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<br />Data Chart for Tank qwstemlightnes.s 'Test
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<br />TEST
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<br />Data Chart for Tank qwstemlightnes.s 'Test
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<br />t, 4. WHO REQUESTED
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<br />Tin. Gwnpafq or Ana.atwn ,: �',ih�,';,;•N Dole
<br />i. TEST AND WHEN
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<br />Drand Grade �, Hppoa. Age = ✓t ed=
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<br />• ! 5. TANK INVOLVED
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<br />6. INSTALLATION
<br />t(((: DATA
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<br />7. UNDERGROUND
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<br />P3. FILL -UP
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<br />A11RANGEMENTS
<br />Eau, wdouet to iop olr and m. tank Infer. Hen. and wh to pr d.t cansid.r No L.aa
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<br />J 9. CONTRACTOR.
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<br />,'i MECHANICS•
<br />any other contractor
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<br />Using DTS-2000 and
<br />Petro -trite Self Tlevelers ' ` •i' �' }', '
<br />MOTHER
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<br />`INFORMATION
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<br />OR REMARKS
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<br />Addn+onsl)nlormatton on any II«rn coom olrb6als o, olr.a,s b be ao.uad wnen testWq is In p )Vw a or ooa,pieoed. Visitors of cbsen®vs lames test „
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<br />1'11. TEST METHOD
<br />❑ PETRO TITE
<br />❑ PETRO COMP. ;. 1
<br />:T] -'--QUICK CNEC�200®t ' 1
<br />T .-sts wart+ made on the above talk systema In attotdanet with test ptoCedutsa prescribe
<br />TEST RESULTS
<br />-' --- as loaned on attached teat charts wnh results 84 WOW -1:_
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<br />Tank ldentIl"lon , TtgM
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<br />F4wt t , ai'+•/'!'F« u 0a1.7aearA. 7i -�:�. $
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<br />13.5#1CONTRACTOR CERTIFICATION
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<br />'::•• CERTIFICATION
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