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33247 Rb.16_6_ ENVIRONMEN <br /> TAL CO. <br /> IV ' HOE,CA 93'235: PHONE{209)798-1856 <br /> AIN LAY TAN K `TEG R1TY TESTER" FIELD TEST DATA <br /> TEST SITE LAYOUT 1 NAME ADDRESS PHONE <br /> i TANKAASH- <br /> t <br /> OPERATOR 0�o0 ,inn sjy, .SM <br /> • <br /> Sad -v <br /> 2 IDENTIFICATION CAPACITY—GALS. MANUFACTURER STEEL/FIBRGLS. AGE—YRS. <br /> TANKS TO <br /> _ a BE TESTED <br /> 3 WATER <br /> DISTANCE FROM GRADE TO WATER a INS. <br /> _ TABLE <br /> _ 4 TANK WILL BE FILLED ?WN- (TIME) ON <br /> TANK EXTRA 5 GALS PRODUCT AVAILABLE FROM <br /> FILL-UP FILL UP TO BE ARRANGED BY VR. PHONE( ) <br /> CONTACT AT STORAGE TERMIN4 IS MR. PHONE( ) <br /> i <br /> 5 NAME ADDRESS PHONE <br /> OUTSIDE <br /> CONTRACTORS <br /> 6 NAME AUTHORITY PHONE <br /> OFFICIALS <br /> TO BE -- i <br /> - -- - ' CONTACTED <br /> 7OCT. 9 1019 <br /> , <br /> SPECIAL <br /> _. <br /> 7z a , <br /> A. Tank Bot. to Grade " NOTES OR � IC�i�►�1iS <At-�` <br /> B. Tank Top to Grade -"��� PRECAUTIONS PER{to',1/�� <br /> D " <br /> GRADE -i C. Tank Diameter <br /> D. Test Level above grade <br /> E. Depth of water in tank " 8 ALL TESTS WERE PERFORMED IN ACCORDANCE WITH PROCEDURES DESCRIBED IN SOILTEST-S <br /> 8 1 l0 INSTRUCTION BOOK. CRITERIA FOR TIGHTNESS IS ESTABLISHED BY NATIONAL FIRE PROTECTION <br /> G F Depth for taking sample 1 <br /> F H G. Tem Probe depth (connector) " ASSOCIATION BULLETIN. N.F.P.A.329. <br /> Temp. I �b <br /> - A H. Test level to Tank Bot. ! TANK(DENT TANK IS TANKIS LEAK RATE TEST DATE <br /> 1. Groundwater above tank bottom TEST TIGHT NOT TIGHT G.P.H. <br /> _ _ ®Z� PSI + RESULTS <br /> C J. Product Pressure per 1" height . _ ,.,j 3 t— 9 -� I .�► <br /> i <br /> WATER Test Pressure Formula <br /> oEPTH E I7lo x U2�. .036 )_ S, ` <br /> NVTM <br /> N PREssuaE <br /> ' I <br /> 9 <br /> - - - - 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 OF MY KNOWLEDGE. <br /> CERTIFICATE NO. J® �` <br /> ,,_ <br /> CERTIFICATION SIGNED `..- <br /> ISSUE DATE <br /> tu <br /> m <br /> FOR(TEST COMPANY) - <br /> ADDRESS <br /> e <br /> STATE ZIP <br /> N <br />