Laserfiche WebLink
raw 150511115111% •va •wr.�n v r.ay.n •ap.�.�i.... ...v. _ ,i <br /> ►LEAS[ /rA1N1' <br /> 1. OWNER .roD,nFChevron U . S . A . Mark Nelson (41511828.3901is .11. Wall <br /> - <br /> "T' Annabel Lane , Suite IM,San Hamon <br /> tasme <br /> 2. DPERATOR X ` `/ /')e� <br /> k... If ANS. M <br /> 3. REASON FOR egu at ons governing under ground storage of hazar aus <br /> TEST substances subcha ter 16 of chapter of titlef tfie <br /> IEFd"n Fully) a ifornia Administration code . <br /> 4. WHO REQUESTED <br /> TEST AND WHEN "7 ' Annabel Lane , Suite �'t10 San Ramon , CSCoery �� *at. <br /> AldreY tWeelYen. <br /> 6. WHO IS PAYING Chevron U . S . A . M k Nelson Fnginee ( 415 ) 83vi- S303 _— <br /> FORTHISTEST? `7""AYM'A`bV1d"1Vb n S u 1 t e tTJtY"""5' fi Ramon CA 945W3 TWonen. <br /> ar,wp Aeonet B o b Stoltz CI`• ftav =.t <br /> Anenuor of Orer hn Ome•bran° -' <br /> idangll by D.,.n.. , CoDauq D•rand,'Supph., Grp. App•o. Apr sw*✓ Faovp.s <br /> S. TANK{S) INVOLVED '' <br /> I I <br /> i <br /> LL/o)atron Cow Hits Vent, itphonet pump, <br /> 7. INSTALLATION <br /> DATA <br /> IF .. v <br /> Monn.rWl.Oft..., Concrete,abck Teo, oke,T1101111 wake Dtoe Luemn.Mmm. <br /> "nu+ seek.n <br /> Ices,of M..,nc Lem.etc. tuba.11.mm.Fdlt fr:..h4swcooee Whd% .nov. <br /> t. UNDERGROUND <br /> Depth Wab { ' Wn.•ova:uonk I <br /> WATER YNo <br /> Tanks b be filled' h" Dat. Arranged by <br /> 8. FILL-UP Telem', <br /> ARRANGEMENTS Extra product to-top aN and run TM. Now and who to a•u"ida 7 Consider NO Lead, <br /> Termirul o•ether comact <br /> lot notice of irrauiry <br /> COmpanY qm. Mepnon. <br /> 10, CONTRACTOR, <br /> MECHANICS. <br /> &,,otM!mntrat3or <br /> Invdvad t <br /> 11. OTHER <br /> INFORMATION <br /> OR REMARKS <br /> Atld n,ortat inlormstan on anY rum.coon Otircuh p,Olen b bt advised when lwonp o M a•Dpnu of completed Verona p ab/enrlafa psM"! <br /> durmp Oat Wc. <br /> TMs spa IIIaDs M D.a Move tank Mysterns in b000rNnco With last pooedur.a prescrlosd for Mlro�f <br /> 12. TEST RESULTS as 001111104i o", atllOhed rat Charts Withra ,fw <br /> aun, as los 19FI <br /> Tank ment"CoW, lopi,l leakage Ind'uud Dau Te"W <br /> a.. Tesla 19M. <br /> ad WT OW Mee IoM OYVI p slant lash,an M Oaf a)hese" Vates a 4t01asaao so�'�M <br /> 13 QRTIFICATIDN M nal gine ►eaarlalor. AaeaMbpr lanrt/aaa. Ms <br /> fbee' .. <br /> • y b <br /> rA <br /> V9, 1131021 <br /> man <br />