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11111111 <br /> Champion -P.°- Box 13059 <br /> Sacramento. CA 95813-3059 <br /> Precision Tank Testing CA 800-660-9443 <br /> License No. 73848 NEV 800-949-9443 <br /> PETRO—TITS II CERTIFICATION: (916) 927-1557 <br /> `g\ Fax: (916) 927-7345 <br /> OWNER: <br /> PROPERTY [ ] <br /> TANK(S) [ <br /> NAME ADDRESS CITY STATE <br /> OPERATOR UJ ODI C411/ <br /> N S7 LIOLIEN02LIENRn/ NlU9 /� <br /> NAME ADDRESS CITY STATE <br /> REASON REGULATION GOVERNING UNDERGROUND STORAGE OF HAZARDOUS SUBSTANCES <br /> FOR TEST SUBCHAPTER 16 CHAPTER 3 TITLE 23 OF CALIFORNIA ADMINISTRATIVE CODE: <br /> TANK(S ) DIRECTION CAPACITY GRADE SUPPLIER <br /> INVOLVED / / / /0UI <br /> M Ly <br /> ,VU/ /0,000 m 424D6 OIL <br /> W l /0,000 PREMIUM INC. <br /> TANK TYPE STEEL [ ] FIBERGLASS [ ] DOUBLE WALL [� ] <br /> COVER EARTH [ ] CONCRETE [X ] BLACK TOP [ ] <br /> INSTALLATION LOCATION FILL VENT PUMPS <br /> / 411 q <br /> Of <br /> SIMS <br /> UNDERGROUND DEPTH TO WATER TABLE FROM GRADE IS THE WATER OVER THE TANK(S; <br /> WATER YES [ ] NO [ X] WELL POINT IN TANK PIT YES [ ] NO [ ] N14 DOUBLE GIALL <br /> FILL —UP TANK S TO BE FILLED : /9�0 HR DATE <br /> ARRANGEMENTS EXTRA PRODUCT TO "TOP OFF" AND RUN TANK( S ) TEST : HOW AND WHO TO <br /> PROVIDE? TESTING CO. TERMINAL OR OTHER CONTACT FOR NOTICE OF INQUIRY <br /> CONTRACTOR <br /> MECHANICS <br /> OTHER <br /> INFORMATION <br /> OR REMARKS <br /> TEST METHOD PETRO—TITE II [X] SELF LEVELING STANDPIPE [X] DTS. 2,000 [X] <br /> TEST TANK(S ) TIGHT NET VOLUME DATE <br /> RESULTS IDENTIFICATION CHANGE PER HR . TESTED <br /> / - .0/0 <br /> m l PAS - . 018 <br /> PASS -0/2 <br /> SENSOR TECHNICIANS COMPANY <br /> CERTIFICATION WILLIAM R CAMPBELL CHAMPION PRECISION TANK TESTING <br /> 1/23/92 CALIF. 92-1324 1875 NO 12 DIESEL DRIVE <br /> SERIAL NO NEV. DTT-1010 SACRAMENTOc CALIF 95813-3059 <br /> 418 <br />