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CRISP UN MNQ DATA CHART FOR TANK c YSTEM TIGHTNESS TEST <br />00/07 I. -nom-► I 413 1,`f/ I'oa <br />. P. O. -IM 36W Aa- w ' - <br />f CHEM <br />4-,51 'i. <br />r. <br />110CXTO15213' <br />M, Q <br />��-�." <br />X48 • <br />55 ffSend <br />¢• �r - <br />_ ROq) �36it1s - µ�'�• <br />a+ oat. atw.wi. Tnos. McCatw --rpm., nwm " cum% "=!sn.o <br />C. Tank Diameter <br />Ai� - <br />r <br />°j "" Nww" Fm Pip^ gyp^ �^- <br />-- <br />I <br />• -J <br />�ailL' <br />Address <br />D <br />GRADE <br />° G1 M 8 <br />00/07 I. -nom-► I 413 1,`f/ I'oa <br />I I S <br />r�o5 I I I I <br />4-,51 'i. <br />i <br />6 <br />A. Tank Bot. to Grade <br />S. Tank Top to Grade <br />X48 • <br />55 ffSend <br />Report to: <br />r <br />a+ oat. atw.wi. Tnos. McCatw --rpm., nwm " cum% "=!sn.o <br />C. Tank Diameter <br />Ai� - <br />r <br />°j "" Nww" Fm Pip^ gyp^ �^- <br />-- <br />I <br />• -J <br />�ailL' <br />Address <br />City, State <br />II <br />• . <br />E7Vw3Pr <br />D <br />GRADE <br />° G1 M 8 <br />F <br />00/07 I. -nom-► I 413 1,`f/ I'oa <br />I I S <br />r�o5 I I I I <br />4-,51 'i. <br />i <br />6 <br />A. Tank Bot. to Grade <br />S. Tank Top to Grade <br />X48 • <br />55 ffSend <br />Report to: <br />r <br />a+ oat. atw.wi. Tnos. McCatw --rpm., nwm " cum% "=!sn.o <br />C. Tank Diameter <br />Ai� - <br />r <br />°j "" Nww" Fm Pip^ gyp^ �^- <br />-- <br />D. Test Level above grade <br />�ailL' <br />Address <br />City, State <br />_ <br />:. <br />_wasTest Pressure Formular?oEat <br />E. Depth of water in tank <br />—�' <br />Phone ( ) <br />0 <br />Leaka e Idicated - . -- DR <br />F De th f— #aV I <br />1 0/,5' <br />A <br />F <br />p o ing samp a <br />H G. Temp. Probe depth (connector) <br />Attn: - <br />27 rn <br />i <br />6 <br />_�' <br />- a H. Test level to Tank Bot ""' _ /g3 • <br />CERMCAMN rn.. m �y MW Va tam wiswn wu unw4 <br />a+ oat. atw.wi. Tnos. McCatw --rpm., nwm " cum% "=!sn.o <br />Ai� - <br />I. Groundwater a6ov_ a tank bottom 2r . <br />°j "" Nww" Fm Pip^ gyp^ �^- <br />-- <br />� J. Product Pressure per 1' height OA- <br />Tank N E <br />_ <br />:. <br />_wasTest Pressure Formular?oEat <br />YiF,5- <br />_r <br />36 )-� i.�o <br />Leaka e Idicated - . -- DR <br />_Technician <br />00 <br />N _ a..•...v 1 ... _ NE TEST <br />-- <br />Date Tested <br />PREjSURE <br />_ <br />