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Yon <br />rrrr <br />AINLAY TANK 'TEG RITY TESTER'" FIELD TEST DATA' <br />1 <br />TANK <br />OPERATOR <br />NAME ADDRESS <br />PHONE <br />o o w Oma�--++ <br />- G - 3 77 <br />Z <br />TANKS TO <br />01E TESTED <br />IDENTIFICATION CAPACITY—GALS. MANUFACTURER <br />STEELIFIBRGLS. AGE—YRS. <br />" <br />�--� <br />1�e e L� <br />3 <br />WATER <br />ABLE <br />61STANCE FROM GRADE TO WATER . INS. <br />4 <br />TANK <br />FILL -UP <br />TANK WILL BE FILLED tfo (TIME) <br />EXTRA S GALS PRODUCT AVAILABLE FRO &7 <br />FILL UP TO BE ARRANGED BY MR. • • L �. <br />CONTACT AT STORAGE TERMINAL IS MR. <br />PHONE 1,209$ 37- 74-00 <br />PHONE( , . _ I- <br />.5 <br />5 <br />OUTSIDE <br />CONTRACTORS <br />NAME ADDRESS <br />/f/d •e <br />PHONE <br />- - - <br />6 <br />OFFICIALS <br />TO BE <br />CONTACTED <br />NAME AUTHORITY <br />I Su.•t ou c.c ; a c- 6x <br />PHONE <br />- - <br />----- <br />SPECIAL <br />NdTE9 OR <br />PRECAUTIONS <br />REU� <br />J U N 3 0 1992 <br />ENVIRONNIEr�, ,,_ HEALTH <br />P .R IT/SERVICES <br />e <br />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 />TEST <br />RESULTS <br />TANK (DENT TANK IS TANK IS LEAK RATE <br />TIGHT NOT TIGHT.. G. P. M. <br />TEST DATE <br />`/G -`'1Z_ <br />Z <br />_ pp <br />- G - 3 77 <br />9, THIS CERTIFIES THAT THE TANKS DESCRIBED WERE TESTED BY TME UNDERSIGNED AND THAT THE STATED <br />RESULTS REPRESENT THE TRUE �STATE OF THE TANKS ON THI .DATE TO THE 9EST'0F MY KNOWLEDGE. <br />V CERTIFICATE NO. 90 ^ y <br />CERTIFICATION SIGNED ISSUE DATE / �G <br />FOR (TEST COMPANY) % •� ' �P� �o�a rc�r 4 cs <br />ADDRESS O- 317fol.3 <br />C a. 9s. 3 2- 74 yo <br />STATEZIP <br />