER HOUR: + ; or -0 <br /> REMARKS BY OPERATOR <br /> ' o - <br /> NAME OF OPERATOR 0 I) r J <br /> SIGNATURE OF OPERAT <br /> DATE <br /> ► t by • , • . ,..�: <br /> ' .t 7i tit <br />