|
*4:w:-3ra3w:r::a __
<br />•� p u E47t,r Y MW T MT t'Cr z
<br />Sacramento 4ui men
<br />P Alalntenance Campan Inc,
<br />2633 Owls Drive y
<br />680r8mento, CA 65816 C#Itf. Contr, Ltoenat
<br />(918)
<br />926.27116
<br />PlEaB! PRINT
<br />Csta Chart for Wank Systom Tightness Test�29srariallne A 2-
<br />213 3
<br />1, OWNER Inepert,, [�
<br />TA�►tr, �'�
<br />2. OPERATOR
<br />. REASON FOR
<br />TEST
<br />ilxpUtt nrY?
<br />4. WHO REQUESTED
<br />TEST AND WHEN
<br />.
<br />6. TANK INVOLVED
<br />ties 0e4rtOnal unes
<br />for rn#nisdded Wks
<br />---------------
<br />Q, INSTALLATION
<br />DATA
<br />7. UNDERGROUND
<br />WATER
<br />0, FILL -UP
<br />ARRANOEMENTS
<br />�. caNTRAcrat�,
<br />MECHANICS,
<br />#Ay othlvii Moe
<br />in+s+ DOW
<br />►��Arco� 13r.x 6411 -:Artesia C --�
<br />- o. � our t land Holm&n (91 S
<br />•
<br />Arc
<br />t) 2
<br />9C�8 �e2 atrtin Holt T) StocktoIra . 2
<br />ass#►� r n __..�--�-�--�- _�. —1 _- — " 5 S 6 2
<br />_:_vuT my Fermi is
<br />wq,Wly tY oow6 wn—
<br />Cacs:'ty !��'4uAPrle� �raiQa ..•.—
<br />�rF,. Ap
<br />r�e<
<br />NeriN In,ra drrwwr, Cbncnte, ®+aaA Top. sat, Ttt♦tlr mite doA
<br />Mar or ltor, ere, 6s0,e75 , r4owlt m;
<br />Wpth to MN Wtta. nape
<br />Tomo to to taw � ht- —Otte >f1nf. W by
<br />Mx `o*"
<br />M++p+
<br />Of#
<br />Ely"
<br />tt.rre wadut+ la 1e¢ sfl" #nd run tint 41*, H" Ind
<br />A+'o�d►9 CaWdt~ M6 tgtL
<br />7rntraalot9pk+0atfaer _.:_.._�
<br />far natbs ar ►+q,try
<br />`10. OTHER
<br />INFORMATION
<br />OR REMARKS
<br />'AarTp�,,, � sr,g +ia�x p,a , nta!o w etTszs � 7o ad.:aaP,rr� weu ti �.".�
<br />' '�" A• au*rps�tw. a s y awaar�rrp "wq iuRnp�
<br />11, TELT 111SULTS T#ete wire mad* 9n th# #have tart tY#twnt in #word#not with test ¢rocfedL.,,Pa# P4900"d for
<br />sa det#Iled nn #! ched telt C;sfrte wgsj r#tutd4 /$twe Too*
<br />f0tldwst r
<br />Tlnk tttMltltl#tllsrt tSw id
<br />It SENSOR 13. rMt ie to cel;fy that theta tante system w#re tasted on th# dote �, thaws, T4ost t, -r A
<br />CERTIFICATION the Nstfonsl Pips Prot#etfon Auoatstlon Ps:lphtst 32t, #isd #t "Ttsht" most th# sins►'# ##t#bttshod b)
<br />t�+ro�ns
<br />�ttt , '��t � �#t¢a ' 6 Ary Qp fhP 0 e p , . ar�r„drrr pi k 3 t�xlefi t0 r^+rw.Sa'f'y ldviH t!s � tt� �t OJphOrtltp 0'1'7
<br />t AYR tl a d ppaa; nr e y •tr rt,rie E to the s ✓ars ap s,s., n vt y' C -arse Tsilwo of ;ntf
<br />+-
<br />&t# '+5# , E i7p fCU1r �,?� t.t..�NrEhANCE C�^.',r;'e�4Y, IhIC,
<br />MrSer iiia Ot ThMrRlt r• . p ttS°K'�3 b I t 4p Ida E} `hr fly'' 'Chi t` pr;,: ug to the On"'?MIllit do" rat
<br />Knee• GrtlAottjb e�C1 i� l,lm�
<br />TEE?'9T'01 4lNI'15N 1 1 SI113�'3'"7 b}0d3
<br />
|