Laserfiche WebLink
%MWRIBP �tANK TES NG' <br /> 2004 Piccoli #9 _ <br /> (209)931-1828 <br /> Stockton, Ca 95205 <br /> TEST REPORT <br /> W <br /> OWNER OF <br /> S SITE CI <br /> h�L � '� STATE °� ZIP <br /> ADDRESS <br /> OWNER OF TANKS <br /> ADDRESS CITY L� l��.a%) STATEMZip. ci <br /> OPERATOR AT LOCATION , &A 1, Cbk-/ C ))6)t- <br /> 76 ADDRESS` tt L( )1C� �-- o 'CITY G� �L�t STATEeA- ZIP <br /> NAME OF COUNTY -VL t <br /> TANK # ON PLOT PLAN. <br /> DESCRIPTION OF TANK: <br /> CAPACITY E („j( U ,DIAMETER (�4 , METAL FIBERGLASS SAGE <br /> TYPE OF SYSTEM: SUCTION SUBMERSIBLE : OTHER <br /> VAPOR RECOVERY SYSTEM? i TYPE n <br /> PRODUCT BEING TESTED [;L MEASURED GRAVITY <br /> COEFFICIENT �j�, TEMPERATURE OF PRODUCT' <br /> STORAGELLEM <br /> D - DATE TIME <br /> TESTED - DATE (o -Z1- '�° START /00 () FINISH <br /> LENGTH OF TEST <br /> M <br /> MEASURED WATER IN TANK t:)-' HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER �`._/ O° PSI AT TANK BOTTOM q.. ;. 4 <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES ; NO IF NO EXPLAIN IN RE K$. <br /> LEAK RATE PER HOUR: or <br /> * 4� <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR Le <br /> .5 d <br /> SIGNATURE OF OPEgATOR �`rt <br /> DATE <br /> fs4fi dF'� �"^K i4 f tls <br /> hi <br /> e 5 <br /> YA <br /> V <br /> ?r r� <br />