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r. <br />r[ASf PAINI <br />1. OWNER Prowl, <br />Tonk(s) 0 <br />2. OPERATOR <br />3, REASON FOR <br />TEST <br />(Eirplem Fully) <br />4. WHO REQUESTED <br />TEST AND WHEN <br />5. WHO IS PAYING <br />FOR THIS TEST? <br />-Date Ch-wil for Tank System ss Test <br />W <br />42dm <br />Chevron U.S.A. 44 ark Welpon <br />-, It. <br />x- <br />INW.il-ffor—nia--A—dministration code. <br />F4er'Annabe I Lane,suite x'00 San Ramon, Cra`n")M <br />FM <br />�"'n`A*Wb"VVITane Suite "h Ramon CA 945 <br />1111imo Adorers Bob Stoltz C"j <br />n..., I- Other Instructons <br />JdentiN by Dirtic"Or, <br />copmetty <br />6. TANK(S) INVOLVED <br />7 --cover <br />Fills <br />vents <br />i4phorm <br />tamps <br />7. INSTALLATION <br />0 <br />DATA 64, <br />Worth Inside d6vewav, <br />I ft"r of sievon, etc. <br />Canemm, Stock Top. <br />I Earth. etc, <br />size, TOW01 mute. trop <br />t ubes. liamole Fie <br />I <br />sue. 1101aft"~ <br />Illin"ch left"? <br />I <br />Remota <br />Make if known <br />8. UNDERGROUND <br />WATER Depth to the %ater table VMS No <br />17— <br />Tanks to be filled'— hr. — Date Nerved by learns T~hone <br />9. FILL -UP <br />ARRANGEMENTS Extra product to "top off and run TSTI. How and who to provk1le ? Consiclerr NO Lead. <br />Terminal w other contact <br />for notice of "Wry CompanyTtNeanone <br />Nana <br />10. CONTRACTOR, <br />MECHANICS, <br />any other Contractor <br />kwol"d <br />11. OTHER <br />INFORMATION <br />OR REMARKS Additional inforrvoison on any ftents eborrrs• D"Muris of Others to be ad;Wd when sm" a an progress or aroffoloW, V64M Of Obstrows P"'00"I <br />dunrig last etc <br />Toot ware mak on to Woo" Unk eyallieme in acrowder" WM OW PrOO111161611" PrOsclib" for wayte <br />12. TEST RESULTS go &W" on ~W lost oh&U VMh rebUft 00 ftft": <br />Tank Idervift"41* IN Tight Leakage Indicaw 09% Too" <br />0 <br />Ai 1—Us --ft a <br />r9F <br />14 <br />72ho <br />