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%'i J.yPP'.�hlSlfl�'P•l LTt:71t71_q?R•.11. <br /> CR map <br /> 2004 Piccoll i#y <br /> Stockton, Ca 95205 (209)931-1828 <br /> TLS a REPORT <br /> F OWNER of <br /> ADDRESS-�. T. <br /> OWNER of TANK CITY STATE_j::a ZIP <br /> ADDRESS <br /> OPERATOR AT LOCATIOf4� CdTY STATE .ZIP <br /> ADDRESS "� f <br /> CITY <br /> NA1E OF COU4TY. - STATE�ZIP `a ' <br /> TAMC El - ' ! '� , <br /> �1 OfJ PLOT PLAN. • f i <br /> DESCRIPTION W TANK: AGE � 7lWK ti 1 r <br /> CAPACITY DdAf1R ' <br /> TYPE OF SYSTEM: r - S--, WTAL V FIBERGLASS <br /> SUCTIO14 Sof RSIBLE <br /> VAPOR RECOVERY SYSTEM? i OTfiE%. <br /> PRODUCT. BEING TESTED'-7--' TYPE <br /> COEFFICIENT GRAVITY <br /> TEMPERATURE OF PRODUCT-�() AIRS <br /> " STORAGE FIL�EU, � <br /> L E DA7E - <br /> TESTED DATE - ' <br /> LENGTH-{ OFTEST r START��� � FINISH <br /> WASURED WATER IN TANK <br /> DEPTH of GROUN HEIGHT Or- LIQUID LEVEL <br /> D WATER"- a PSI AT TANK BOTTOM ' <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES-Z • <br /> x NO <br /> LEAK RATE PER HOUR: '` --�• IF ND EXPLAIN 1N REMARKS, • <br /> -- <br /> or -�,( v, <br /> REWKS BY OPERATOR <br /> ;,• NAME of OPERATOR t f !G -�• <br /> t SIGNATURE OF OPERAT 9 ' <br /> DAT( <br /> r Z ii'9YrIs� <br /> 7 r <br /> it �� i 1 •:• <br /> > , <br />