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j DATA CHART <br /> J G For Use With <br /> STATION NUMBER 6 J�/�S DATE /-/O <br /> 1 LOCATION:- tFILS V, <br /> t ^ 9-1-53 <br /> S—Na.emacam, S- <br /> y/yo <br /> c', Sl... T <br /> A /� s.Pmm No. <br /> 2 OWNER: li'Y C 17 A. C-4" <br /> Num Addreaa RepeauX- P"o- ".I—No. <br /> S OPERATOR: <br /> `- Num /D.I.,MP W 011ier Adpreae Ill Inen Locelionl Telapnom No. <br /> 4 REASON FOR TEST //�Li �Nf/LPc y��1 <br /> I <br /> 6TEST REQUESTED BY; <br /> Name Posllbn Teephom No. <br /> 8SPECIAL INSTRUCTIONS: ' <br /> 7 CONTRACTOR OR COMPANY MAKING TEST /-e/ / <br /> MECHANICS(NAME (� 7 !_ r <br /> I <br /> 81SA TANK TEST TO BE ❑YES B MAKE AND 9PE OF d Gc — 10��6a v.• IJ•S tea.t-'v- <br /> MADE WITH THIS LINE TEST? PUMP OR DISPENSERS(SUCTION OR SUBMERSIBLE) <br /> K NO wa <br /> / COVER ,/ / /L APPROXIMATE 11 <br /> 10 WEATHER 1 s ) 21 TEMPERATURE IN TANKS_eF eC OVER LINES ad/1C�' �?SA t / BURIAL DEPTH 3 <br /> co—ess.—Tap. <br /> 11 72 TIME IDENTIFY 13 LOG OF TEST PROCEDURES. LIVE 18 REMARKS <br /> to PRESSURE 16 VOL <br /> EACH LINE (MILITARY) AMBIENT TEMPERATURE, psi OR kPa READING NET SIZE,LENGTH BTYPE OF LINE,NFLEX CONNECTORS <br /> AS TESTED WEATHER,ETC. BEFORE AFTER BEFORE AFTER CHANGE CONCLUSIONS,REPAIRS AND COMMENTS <br /> 0 7O'J a CM 7-A<-)L sJ e — Q/.!2 d... Secy as-4, Tee�a/f/ <br /> ,'of Su �,-, /+��'J-G�..,� •(-a../e 1 /-es,/. <br /> jap 4. <br /> SJ D 1 2-D a7.; �.� �° O 0`(70 -v$Go J3gr) —01 <br /> i <br /> `l v 673� s Tr z © SO .0�zw <br /> SO J37c7 .0350 JJ2J :JJZv <br /> /000 Caen ,n rr� (est `fes SO v D I O T za -�J ZZO o v Y 0 <br /> 030 H �O ASO .dz15 dZ9S t JOdJ <br /> So o .oaoo ,v6yo fJsyv -e)� <br /> l ; <br /> Q. e,►g,.0 T-t S T- <br /> o j 0 7 20 s 4,s'f-o-,a 4/pe_16a.* Sv D 0Y7D ,v t�3J t;os6d <br /> a,,j-C B-r_ ,N <br /> O Z3 O s w. T.t sV'� O S C� <br /> 01`!S fs� // / �K' 5a ,o3S0 ,,3gO -Jo/v <br /> lVoa Y-'tMl,•c �- `�� SO •03� .J30S -uv/S iJJ2S I <br /> /06 /! r( SD & O ,dZ9s ,JZ9S tJJrJ ^✓-rZS <br /> 0 �r 8.. / <br /> c/ SO 90 rd2-1S a7- <br /> 1032 Q�2a 8.. / SD ,011/0 '07/0 +dZ?c <br /> QriakI G / co/ `/ .)o, At i-5 <br /> vGt rah .� u I a ¢. 7/ <br /> i- <br /> Vn Iz.�L( Il3o s / ., /eS 7-../6u�� �0 O ,0650 -0 7T '~vsao -d� <br /> r� GIM <br /> -7 20 O fi b S a o 6 z� <br /> fes-IL r1,,04k SO 15 v6zza , ddb -."00 fodJv <br /> 1230 Hoyt rrHve 4-e4TL- Jr 0 SO . 067-0 .Jd/2o tOdDo �dJJv <br /> t2-(15 /! t/ S� r 06Z r042,o 4-,JJJ0 + dt/✓D <br /> 30'"0 al y S� Sa , JG zo .u6 7-o dJJ J -;dddd <br /> 1) <br /> -- —.l3Z Q/e��l,Qe� S� v6z0 ,v �o v34a �� U <br /> 1 <br /> l <br /> is <br /> Teen were meds dstal abovedn ata h systems In eaortlenn with lest procedures prescribed for tT CONTRACTOR CERTIFICATION <br /> 1 TEST RESULTS as <br /> defatted on attached test cbsr,e with the results as follows: <br /> Lim Ide,b icst— Moa"CMarle Net VOWma Change Per HWr 0116 Tested TaeNYeIN: <br /> I m <br />