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n <br />Central Coast Tank Testing <br />-�f POST OFFICE Box 2155 <br />4" SANTA BARBARA, CA 93120 <br />TEL 805.966.9915 <br />FAX 805.687.0883 <br />I] <br />LINE INTEGRITY TEST REPORT <br />PETROTFTE <br />JOB NO <br />DATE <br />TIME <br />PETROTrTE TEST CRITERIA: <br />REQUESTED BY: <br />TANK TEMPS: <br />SPECIAL INSTRUCTIONS: L <br />+/- 0.01 GPH @ 1-112 x <br />TYPES OF PUMPS: <br />WEATHER CONDITIONS: <br />❑ +/- 0.025 GPH @ 15 PSI MAX <br />NO OF FLEX CONNECTORS: <br />SURFACE/BURIAL DEPTHS <br />NAME-CONTACT- <br />• • .. ONE • Yw , `r iREFERENCE NO: <br />COMMENTS: <br />PERMIT NO:s <br />PETROTrTE TEST CRITERIA: <br />REQUESTED BY: <br />TANK TEMPS: <br />SPECIAL INSTRUCTIONS: L <br />+/- 0.01 GPH @ 1-112 x <br />TYPES OF PUMPS: <br />WEATHER CONDITIONS: <br />❑ +/- 0.025 GPH @ 15 PSI MAX <br />NO OF FLEX CONNECTORS: <br />SURFACE/BURIAL DEPTHS <br />TESTED BY, Robert P. Hankenson , CA91-1169 050793L1222)ii�� <br />UST Tester Lic. NoPetroTite Lic. No Si nature <br />WE <br />WCC: `s U 1.1 GO V l CC: <br />CC: <br />OILY❑ INITIAL ❑ PERIODIC ❑ MAINTENANCE ❑ MODIFICATION ❑ RETEST <br />*REQUESTS FOR ADDITIONAL COPIES WILL INCUR AN UNARCHIVING AND DELIVERY FEE OF APPROXIMATELY $55, PER EACH PG OF <br />COMMENTS: <br />WIV, A09 <br />• ' <br />TESTED BY, Robert P. Hankenson , CA91-1169 050793L1222)ii�� <br />UST Tester Lic. NoPetroTite Lic. No Si nature <br />WE <br />WCC: `s U 1.1 GO V l CC: <br />CC: <br />OILY❑ INITIAL ❑ PERIODIC ❑ MAINTENANCE ❑ MODIFICATION ❑ RETEST <br />*REQUESTS FOR ADDITIONAL COPIES WILL INCUR AN UNARCHIVING AND DELIVERY FEE OF APPROXIMATELY $55, PER EACH PG OF <br />