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.. ..... a v.... ark • .�., ...•vvv A — , <br />{ 4 <br />PLEASE PRINT 90-5033 <br />1. OWNER tne,„,y[1 <br />Ta"""0 <br />B.P. Oil Company 2868 <br />Prospect Park Dr. <br />Rancho Cordova <br />CA . 9567Q <br />Nsma A,aresa Reprn Mfad.s <br />B.P. Oil Cgmpany 2868 Prospect Park Dr. Rancho Cordova <br />-eteorone <br />CA 95670 <br />Name AOCIest iteOreseetat .e <br />'eteonone <br />2 OPERATOR <br />'B.P. Oil #11195 165 <br />1-5 & Touise <br />Lathrop, <br />983-0381 <br />Name Adarea <br />; ateorone <br />3. REASON FOR <br />TEST <br />(ER,Iain Fatty) <br />To test system for tightness. <br />4. WHO REQUESTED <br />TEST AND WHEN <br />Lou Parisi <br />Name'::e .Com -atter or Ar'nauon <br />B.P. Oil Company 2868 Prospect Park Dr. Rancho Cordova, <br />yate <br />CA (916)631-64 <br />ACCresa <br />7UeCrdre <br />5. TANK INVOLVED <br />Use addltionat ting <br />tar inantfotcea tans <br />teen." cy cfec::on Cac—ry <br />5—..Suoc— Grace <br />Acwo.. Aqe <br />st—r-cergtasa <br />I <br />1 <br />t <br />6. INSTALLATION <br />DATA{$,rnatatat <br />Location <br />, <br />Nonn inside orr.eway. <br />near of station. aid. <br />Cover <br />$ "�ca <br />Concrete. 3taca Too. <br />_errs. 0— <br />Fitts <br />3r=�'Qu{s�Q <br />ar-_,,zt,S�Q <br />Size. T'ltefiu mase. Oroo <br />:Joel. r.tnote nits <br />VentsSionOres <br />15r, l�on2 <br />Size. Mandoiced Wnier% tares? <br />PJmOs <br />AIOm Q- . <br />Sucnon. Remote. <br />Maud tnown <br />7. UNDERGROUND <br />WATER <br />peoN t0 Na Wath :3d1! 12,OL, � <br />is the water o.er the tan.? <br />� yes <br />8. r1LL-UP <br />ARRANGEMENTS <br />Tans to at filled n,. pate Arranged Dy <br />cAva aroauc: a -ao otr• and Nn t3i.:t nef. Now and WMo td oroaca? Consider NO Lead. <br />Name <br />- <br />. e�ednone <br />arm—t or ower contact <br />for notice or utawry <br />Conics" Nama <br />Teleonone <br />9. CONTRACTOR. <br />MECHANICS. <br />any diner eontraaor <br />tnvoriea <br />10. OTHER <br />INFORMATION <br />OR REMARKS <br />Acciianal 1MD•ma(gn on env items aoo.e. Otfiaats or Dined to oe sc--d wnen testing u M oregrem or comoteted. Visitors or oo.ef.em dresert CVarq test. etc. <br />11. TEST RESULTS <br />Tests were made on the adove tank systems In accordance with teat procedures prescribed for <br />as detailed on attached test c.•iarts with results as follows: <br />Tan. identification Tqm Leasage tndtcv a Oats Tested <br />15 <br />12 SENSOR 13. This is to oertty that thee* tank systems were tested on the date(a) ahown. Ttnse Indleated as 'Tlahr treat the tstteets estao krod by the <br />CERTIFICATION Kirdanall Fire ProtscMm Aaeadation Pampnkit 223 <br />0840 a Liquid Construction, Inc. <br />y�989 y <br />Twtmg tponvat <br />eor a Company. By: Sgnatwe <br />Santa me. ol "1eA"' Dir""�t'e^•Sensor P.O. Box 1220 Tulare, CA 93275 <br />' Aaarwe <br />M. <br />- Ceeeatyat„ e <br />thVt5827 <br />.. ..-�w.`ew. �v'"1T.. «.sTM:'+^^_►;. :'S^r^'. w!r.`n i .�,�: �r� ..p..: :7i"t; �'...._ - J. ..:.;t:i� � ..c i-��.rr-w}�e:...�!vr•-�. �tm�e•f..±^M ri-•- <br />a- eG'�C"1rM''r.Sdt!'rL€tyL'9r'rn .2-4r e.er xl 'n. •a-rst+'t•, ::l^4 _x'� e ^r t" .l"%,"'a VJ•rT ax"t^,'.''.' tr "+ya?e-'<r�tx: �6' ,;s..°.'r'Zw•1ryr�. yam► y`,,, """ <br />4 }"t7t• •ti' ,'jt^.p..,�:i-_rl ,{WaT t,�x"t`d,^.pf:( t^�?;i'�S�T.t'a .ee's. <br />g��ti 71 <br />�.tt�tq`r`r•,k4`i tet•.4.a. •i _,.,?fes•. i- .ti'.'7�• '� z... _ <br />��` A, '�, f' ;• . :Yt`sw. n,titl�i��°° _'�*� ;e~�: �'K'�. �M'4'��r'3".z��'j `%::G�.. ',C'.�rN% s° . ��� +1 xe. "J� >f )e �. 'leu:�?Y a ' .^? w" :'F'.;h� <br />