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TEST <br />RESULTS., <br />TANK (DENT <br />TANK IS <br />TIGHT <br />TANK IS LEAK RATE <br />NOT TIGHT G. P. H. <br />1 <br />• AINLAYA K `TEGRITY TESTER` FIE TES :_*AA. <br />1 <br />TANK <br />OPERATOR <br />NAME ADDRESS�� <br />MAY <br />do TI <br />_ C' © ,971 <br />c c J S UlmNMIE iAL H <br />Z <br />TANKS TO <br />BE TESTED <br />IDENTIFICATION CAPACITY—GALS. MANUFACTURER STEEL/6 VAdj&gyRS. <br />Z bO Uig, h S' 7&# #1 c <br />i e C.I �.� '' V e r u c , <br />- ���0 nA- , <br />3 WATER <br />TABLE <br />DISTANCE FROM GRADE TO WATER f INS. <br />4 <br />TANK <br />FILL -UP <br />TANK WILL BE FILLED `�""" (TIME) ON S <br />EXTRA 5 GALS PRODUCT AVAILABLE FROM' ��� • Y' • ' ' <br />FILL UP TO BE ARRANGED BY MR. +r-' / • y PHONE ( ►.tea ;, r✓ �' <br />CONTACT AT STORAGE TERMINAL IS MR. �� a, rn PHONE( 1 <br />5 <br />OUTSIDE <br />CONTRACTORS <br />NAME ADDRESS PHONE <br />6 <br />OFFICIALS <br />TO BE <br />CONTACTED <br />NAME AUTHORITY PHONE <br />;1 •'x r� �* r, ,► �_� s,. : n w, �, f �r <br />7 <br />SPECIAL <br />NOTES OR <br />PRECAUTIONS <br />8 <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 <br />TANK IS <br />TIGHT <br />TANK IS LEAK RATE <br />NOT TIGHT G. P. H. <br />TEST DATE <br />do TI <br />- - 9 <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 />Ctia�l�s Gv�.yh�� <br />CERTIFICATE NO. 92 V l e y1 <br />CERTIFICATION SIGNED ISSUE DATE �! 8-G <br />FOR (TEST COMPANY) <br />DI./fA- /�iehA/,/A T"L",/� 7-,ef�,:.s <br />0 <br />ADDRESS P d• 72° , `� 3f 3 <br />//17 We e a 9s 3 s 3 S"3 7- 7G 5'o <br />STATE ZIP <br />h <br />