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A Work Order: 2255576 <br />CA 95632 <br />AFFORDiA-TET (209) 74"111121(2 9)1744 0116 FAx Spill Report <br />TeSt Report <br />TEST DATE 3 Did <br />SITE NAME pi1(fiUJ T/ ZT� PHONES 70 ) 95 g9oo <br />:jAffu r 0AM7r Preselti2 / W Present <br />" 'R. CPFT J. BiFf•'.KF.T'r'fi'R77Nr�nvrrrevwaerrnnr• <br />Test Mcdx-a Umc& <br />H irla tie <br />r1 Vacmrm <br />a (]tiler <br />Test Equipment Used: <br />1K <br />Equipnrffi Resolution: r tr <br />Identify SFill Btu (By Tmrk <br />1 <br />2 <br />3 4 <br />Nwnher, Stored Prv&a etc) <br />q I <br />M <br />Bucket Installation Type: <br />In Direct Bury <br />IF Ditect Bury <br />BDirect aury 17 Direct Bury <br />11 Conmiued in Suny <br />0 Contained in Sm <br />U Contained in sum (I Contained is Surup <br />BueketDiameter— <br />Bucket Depth: <br />Wait time between aMlyiug <br />�— <br />vacutunli ater and start of test <br />Test Start Time (Tx): <br />Initial Reading W: <br />Test End Time (TF): <br />! S <br />z S� <br />/ Z S~ <br />Final Reading <br />Test Duration t •F --TO: <br />Me <br />Change in Reading (RF -Rik <br />-tJ' <br />Pass/Fail Thmsboki or <br />Criteria: <br />i,:ommen is — (mcraae nyormaaan on reM(m made prior (a feslmg, and reeoRurrendcYl foUa*W jorfaficd taws} <br />Test Water X Taken with tester F�Left_on silla <br />I hereby certify that all the information contained In this report is true, <br />accurate, and in full compliance with lei requirements_ Techrthaan: , Zane A. Nimmo <br />ICC 5263322 -UT <br />Signature: ;G's OTiL #: 04-1676 <br />Tanknology Inc. 8501 N. MoPac Expressway, Suite 400, Austin, Texas 78759 <br />