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data *art for Tank System Tietness Test <br /> EASE P0-14r - <br /> 1. OWNER P.00rry Cl z a „•,•■e e.l.. Twv�p <br /> Add— <br /> LnP Repw...lel...e Twona.`e <br /> OPERATOR <br /> ir.n.. <br /> UNDERGROUND STORAGE OF ZARDIIIIS SUBSTANCES SURCHAPIEE <br /> REASON FOR <br /> TEST 16 OF CHAPTER 3 TITLE 23 OF THE CALIFORNIA ADMINISTRATIVE CODE <br /> rf,Na^Faly) <br /> WHO REQUESTED Ta,. como•�y Aw+.od. o.r. <br /> TEST AND WHEN <br /> Agar..■ Z.v T.r.ar+en• <br /> bl$wb#y by D:■u:or. C+q,ury Br■+�d!$r.w Gr■d• Agwge.Ap• 5+■wlEFio+rgiw <br />�. TANK INVOLVED (1) <br /> L%w Wditienrl Rnr - _ <br /> fpr nwoRoW d lanky <br /> co-f Fly Yw.n S:pMrw Ptrmv <br /> INSTALLATION <br /> DATA OF ' { <br /> w_.0 6,.;ft&6-y. Comf�2 <br /> Tom Sa•.ratrid ma.•-D•oo �eI Sunirn.Aenwlr. <br /> Rwr d■e.r:dn,•It tY11PF.iie,ewr+Fdr. Site,kl■MCMo d VNe:dl tank■? Wye if kr.v—r. <br /> E►V..-■w a tm tank? <br /> UNDERGROUND <br /> WATER D.ala n w-■l.r i.o>.rre r qr■d• El ❑r■a .iv <br /> i. FILL-UP Tank■m rl■r■+.d nr. ,,.,. T.+ev�• <br /> ARRANGEMENTS Env.prud.Mx to-%ap orr.nd rvr.-t.nk t•■e■r. Fb-.r d to 1r0.ide7 Cof.6.1 NO lt.d, <br /> ^T■rd:n■r p orw wneaa <br /> CONTRACTOR. <br /> MECHANICS, <br /> "dth f conlr.gor - - <br /> SfrY01'e■d <br /> 0. OTHER <br /> INFORMATION <br /> OR REMARKS <br /> A"&l l:nlpm.lal V.My item■■00 ,Qe1K:.la p 91"n io M ed.iMd-hen lefl:r q A:n prOQle■.Oe r.M`VMed,Y,.nOrl p gQ■.r.en Pr<■eM gvr.r.Q 1A1-elC. <br /> 1. TEST METHODPETRD TATE D PETRO COMP D QUICK CHECK 2000 <br /> Teabe ware made an the•bore tank■ytt+m to SCCWdancc with le+t procedur" Par.mlb d for <br /> 1 a. TEST RESULTS r.detailed on attach d lest chart■with resultx a. tallo.e■: <br /> T.n1 rd...e:t:e.l on TQry NO vok,-Cn..q.Pr H" d+■T.tled <br /> 2. SENSOR 13. CONTRACTOR CERTIFICATION <br /> CERTIFICATION <br /> o.., 1✓ CHAMPION'S PRECISION TALK TESTING <br /> 7 ..INo.•r Tf.re..e �� - 13QZ4 P.O. BOX 13059 SACRAMENTO, CA. 95813-3059 <br /> 1-800-560-9443 <br /> PNH27 <br />