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*T (vL -cLWrOTlff <br /> ' <br /> 1 LOCATION: <br /> e SN••t Ne.•M/er Cer Ger •r• T..ore..•Na <br /> p2 OWNER: r/�o <br /> "77 /�J N•,+• ♦eer••• R,•r.••wue.• 1w..a T«.w.•�•. <br /> ] OPERATOR: <br /> N,n. D••rw•Yer,e•01e.r /A�«�...�U7r�r1«•wr w•. «.r1 t..M.r w� <br /> --••' — — t PfA5ON FOR TEST_ c'G'Lt•C <br /> h r <br /> [ 2 <br /> -C S TEST REQUESTED BY: / <br /> u MU /f�N,�• /sYww M«Na finrq�e•wu <br /> C f SPECIAL INSTRUCTIONS: <br /> \\ ` 7 CONTRACTOR OR COMPANY MAKING TEST C�n r� /����j���y /�i1/�-�/� /l/ <br /> \ <br /> MECHANIC(S) NAME J .V ` •'��t LSC /// <br /> \ c 1 LSA TANK TEST i0 BE ❑YES f MAKE AND TYPE OF —� <br /> MADE WITH THIS LINE TEST) PUMP OR DISRENSERS <br /> :<� 0 CL <br /> co (C7`� COVER <br /> n .../ A►►ROJUMATT <br /> 10 WEATHER �`-� TEMPERATURE IN TANKS —•F_-C OVEA LINES J��/T��� SURLLL DE?-7H <br /> Guano.N•e•Tea••e <br /> It PRESSURE 1S VOLUME if TEST RESULTS <br /> IDENTIFY 12 TIME 1] LOG BI TEST PROCEDURES. <br /> EACH UNE (MILITARY) AMBIENT TEMPERATURE, pai OR L►s I READING NET I <br /> AS TESTED WEATHER. ETC. BEFORE I AFTER BEFORE AFTER CHANGE CONCLUSIONS.RE►A:RS AND COMVENTS <br /> 111,5 �� Ct,��L yS C''�'�� /rrr�fjc AZ- <br /> kc Z435 <br /> y3 �Y10 •C-'�/rrS I o�rJ� �S l>�h� <br /> r <br /> �i:3s I yi ,o� •.oho %�%�-� ooe <br /> 11 •SL y� .o�/�'' .o�G'�'�< ' <br /> ia:cs I ua I Foa�G • =��" <br /> 1•2:�s I ���� �:� - IUs I �c/�'I <br /> qq <br /> i i <br />