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ANK TES <br />' 2004 PiCCOG #9 <br />•,a -•�`••i;,; �: •. .. • . <br />St ton, Ca 95205 (209)931- <br />182 <br />•. <br />TEST REPORT " <br />OWNER` OF SITES' 1 <br />ESS <br />CITY�J1 <br />' "��D STATE ZIP <br />", R OF TANKS ICL <br />;ADDRESS CITY ZIP <br />•'`OPERATOR AT LOCATION, <br />I <br />,: F. a ti <br />+ADDRESS <br />' STATE ZIP ,S <br />NAME OF COUNTY <br />�I <br />TAMC p 0 GE OF TANK LJ <br />DESCRIPTION OF`; ; <br />V • <br />CAPACITY 1 ,DIAMETER • "t , METAL X FIBERGLASS <br />TYPE OF SYSTEM: <br />;• ; ,. •-,.+,:: SUCTION <br />�: SUBMERSIBLE OTHER <br />f • •VAPOR RECOVERY SYSTEM? TYPE <br />s PRODUCT BEING TESTED <br />MWEASURED GRAVITY 3� <br />COEFFICIENT • <br />TEMPERATURE OF PRODUCT <br />ST AIR_ lo, <br />,— <br />; FILL — DATE - , TI ME-- ° <br />TESTED — DATE <br />LENGTH OF TEST , ST T ®®O OL, wf FINISH <br />,•; hEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL f S Q ' <br />DEPTH OF GROUND WATER _ /S' PSI AT TANK BOTTOM <br />RESULTS OF TEST: <br />++ CERTIFIED TIGHT? — YES; NOS, IF NO EXPLAIN IN RE <br />LEAK RATE PER HOUR: +�l�Ofsyl ; or — <br />RE S BY OPERATOR <br />i• <br />r:e,�,yy3 :DS ie 3 <br />'se l♦ tiri. Vi?:'�iJ��ljt'op�e;�n <br />NAME OF OPERATOR ( A <br />Cl 'SIGNATURE OF OPERATOR <br />DATE 9 - ) - F,� <br />