Laserfiche WebLink
CRISP TANK TESTI OwNEA OF LITE <br />i <br />140 W. ALDER <br />ST0CKT0N. CA 952 ADO <br />► oiz f%rl r <br />HORNER EASY TESTING METHOD <br />,fox SI30 <br />�--/ 3 3 WORK SHEET CITY . STATE - ZIP COOL <br />J <br />i 77-oC,k-7'01/ (f 19 O <br />a � OWNER OF TANKS <br />TANK No. TEST LEVEL PRODUCT S CAPACITY Q®®__CHART CAI. f�J Mi, _ Z .,� _IA) <br />E19 /77 e_ <br />MEASURED GRAVITY PRODUCT TEMP 1 COEFFICIENT D ®0 ` -� TEMP CA.Ls Q® .S! .. O j� �ORess <br />tB) /9 S <br />6 PEST <br />AONO. <br />LEVEL <br />START <br />LEVEL <br />ENO <br />GAIN • <br />Loss — <br />X (A) LEVEL. <br />s (A) RESULT <br />z <br />STATION TION J v l F %ZL e-� <br />IGHT <br />CERTIFIED TIGHT--- <br />Q <br />- �F-t <br />ter. <br />x.000V 00 OT <br />AGE of TAMKS <br />AGE <br />ADDR %S _ <br />LEAK RATE PER HOUR ' ;�.3ta <br />b�, ��I h.> <br />.�iti0 �'y <br />.000'el <br />CITY, STATE <br />sem. <br />—• <br />,�& <br />AGE OF U"cS <br />X t co oar <br />��- <br />DATE �G)-.p� �,® <br />SIGNATURE <br />i <br />AML <br />4 <br />— <br />- �'- <br />x r -jat b <br />f <br />f <br />® <br />x <br />CITY • STATE • ZIP CODE <br />! OPERATORS AT SITE <br />�! •.� cv •r -N ��Y <br />1 T�2. �E � �/GK S �• P <br />TYPE OF S <br />0 SUBMERGE ITSUCTION <br />LENGTH OF COLOR CODE OF RODUC-' <br />FILL PIPE PCLEAR RANG <br />fi <br />RED <br />DIAAAETER OF TANK META <br />❑ i/mERGLAaS.S <br />TYPE OF RECOVERY SYSTEM <br />❑ BALANCE Q RED JACKET ❑ HEALEY: <br />aVF <br />WATER LEVEL IN TANK <br />DEPTH Of aKOVNO WATER (IFMOD"") r <br />} iYTTEiA FILs rn <br />— <br />s <br />DATE STORAGE <br />DATE <br />STATION TION J v l F %ZL e-� <br />IGHT <br />CERTIFIED TIGHT--- <br />AGE of TAMKS <br />AGE <br />ADDR %S _ <br />LEAK RATE PER HOUR ' ;�.3ta <br />b�, ��I h.> <br />.�iti0 �'y <br />CITY, STATE <br />OPERATOR ✓ t42) <br />lS� r x, LT <br />,�& <br />AGE OF U"cS <br />��- <br />DATE �G)-.p� �,® <br />SIGNATURE <br />TESTING FLUID. IF DIFFERENT 114^14 <br />LTOREO MATERIAL <br />