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LfAINDTMEIR <br />GVEOP iME.S VecuTect T'`' TANK TESTING REPORT <br />EN VtRONMEN <br />Customer _�P-y� Site # gNl�3 <br />Invoice Name/Address <br />Site NamelAddress - q5-1 <br />S.O.* 3(,,©) y <br />Date <br />Phone y15 - �Y2 gbz y <br />Attn: 1QAR6 e F-ARR,4g <br />TANKS <br />LINES <br />Leak Det <br />COM ME NTSNof.aftmow■orrp.rt. <br />s» <br />DWo <br />For <br />LCC <br />Tank <br />Tank <br />Product <br />Tank <br />Dia. <br />Tank <br />Gallons <br />Tank <br />Mat'I <br />■ <br />ST/ <br />FRP/ <br />Lined <br />Dipped <br />Water <br />Level <br />■ <br />START <br />Dipped I <br />Product' <br />Level ! <br />■ <br />START I <br />Probe <br />Water <br />Level <br />■ <br />START <br />Yy � <br />ingress <br />Detected <br />■ <br />Yes/No <br />Bubble <br />ingress <br />Detected <br />■ <br />Yes/No <br />U18 Air <br />9e <br />Ingress <br />Detected <br />■ <br />Yes/No <br />Tight <br />m <br />or <br />Fail <br />(F) <br />Line#j <br />- <br />Line <br />Marl <br />■ <br />ST/ <br />FRP <br />Deliv <br />Syst. <br />■ <br />PS/ <br />SS <br />Tight <br />m <br />or <br />Fail <br />(F) <br />Exist <br />LD <br />pass <br />(p) <br />Fail <br />(F) cr <br />NONE <br />NEIN <br />PrsTested <br />LD <br />■ <br />SOLD <br />Yes/No <br />TANKS and LINES Tested to <br />CFR -40 Parts 280-281 and <br />NFPA 329 Spec's. <br />Other: <br />END <br />END <br />END <br />� <br />l <br />Start <br />End Time: <br />1" <br />�I B , <br />ime: <br />Ffl� <br />r i< <br />5T <br />3Z// <br />�JO <br />N c7 <br />100 <br />1A <br />� <br />6 <br />� <br />� <br />Exist LD SN: <br />113 <br />L) <br />New LD SN: <br />1C <br />e <br />I <br />Pump Mfr.: iU t7 � e <br />I <br />1D <br />2 <br />StartTime: <br />End T <br />me: ` <br />2AJ <br />Exist LD SN: <br />213 <br />New LD SN: <br />2C <br />pump Mt.: <br />2D <br />3 <br />StartTime: <br />End T <br />me: <br />_. <br />3A <br />Exist LD SN: <br />3B <br />New LD SN: <br />Pump <br />3D <br />4 <br />StartTime: <br />End Time: <br />4AJ <br />Exist LD SN: <br />48 <br />New LD SN: <br />`C <br />Pump Mfr.: <br />4D <br />TANKNOLOGY CORPORATION INTERNATIONAL <br />TANKNOLOGY Regional Office: i Z Unit Number 5-:7- 4960-F Allison Parkway • Vacaville, CA 95688 <br />NOTE: Original VacuTect Data recordings are reviewed by Tanknolgy's Audit Control Department and maintained on file. (707) 446-2494 • (800) 826-5837 • FAX (707) 446-2495 <br />FORM I A <br />