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c11 Is1" 'Jn1\�1� l'S1 lN(� Test R epori <br /> 200"4 Piccc 1'9 UncicrR round 5torvgc T©nk <br /> Stocklc nCA 95�105 NORIJEII SYSTEM <br /> (209>16-1118,28 <br /> f <br /> OWNER Of SI TC L%yDE,t/l�,✓�FiE� S��occ. ��sf' <br /> ADDRESS \ <br /> STATE(L ZIP 9S236 <br /> OWNER OF TAI,1K sic/ l�.t/if/E� c'hcaL Di�� <br /> ADDRESS fT/ll/✓ �i CITY_,��,yJ)E�/ STATC(ZIP gS226 . <br /> OPERATOR AT L0C'ATIOIJ <br /> ADDRESS <br /> /.Y3S/ EysT/1714ii✓ 'i CITY': STATERZIP j2.j� <br /> NAM(= OF COUNTY �A�/ ✓�,��v,N <br /> TANK 11 3 ON PLOT PLAN. <br /> DESCRIPTION OF .TANK: CAPACITY <br /> ,,7000 7� <br /> ,DIAMETER ?'� , AGE_ `ZY�eS <br /> METAL >( ; FIBERGLASS AGE OF LINES 9y.eS <br /> STORAGE SYSTEM:` TYPE- SUCTION A SUBMERSIBLE OTHER <br /> FILLED - DATE 7—-F7 , TIME 1,4400 <br /> TESTED - DATE, STARTZ?6z-s FINISH_Z . <br /> LENGTH OF TEST <br /> VAPOR RECOVERY ''SYSTEMi a/ ; TYPE <br /> PRODUCT BEING TESTEDMEASURED GRAVITY �f�5 <br /> COEFFICIENT_6,� 3 TEMPERATURES: PRODUCT 3�5�b , AIR_ '_, <br /> WATER IN TANK -t7 — DEPTH OF TANK TOP FROM GROUND LEVEL y:Z <br /> GROUND WATER e%c✓.2 LIQUID LEVEL IN STANDPIPE !'s,. <br /> TEST RESULIS: <br /> 'ICERTIFIED TIGHT? - YES ; NO <br /> IF NO, EXPLAIN IN REMARKS BY OPERATOR BELOW. <br /> !LEAK RATE PER HOUR: + <br /> REMARKS BY OPERATOR <br /> NAME OF CIPERATOF.�co�/�9RDf.G2/f� <br /> SIGNATURE- <br /> )Al IF <br /> IGNATURE)A1C 7-/4-e 7 <br />