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IINVIRONMENTA <br /> N- W L CO. <br /> 47 RL?: _ - PHONE(209)758-1656 <br /> IVAWkIOI—CA`3=' _ - <br /> AI N LAY TANK 'TEG RITY TESTER" FIELD TEST DATA <br /> tNAME- - ADDR PHONE_ <br /> TANK �c �. � A►5 <br /> OPERATOR -- <br /> � <br /> 2 IDENTIFICATION PACITY-GALS. MANUFACTURER STEEUFIBRGLS. AGE-YRS. <br /> TANKS TO <br /> BE TESTED <br /> 3 <br /> TABLEDISTANCE FROM GRADE TO WATER_ INS. <br /> 4 TANK WILL BE FILLED In— (LIME)ON g .t q l X10 <br /> TANK EXTRA 5 GALS PRODUCT AVAILABLE FROM `�t <br /> FILL-UP <br /> FILL UP TO BE ARRANGED BY I)R. PHONE( } <br /> CONTACT AT STORAGE TERMINAD.IS MR. PHONE( } <br /> 5. NAME ADDRESS PHONE <br /> OUTSIDE <br /> CONTRACTORS - <br /> 6 NAME AUTHORITY PHONE <br /> OFFICIALS <br /> TO BE i <br /> CONTACTED - ) <br /> 7 , xsW- ��h �� ®� <br /> `�'� �,ti s - ►-r - S I- - O► G Z o lit � <br /> SPECIAL <br /> \ <br /> NOTES OR <br /> 9 <br /> PRECAUTIONS <br /> 8 ALL TESTS WERE .PERFORMED IN ACCORDANCE WITH PROCEDURES DESCRIBED IN SOILTEST'S <br /> INSTRUCTION BOOK. CRITERIA FOR TIGHTNESS IS ESTABLISHED BY NATIONAL FIRE PROTECTION <br /> ASSOCIATION BULLETIN. N.F.P.A.329. <br /> TANK(DENT TANK IS TANK IS LEAK RATE TEST DATE <br /> TEST TIGHT NOT TIGHT G.P.H. <br /> RESULTS — - O1490 <br /> i <br /> 9 THIS CERTIFIES THAT THE TANKS DESCRIBED WERE TESTED BY THE UNDERSIGNED AND THAT THE STATED <br /> RESULTS REPRESENT THE TRUE STATE OF THE TANKS ON THIS DATE TO THE BEST((S�OF MY KNOWLEDGE. <br /> CERTIFICATE NO. - <br /> �� s CERTIFICATION SIGNED ISSUE DATE <br /> FOR(TEST COMPANY) <br /> ADDRESS - <br /> ;. STATE ZIP <br /> N <br />