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Data Chart for Tank System Tightness Test <br /> ..�� <br /> r�.... <br /> \CASE PRINT CHAMPION:'.SSTRL••CISION TANK <br /> 1. OWNER nevem, O <br /> _ O Mur As.r.0 bnssw,.e.. 1rls.w.w. <br /> wrwr Aae.... .......wuh.e I........ <br /> 2. OPERATOR W T 1 1 <br /> 7. REASON FOR REGULATION GOVERNING UNDIiRCROUND STORAGE OF HAZARDOUS SUBSTANCES <br /> TEST SUBCIIAPTER 16 OF CIIAI,TER 7 OF TITLE 23 OF •1'111. CALIFORNIA ADMINISTRATIVE CODE <br /> (Earl...icor) <br /> ?e WHO REOUESTEO OWNER <br /> TEST AND WHEN "" "'• C........AI Ir,..w D... <br /> S. WHO IS PAYING OWNFR <br /> FOR THIS TESTI C•^yw..A..w<...1we..e., ,erre.A fine <br /> . a+.ws Aae..•. C.I. <br /> ' Aurw,row s1: O•e•• Omit Iw.0+e u.w. <br /> Identify by Ouecl•on C.o.enr, Rune/Svod.rr - Glad. Apple..Aps Sled/f.W.pta4 <br /> TANK(S) INVOLVED S 0 <br /> ! ow U 11 <br /> nis I D P!M <br /> Loc.s.en Co.., hu. v.m. 5•nnew.. P.rmm <br /> I INSTALLATION UJJ-r' xC•1-• <br /> DATA Oqr� S� kcrcoanm wr iii TCKZ�n4..5 <br /> Meech resid vq, Cenuae Ort.lee. Lu.Luhw erp. Ds. 3www,Rup.. <br /> • R..I.I.4,pl.•e.f {.r,n,.,t. ,Vere Rr.wslr 1.r1. I 5.1 r.Mrw.ls/dN n• n •n 4e,.d.Mww <br /> B. UNDERGROUND1.he w'I.,°r"the t'"\l <br /> WATER Depth to the Wale,IrDI.n`A N 1e 1-MY-Ot-5 ❑ Ye. 0 Ne <br /> 9. flll•UP <br /> Ten\.lot.IAed h• L-5_4 ) 0.1, A.ungrd he _— <br /> ARRANGEMENTS E.1r.product to;Kit <br /> ane mit TSTT NO-and whe a vlo.de t Cummer NO Lead. <br /> Terminal a other confect <br /> Ire mike a mer.nr _t <br /> 10. CONTRACTOR; �— -- — <br /> MECHANICS. <br /> .wt other co.".Ctw <br /> 4+aeed -- <br /> 11. OTHER --- <br /> INFORMATION _ . .._-_—_._____ _--•OR REMARKS --- - --- - - _._ •- -. <br /> Ade•lruwei•miye nitron on rnr.1;-t ,, .. •n:O.Lyah nnr..jo ire M.oerd when.......p n m Tend, e. ee..W.,i vnnw.o•eeov+a.o•aem <br /> ewmp tett ale <br /> Tests were made on the .Dore Irak systems in ACCordaner with feel rNoCerdure.precef•t»a/or I'I{TRO-TI TE <br /> 12. TEST RESULTS as detailed an•lathed lest client with cel.dlt as follows <br /> ljent}Id,r�no <br /> Ll�,/+item <br /> V _. ,.. .. .. : . t. 017 /._ S <br /> - R(P�►tl fell_ <br /> i I <br /> This is to Cemlty that These tank systems were tested on the dslU)shown.Those indicated as"Tight'meet IM Cdlaris astaDrlshe d 4y <br /> 17. CERTIFICATION the N.Tlond rite P,oteehon Asoc,.hoh Pamphlet ]]9 <br /> 1�l4�Q1 _�eSAy' C:IAMPION'S PRI•:CISI.ON TANK TESTING _ <br /> --_.. <br /> 11rii9 CA"-TJR <br /> !3-3059 <br /> • <br /> �..IM. .h,.._.. - L.w.....a,—,— )tnn. . . n..n,�l, 1 ."erre• <br />