Laserfiche WebLink
Champion P.O. Box 13059 <br /> Sacramento, CA 95813-3059 <br /> Precision Tank Testing CA 800-660-9443 <br /> License No. 73848 NEV 800-949-9443 <br /> (916) 927-1557 <br /> 'LEASE PRINT DATA CHART FOR PETRO—TITE TANK SYSTEM TIGHTIRESS TEST: <br /> 1. OWNER +aa.r❑ <br /> Nww fir• Lo n.prnuu+. T.lapraw. <br /> Twl.wl❑ <br /> wMw r Z.p T~. <br /> 2. OPERATOR Ut'1LU _ -r L1 R1 "�' w <br /> Pl.rn. .gar L <br /> IREASON FOR REGULATION GOVERNING UNDERGROUND STORAGE OF HAZARDOUS SUBSTANCES <br /> TEST SUBCHAPTER 16 CHAPTER 3 TITLE 23 OF CALIFORNIA ADMINISTRATIVE <br /> M*�FWV) CODE: <br /> 4. WHO REQUESTED T.w Gw.ww y or•n.,w. or. <br /> TEST AND WHEN <br /> amr LF T� <br /> Iy11MJ Iw Fergon [:.a.ow b.M/Swp.w C+.E. M o..A" StrTawgr <br /> 5. TANK INVOLVED — a- O E-5s <br /> 1 I C>DO TT11D' ¢GOC -- <br /> �.Ilwrw. Toa_ Ip wT. <br /> b 111.rYMd.d tank. <br /> l CMr Fllw V.I. S�iw. Pum% <br /> 6. INSTALLATION ��>T <br /> DATA Ej1 C:p <br /> �T , 2cstc W) ., n J rrAZI r1=.� <br /> r <br /> 7. UNDERGROUND11 ❑ <br /> wmuw. .• <br /> WATER o.wn to""wr wew Ito",yrwa ❑r.. No <br /> B. FILL-UPl»bwal�—n.. Iln. ,V Wq"by reNo�.• <br /> ARRANGEMENTS TESTINto lotI 011'G CO no run tank tpt«. Ho..p�nbp AE.t CpwO.r NO eM. <br /> Tw «O .M <br /> bf Iqp� or Inpuwy � T.1e�one <br /> como.nr <br /> 9. CONTRACTOR, <br /> MECHANICS, <br /> am atwr conv.aor <br /> iIIVo d <br /> 10. OTHER <br /> INFORMATION <br /> OR REMARKS <br /> ,e%cnr.,t%,,,.uon on rtY nsm..lww.QIIrcIN.a alrn b Iw M+Ma wnm usmq o.n D.oq..w a cnmoMM.vnnon or oaw.en w.s.m ou.+q <br /> 11. TEST METHOD ® PETRO TITE # 2 ® SELF LEVELING STANDPIPE AND DTS. 2,000 <br /> Tab wan made m IN above tank fyll F In acccrdtn"with IM PrOc"W� PRac'dbad bF <br /> 11 a. TEST RESULTS s detoWd on anawd'at ww wtlb rwWb n loft w : <br /> TW IOmlilvalion T WrVMnr CNr?Vw lb. P.w Tnt.0 <br /> vn r�.pFD P + <br /> z ( <br /> 1M. nLGt=Er:) 24 66 an 43 <br /> 12. SENSOR <br /> CERTIFICATION <br /> 1/23/92 TSMkb+ <br /> P.a William R. Campbell Champion Precision Tank Testing <br /> 418 — Ct f Ca. 92-1324 277 Arden Way Sacramento Calif. <br /> William R. Campbell <br /> Nev. DTT-1010 �1] <br />