Laserfiche WebLink
3.3247 RD.Ms- 'SAN-WAN, ENV'IRONMENTAL Co. <br /> IVANHOE, CA 93235' PHONE(209) 798-1856 <br /> •f AIN LAY TANK `TEG RITY TESTERT'A FIELD TEST DATA <br /> TEST SITE LAYOUT 1 NAME ADDRESS PHONE <br /> TANK <br /> OPERATOR <br /> ST'o q.5 z.�o b <br /> x <br /> 2 IDENTIFICATION CAPACITY—GALS. MANUFACTURER STEELiFiBRGLS. AGE—YRS. <br /> � �t'trva.. �v�•r�c� w"�a. ��"��,�.. . - . ._ .. cam'�c�J - S'� .�,, 1 --. i � -• i <br /> TANKS Toto _ sA - tl <br /> P <br /> BE TESTED t <br /> 3 WATER o k n <br /> DISTANCE FROM GRADE TO WATER INS. OCT 9 <br /> TABLE <br /> 4 TANK WILL BE FILLED (TIME) ON Cl0r r�- <br /> PERM IT/IQ cVICES <br /> TANK EXTRA 5 GALS PRODUCT AVAILABLE FROM <br /> FILL-UP FILL UP TO BE ARRANGED BY ISR. PHONE( ) <br /> I CONTACT AT STORAGE TERMINI-IS MR. PHONE( ) <br /> 5 NAME ADDRESS PHONE <br /> OUTSIDE <br /> CONTRACTORS <br /> s . <br /> i G NAME AUTHORITY PHONE <br /> OFFICIALS <br /> -- - 1 CONTACTED <br /> ► 7 .a�- - 4 ? ) v 7- o :5 V1- <br /> 7 " \SPECIAL <br /> A. Tank Bot. to Grade -NOTES OR <br /> ® B. Tank Top to Grade `�� v-� PRECAUTIONS <br /> GRADE C. Tank Diameter <br /> D. Test Level above grade " <br /> E.'De th of water in tank .,r� " 8 <br /> ® p ('� " ALL TESTS WERE PERFORMED 1N ACCORDANCE WITH PROCEDURES DESCRIBED IN SOILTEST'S <br /> G F Depth for taking sample INSTRUCTION BOOK. CRITERIA FOR TIGHTNESS IS ESTABLISHED BY NATIONAL FIRE PROTECTION <br /> F H G. Temp. Probe depth (cannector) A ! ASSOCIATION BULLETIN. N.F.P.A.329. <br /> A H. Test level to Tank Bot. i <br /> 1. - Groundwater above tank bottom e- TEST TANK(DENT TANK!S TANK Is LEAK RATE TEST DATE <br /> TIGHT NOT TIGHT G.P.H. <br /> c J. Product Pressure per 1" heighto�_PSI RESULTS IY� - _ pL <br /> 1�S '� g-�.S-�i� <br /> WATER Test Pressure Formula - - S .031 — <br /> EE 1�1 _(0 x .03s 1e <br /> DEPTH x p <br /> DE NU TM <br /> MSSUAE <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 OF MY KNOWLEDGE. <br /> CERTIFICATE NO. ®` 1 Z.9 1 <br /> I� CERTIFICATION SIGNED ISSUE DATE <br /> Q <br /> FOR(TEST COMPANY) <br /> 0 <br /> ADDRESS <br /> N STATE ZIP <br />