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}ata Char* Tangy. System Tightnc st <br /> MOPION e S P'RECTSTON UM T SG <br /> _FAst rwlF;T <br /> OWNER trop►^r El qAn- <br /> Nemo ^dd nea Mnrei•nub•e Nrnnen• <br /> T.n►if1 ❑ Ate: Mr. Tom Solodia <br /> Nr,ne ^Goffs) 1lsnrereniar.w Ta4nnpnr <br /> OPERATOR r.�{ �'r; 4 I`i Y_I'`i"%L <br /> ivsnY ^dorm Tf.ennnne <br /> REASON FOR RFGUTLAT1 ON' CONIERNING U IDERGRQUIZi) RA ES)F a5'�A S S, 1B NCE9 <br /> TEST SUPCfiAT'TER 16 OF CHAMTR 3 OF' TITLE 23 OF THE CALIFORNIA ADMINISTRATIVE CODE <br /> f(spis-Fully) <br /> WHO REQUESTED MWER <br /> TEST AND WHEN "•'"• I'm comp,ny w Anr,uyrpn oe,. <br /> Aod,es) <br /> 5. WHO IS PAYING OININER <br /> FOR THIS TEST? Comwny.Apencr of ino,y.dus� Psreon Aurnp,rtenp True ter.pnp ne <br /> B+Ilrnp Aopvfss C.Iy Suit Iip <br /> Ar,enhnn of Qroez No oto.,inrn.tv.0m <br /> Identity by Direction caps,11) f3nnd/Supp{rer Grade Approx.Aqf I Steel/Fiberglass <br /> 6. TANKIS) INVOLVED - <br /> I <br /> I <br /> Location Cover Fills Vents Sfphoryas Pumps <br /> 7. INSTALLATION <br /> DATA <br /> ho th mr d.41— ay co—c. B.r ca Too. 1"..Td.1+6 make.Dfop S1lct br, Rempl0. <br /> pert of srry nn.etc [.eco Glc. tubes Remolr Frl1, Sa. Mandote.G N'h.ch{soli' Mrar rf an.— <br /> B. UNDERGROUND Is the water over the tank <br /> WATER Depth to the Water tablt " Yes J No <br /> Tanks to be filled -'' ' fire ` i Date Arranged by <br /> S. FILL-UP hrvn. Telrnhon. <br /> ARRANGEMENTS Extra product to"lop oli and run TSTT. How and who to provide> Conside,NO Lead <br /> -4 I: _11 ; i 0t• <br /> Te,mmal or other Contact <br /> lo, hoUCe or rnqui,y --__ <br /> Carr,parry Na,nr Tele phpne <br /> 10. CONTRACTOR. — <br /> MECHANICS. _ — <br /> any olr+er ronvactor <br /> mvolveC — —- <br /> 11. OTHER - - -- i ;, E —r---f- <br /> r y <br /> INFORMATION _ - i 1 t� �• 1 i .4 i .:�__�_ <br /> OR REMARKS 1r _ "C ,"� 1 Yi - T i r C i� _•, - <br /> AdoaLOnal nto—zi.on on any te—%above Olhcrals or others to be advised when test`g Ii in p,Opress dr yompkrted V,S-Tors Of observers presenl <br /> duonp lest etc <br /> Tests were made on the above tank systems in accordance with test procedures prescribed for Pt}t'O Tlfr <br /> 12. TEST RESULTS as detailed on attached test charts with resutts as follows. ` <br /> l Dale Testen <br /> Tani ide nLt�cai+on I Lphl teati'.agr 1n0cared <br /> k � � <br /> This is to certify that these tank systems were tested on the dates)shown.Those indicated as"Tight' meet the cnterta by <br /> 13 CERTIFICATION the National Fire Protection Asoclation Pamphlet 379 <br /> 2 11-91 o` c .°..i, CHAA? PION tS PRECISION TART. TESTING <br /> ore. —i•4 -- `--- <br /> irsrm Cr.nrurrm n�Ca��aa'•r r <br /> I sy•I 1X151 OAKHUR 57' h NY, SACkAMF.N 11Q, CA 9�a$2 2 <br /> i . _ <br />