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DATA CHART <br /> For Use With <br /> Tdr <br /> 1 LOCATION: �/� I_t A �I PVE , �1 Y II CEJ{ J c <br /> tit,set No.iinp/r Co—, C Y Stole Telephone No. <br /> Z' e� <br /> p 2 OWNER: <br /> Add.... position Telephone No. <br /> 7 OPERATOR: <br /> N�Imy�,\' ^��I�l,Mpl.of OIMI ApOIosI(II glllolenl then Locollon) TolsphoM No. <br /> REASON FOR TEST_ III 1 V J—J�J�:J LCIII�y <br /> 0 <br /> _ c��2�lat �c�l I mc, <br /> < 6 TEST REQUESTED BY: n <br /> N in U O Nemo Po.11lpn Olga No. Billing ACCt­ <br /> B SPECIAL INSTRUCTIONS: <br /> 7 CONTRACTOR OR COMPANY MAKING ZEST <br /> MECHANIC(S) NAME <br /> B IS A TANK TEST TO BE ❑YES Y MAKE AND TYPE OF <br /> (� c <br /> o,a MAGE WITH THIS LINE TEST? PUMP OR DISPENSERS Q �l�ly�kE <br /> I ® NO <br /> y O O \.,1/'��IY� — COVER APPROXIMATE <br /> 10 WEATHER 777���1_111 1 1 1 TEMPERATURE IN TANKS__ 'F_'C OVER LINES BURIAL DEPTH <br /> Concnl�.Bl.ck To..•lc. <br /> 11 IDENTIFY 13 TIME 13 LOG OF TEST PROCEDURES, 14 PRESSURE 15 VOLUME 1B TEST RESULTS <br /> EACH LINE AMBIENT TEMPERATURE, psi OR kP. READING <br /> AS TESTED (MILITARY) WEATHER, ETC. NET CONCLUSIONS, REPAIRS AND COMMENTS <br /> BEFORE AFTER BEFORE AFTER CHANGE <br /> bg00 4U -QUID <br /> 15 4Li -,C1Jl ear, <br /> 4 <br /> v _Wk c-) <br /> 45 <br /> 45 oc — <br />