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CRISP TANK TESTING <br />s 3� <br />S <br />140 W. ALDER <br />STOCKTON. CA 95204 <br />' <br />LA <br />HORNER <br />EASY TESTING METHOD <br />? Sz <br />53 <br />�Z �trry t /� <br />20 //z, <br />! <br />&qo <br />WORK <br />SHEET <br />TANK No, w <br />TEST LEVEL <br />_0`>`J PRODUCT Qf-6L-# R— CAPACITY <br />CHART CAL Y <br />y <br />-- ooaZ7 (A) <br />MEASURED GRAVITY <br />�,' � <br />PRODUCT TEMP � O COEFFICIENT <br />����� <br />TEMP CAL `�� �� �=� q,000 - <br />j• 3lo IB) <br />*EST LE,/El <br />M0. START <br />LEVEL <br />IENO <br />GAIN • <br />LDSS — <br />(A) LSVEI <br />t (A) RESULT <br />TEMD, <br />START <br />TTM P. <br />CND <br />GAIN • x (e) <br />LDSS — ace) <br />T•E►IG, <br />RESULT <br />IINAI <br />RESULT <br />TIMC <br />- x of <br />" <br />3 - <br />up <br />3 <br />x 0027 ao8/ <br />534 <br />- 3� <br />�0-1 31 . <br />)/o7 <br />0026 <br />/2 <br />- <br />�0 <br />r I <br />x . DOz7 0027 <br />, SI `0 <br />53� <br />x <br />-`3" S, 3(o- <br />.0027 <br />�-i <br />43 s <br />Z <br />x ooZ� - oo <br />s3� <br />002 x 5.3� <br />Of 07 <br />f;;oS3 <br />/3.30 <br />^, <br />>.� 3 - <br />4 S -+ <br />2 <br />x o 2 - r 5 <br />.5 <br />5 3 - <br />oo+-} x �, <br />oz I <br />268 <br />L4 5 - <br />L4 7 <br />+ 2 <br />x _,0 0 ' 4 <br />.53 <br />� S�� " <br />. ao� x 3 � <br />o3z / <br />. 0 3 75 <br />/ yioo <br />. <br />� a <br />x <br />-• <br />U - <br />,SD <br />4- <br />x oa1 a ,008f <br />. _ zz <br />0053 <br />di3 <br />/�; /s <br />,3 <br />- <br />o 027 002 <br />1,-5-27- <br />. .527 <br />-�'. x -s <br />,D` <br />00 Z7 <br />/ 3 0 <br />- <br />L I <br />0 2l - oo g <br />2�1 <br />-. SIS - <br />X02 5 <br />, o l d7 <br />•o/ i y S - <br />STATION LOCATION 5 �0'V l`\� �' _i�� i�C+ CERTIFIED TIGHT <br />ADDRESS _5-7`'T C=s LEAK RATE PER HOUR <br />CITY z� STATE �-'`� OPERATOR L L <br />DATE �' =) — rQ 3'37 <br />40 SIGNATURE `M_ t-�L <br />OWNER OF &ITC <br />L='Yr �_2 sco <br />ADDRCiS <br />CITY -&TATE • ZIP CODE <br />--r• �",0 953 7,1q, <br />OWNER OF TANKS <br />,S� .. i; /a s A i'W <br />AO D R CSS <br />CITY . STATE - ZIP CODE <br />OPERATORS NAME AT SITE <br />TYPE OF SYSTEI"1 <br />0 SUSMERGE SUCTION <br />LENGTH OF COLOR CODE OF ►RODU: <br />FILL PIPE 11 CLEAR ORANG <br />[THOFg"Upd0W^TE0k <br />RED <br />TANK X METAL <br />1 <br />FISERGL/� <br />VERY SY'rTEM <br />RED JACKET p HEJ►Lf <br />L IN TANK <br />UNO WATER (IF KHOWN) <br />DATE STORAGE S FILLED <br />DATE T I NE <br />to -t( -FG IJO <br />AGE OF TANKS <br />AGE OF LWES <br />TESTING FWID. IF DIFFERENT THAN <br />LTORCD MATCRIAL <br />