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BOYD TESTING SERVICE <br /> 3929 Ryde Avenue la <br /> Stockton, CA 95204 <br /> (209) 941-9448 <br /> TEST REPORT <br /> Name of ^� _ Tank <br /> Job Site 1 / A ��Rl�1�N Y<7� Number <br /> Address Test date -- <br /> Number h Street Name ' <br /> Phone <br /> City 1tib°e.)JR..;fC' .-d4 Cts 1_ -'� v Number <br /> City State Zip <br /> Owner or <br /> Dealer <br /> Address Phone <br /> Number 8: Street Name Number <br /> City County <br /> City State Zip <br /> Tank A l Age Yrs /a ::cam^ Gallons <br /> Single Double <br /> Metal Fiberglass Walled x_ Walled <br /> Premium Regular <br /> Diesel Unleaded �_ Unleaded Leaded <br /> Waste Aviation Jet <br /> Oil Kerosene Gas Fuel Water <br /> Suction .k• Submersible Overspill Container: Yes_)L No <br /> Shear Valve: Yes _ No In-line Leak Detector Yes_ No t' <br /> Vapor Recovery <br /> System: Yes �_ No If "YES," Phase 1: Pase 2: x _ <br /> Tank Filled: Date -"4 Time <br /> Tank Tested: Date a .i 1e Start ;�, ,'�{� Finish A)JeP <br /> Tank Bottom to Grade Tank Top to Grade Diameter `y=i <br /> Test Level Above Grade V " Water in Tank <br /> Depth for Taking Sample 91 " Temperature Probe Depth " <br /> Test Level to <br /> Tank Bottom Ground Water above Tank " <br /> PSI ,a� Net Test Pressure (Factor A) <br /> Measured A.P.I. Specific Gravity Product Temp <br /> A.P.I. Spec Grav at 60°F ,�� Coefficient of Exp . -) 0 n <br /> C.O.E.,6,16 J�eq,S X Total Capacity Jt� td.S = Vol. Change (Factor B) <br /> CERTIFICATION: THIS IS TO CERTIFY THAT THIS TANK SYSTEM WAS TESTED ON DATE SHOWN. <br /> THOSE INDICATED "TIGHT" MEET THE CRITERIA ESTABLISHED BY THE NATIONAL FIRE PROTEC- <br /> TION ASSOCIATION PAMPHLET 329. <br /> TANK NO. Z TIGHT <;e e0i; LEAKAGE INDICATEDf ;G'.1WL <br /> DATE TESTED Z - 2 T TECHNICIAN /�I; <br /> Cal State Lice No. 94-1438 <br /> f r' <br /> Signed <br /> `F y <br /> 9/91/ggf <br />