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CRISP TANK TESTING v OWNER of LITE <br />140 V. ALDER <br />STOC IRON, CA .952 h�3.ee c.. <br />HORNER EASY TESTING METHOD i AOO^LSS <br />fA��. 2,f 2— WORK i ` V{ •EEE 1. CITY. STATE • ZIP CODE <br />a,YwEa of TANKSTANK No. 2 TEST LEVEL �7 ^ PRODUCT k lei a CAPACITY CHARTCAL om�.- <br />MEASURED GRAVITY 676.2- PRODUCT TEMP 6/0 o COEFFICIENT • 0064S -TEMP CAL -0604C-'>-s 2. 6o Lal ADOaESS <br />�S <br />T LEVEL <br />40. START <br />LEVEL <br />EMO <br />GAIN • <br />LJOSS — <br />: (A) <br />s tA} <br />LEVEL <br />RESULT <br />§ <br />s 7 <br />s <br />X <br />042 <br />a, <br />5 <br />QN <br />T <br />2 <br />. 4- <br />x coo <br />� <br />_ <br />TEAK RATE PER HOUR � <br />�atJ1Ka./OG/�✓ <br />i <br />CITY 1` G�7�••t/ STATE <br />'g - <br />OPERATOR w1 S/1 <br />ACE Or L04CS <br />/z--. 2- <br />�s <br />• <br />Rt <br />s$ 0 02 4f <br />DATE <br />SIGNATi1RE' + - <br />U'J <br />_--s- <br />'- <br />TESTING rwlo. IF DIFFERENT THAN <br />.00ce <br />v03z. <br />® <br />X <br />i <br />! <br />I <br />— <br />x <br />'EJ® <br />K <br />• <br />START <br />__ENO LOSS — <br />It (a) OtESULr____ <br />RESULT <br />TIME <br />§ <br />GArE <br />STATION TIO' <br />CERTIFIED TIGHT <br />a, <br />5 <br />QN <br />ADDRESS �1..� <br />" <br />ACE or TAHKs <br />TEAK RATE PER HOUR � <br />�atJ1Ka./OG/�✓ <br />i <br />CITY 1` G�7�••t/ STATE <br />'g - <br />OPERATOR w1 S/1 <br />ACE Or L04CS <br />/z--. 2- <br />Po <br />,,, <br />PERMIT/SERVICES <br />DATE <br />SIGNATi1RE' + - <br />U'J <br />_--s- <br />'- <br />TESTING rwlo. IF DIFFERENT THAN <br />STORED MATERIAL <br />CITY - STATE - ZIP CODE <br />/,/I—DO" <br />OPERATORS NAME AT SITE <br />- <br />TYPE Of SYSTEM <br />Q SUBMERGE StKTtOM <br />tt LENGTH Of COLOR CODE OF. PRODUCT' <br />FILL PIPE <br />38 CLEAR ORANGE . <br />RED <br />DIAMETER OF TANK 13 al�AL <br />r/7O�%" <br />6 Q fBtERC.t.Aii <br />TYPE OF RECOVERY SYSTEM <br />Q a^LANCE Q RED JACKET Q 4E^LEY <br />WATER LEVEL /N TANK <br />Imo'! <br />`i <br />OEFTH OP OROUNO WATER (IF ) <br />ra <br />DATE STORAGE SYTTEM F8L• <br />§ <br />GArE <br />STATION TIO' <br />CERTIFIED TIGHT <br />a, <br />5 <br />QN <br />ADDRESS �1..� <br />" <br />ACE or TAHKs <br />TEAK RATE PER HOUR � <br />�atJ1Ka./OG/�✓ <br />CITY 1` G�7�••t/ STATE <br />'g - <br />OPERATOR w1 S/1 <br />ACE Or L04CS <br />/z--. 2- <br />Po <br />,,, <br />PERMIT/SERVICES <br />DATE <br />SIGNATi1RE' + - <br />U'J <br />_--s- <br />'- <br />TESTING rwlo. IF DIFFERENT THAN <br />STORED MATERIAL <br />