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r• <br />-.,CR1SF-*1,rANK --TE%cE.110F1NG- <br />411"i'2004'. Picco <br />(209)931-1828 <br />'ton a 95205 _ <br />►sr ',;. =2i �'-'�'a B �!.' i <br />TEST REPORT <br />SITE t'' _,tI�- l • <br />;?°ADDRESS ' ' ITY STATE G1 ZIF x5330 <br />OWNER'OF �7aNKS inti Ccn n2Lt P <br />ADDRESS t CITY (I- /L L U� STATE ZIP 53 U) <br />, OPERATOR AT �.00AT ION 1 7 t. • <br />.' 3 3v - - CIT Cc l t STATE P ZIP 5Mb <br />e'' �'•;; �' r: ADDRESS-LcCLit <br />r ,ter <br />N . OF. -COUNTY ) ® • //jy /� / <br />iy si •, ••�1,�' ((i Vim/ <br /># ON PLOT PLAN. AGE OF T It1 _ <br />DESCRIPTI0�1 TANK: d <br />- .• .' ; ' `i <br />DIAMETER , METAL FIBERGLASS <br />CAPACITY .5e)b , <br />; YSTEM: SUCTION SUBMERSIBLE OTHER • <br />' 'VAPOR RECOVERY SYSTEM? k( ; TYPE <br />:}p PRODUCT BEING TESTMEASURED GRAVITY <br />COEFFICIENT ` �7 TEMPERATURE OF PRODUCT 70 ° , AIR <br />AGELL ®_ DATE �+ r , - TIME <br />ISH I <br />TESTED -DATE - w? - , ST T � <br />L ,FIN • <br />OF TEST 1-it�ilr �, �J f�lttutJ (�S e <br />("MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL <br />a,DEPTH OF GROUND WATER PSI AT TANK BOTTOM <br />RESULTS OF TEST. <br />NO IF NO EXPLAIN IN REMARKS. <br />CERTIFIED TIGHT? -YES <br />LEAK RATE PER HOUR: t ® ; or - <br />REMARKS BY OPERATOR <br />•!�•�,.:,rT'e.,`' t'!r•r.'1'= '1NAMEOF OPERATOR a c< <br />^ nna�y p <br />;SIGNATURg OF OPERATOR <br />DATE <br />C �WNST;?..�v <br />, 1 <br />e <br />