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Sacramento Equipment Maintenance Company Inc <br />2533 Connie Drive Calif. Contr. License #502377 <br />,Sacramento, CA 95815 <br />p wo -cow <br />(916) 925-2716 <br />PRINT ata for Tank Tightness�Te=at�;, <br />1. OWNERAddrm <br />FTop,rq ❑ cb <br />T vt <br />z <br />L <br />_: harts <br />,_,.A' -.OPERATOR <br />tu.me-- <br />,y <br />zt� <br />Address <br />OL: I <br />3. -REASON FOR <br />TEST <br /><. (E#Wn Fully) <br />v <br />4. WHO REQUESTED <br />Tats <br />TEST AND_WHEN"""° <br />- CompaM or <br />. - ,.... 1 AaWadorn �� <br />,. . w....�,,.... ..... r _..„.....,..�„, .,. ... , Telephone ' <br />Address <br />W -ft by Direction, Capacity erand/srppi er tirade Appro,c'Ags 8teB1/Flberglpa <br />5. TANK INVOLVED _. <br />Use addltlo Ins .:. <br />for eMMolded tares <br />Location Cover Fills Vents <br />6. INSTALLATION <br />DATA J� SfaYG �G tl <br />North Inside concrete. ntack Top. Sire, Tetsfld make. Orap suction. p;Mgk. <br />Rear of atatipn ata Earth, *to. I,bes. Remete Fins Sits. bMnHoldsd YA bnka9 Maks d known <br />7. UNDERGROUND Is the wow am no I *? <br />WATER ONdn so the wow Mw wh _ t r Bell /. i'J D I -i20 Dy. Oft <br />8. FILL -UP Tars a bs t - hr. Ode arranged by <br />Now Tit"pnara <br />ARRANGEMENTS Ewa product a Sop air and Pars axe War. tie and who a prowde'r consider NO <br />Ta inlnd or odea cartect <br />� notice or Inquiry <br />Company low" Togo*" <br />9. CONTRACTOR, a a <br />MECHANICS, 't ° r 1 V <br />any otnar S - e <br />10. OTHER <br />INFORMATION <br />OR REMARKS <br />MdMcnol h on my Item aboft paews or others b be advbsd wbsn Weft IS In progress or conpNbd. Vbkors or observers proatM during test. sta. <br />11. TEST RESULTS Tests were made on the above tank systems in accordance with test procedures prescribed for . <br />as detailed on afteched test charts with results as follows: <br />Tank ko *ftdi= Tett Lodmp_ .. Oda Tested <br />12. SENSOR 13. This Is to ceartify that these tank system were tested on the dates) shows °Those -indicated a "'right" meet the criteria a by _ <br />CERTIFICATION ontd Fire protection Association Pamphlet 329. .,k <br />T <br />it is the responsibility of dee owrsr aml /a operator of thisYombirarsdiately advise state and local of any <br />Date knelled hazard and the possibility of any repaiutbn w ds a mbonment o ndicated failure of dela <br />1. system. Flaath Cwsukads Incorporated and/ , SACRAMENTOBOURI NT NTENANCE ANY. INC. does not <br />BeSwill W of Thermal s assume any a responsibility for an of product No ant. <br />Coruscation <br />Smaot (--4ir <br />Coraaadon a Tank Owner/ Date <br />01 <br />