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CLIENT: <br /> OWNER OR DEALER 7/0 DATE OF TEST /(0-2_2 - 9 / <br /> ADDRESS (NO. & STREET) 4 JE C.Ly r er a <br /> WEATHER /'_Io cc1Lu <br /> CITY AND STATE—. ,S+nz'_L0o_;' l� TEMPERATURE 7n' <br /> TANK INFORMATION: TANK NO. I OF —L— STATE/COUNTY/ETC. I.D. NO. <br /> CAPACITY (NOMINAL)_ GALS. SIZE OF TEST OPENING �� CONTENTS wo c <br /> CAPACITY (CHART) _ GALS. TOP OFF TIME TANK MATERIAL <br /> DIMENSIONS: DIAMETER IN. GALLONS APPROXIMATE AGE <br /> LENGTH GALLONS TO START TEST PUMP SYSTEM (TYPE) (� <br /> r <br /> A. Tank Bot. to Grade W7 <br /> STHE <br /> B. Tank Top to Grade 3 11 <br /> C. Tank Diameter LO r_- <br /> i <br /> D. Test Level Above Grade -&- ✓} <br /> E. Depth of Water in Tank <br /> H F. D3pth for Taking Sample <br /> A G. Temp. Probe Depth (connector) fJ D $ its <br /> H. Test Level to Tank Bottom ^ U <br /> I. Ground Water (height on tank) <br /> 1 <br /> J. Product Pressure per 1 " Height C3 Z <br /> X . �3�- (- X .036 ) = J. <br /> �l �� � <br /> NET TEST <br /> PRESSURE <br /> NOTES: LAYOUT CHART C }` a' e' W a,v <br /> SYMBOLS: <br /> T- TANK NUMBER )E — LINE TEST ATTACHED U — UNLEADED <br /> S — PREMIUM <br /> -40 TEST OPENING /NOOO'\ MANIFOLDED R — REGULAR <br /> �,�„ D — DIESEL <br /> DISPENSER i�� EMERGENCY SHUT-OFF WO— WASTE OIL <br /> N — NEW OIL <br /> FET TURBINE Q/V VENT PIPE X — OTHER (SPECIFY) <br />