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0 <br />j <br />11 IDENTIFY <br />EACH LINE <br />y2 TIME <br />13 LOG OF TEST PROCEDURES, <br />AMBIENT TEMPERATURE, <br />1 LOCATION: <br />AS TESTED <br />(MILITARY) <br />WEATHER, ETC. <br />- <br />cc <br />et No. and/or Corner <br />�1 City <br />)State Telephone No. <br />®rx <br />a Z <br />® <br />2 OWNER: <br />4fcn <br />Noinr <br />Address Representative Position Telephone No. <br />O u <br />3 OPERATOR: 51 <br />�W� <br />A�" -�-' 4' <br />o° <br />Name <br />Desie, Mor, or Other Address (i/ different than Location) Telephone No. <br />4 REASON FOR TEST <br />` <br />` <br />C <br />4 <br />v v -tvv i� <br />ti <br />2 <br />g <br />6 TEST REOUESTEO BY: <br />Name <br />Position Order No. <br />BlNhrq�Address <br />2' <br />GY1 1 LNI�i \` �1 R CA�t1U'� <br />6 SPECIAL INSTRUCTIONS: <br />LV a <br />.t <br />`r <br />1 <br />7 CONTRACTOR OR COMPANY <br />MAKING TEST <br />MECHANIC(S) NAME <br />8 BS A TANK TEST TO BE YES <br />B MAKE AND TYPE OF �w <br />r` <br />W <br />H <br />MADE WITH THIS LINE TEST? <br />ISPENSERS <br />PUMP OR DISPENSERS- <br />�° <br />®oCOVER <br />❑ NO <br />[] <br />(�r APPROXIMATE <br />10 WEATHER \� <br />TEMPERATURE IN TANKS 'F °C OVER LINES <br />S®� "+ BURIAL DEPTH <br />Concrete. Stock Top, etc. <br />11 IDENTIFY <br />EACH LINE <br />y2 TIME <br />13 LOG OF TEST PROCEDURES, <br />AMBIENT TEMPERATURE, <br />14 PRESSURE 15 VOLUME <br />pal OR kPa READING NET <br />AS TESTED <br />(MILITARY) <br />WEATHER, ETC. <br />BEFORE AFTER BEFORE AFTER CHANGE <br />01TO <br />_ <br />®rx <br />O u <br />zC�j <br />o° <br />44 <br />y <br />A CO'v a t 00\0 <br />4 <br />v v -tvv i� <br />ti <br />2' <br />LV a <br />AP <br />1 <br />16 TEST RESULTS <br />CONCLUSIONS, REPAIRS AND COMMENTS <br />Dee�') �2- <br />9t,eAriN <br />�-v�2 <br />