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RIP <br /> A N <br /> TESI IG <br /> 2004 Piccoli #`9 <br /> - LL Ll <br /> Stockton, Ca 95205 (20 .. <br /> TEST REPORT FEB 9 1989 <br /> 6 ' <br /> ENVIRONMENTAL HEALTH <br /> OWNER OF SITE > PERMIT I SERVICES <br /> ADDRESS <br /> CITY S 4 cl 4 a J STATE / ZIP S;,?Q� <br /> ''! I OWNER OF TANKS 'f �CLr <br /> i I ADDRESS C < < `' s <br /> I I i <br /> CITY�k' _STATE_�:p ZIP_q��.- <br /> OPERATOR AT LOCATION _ <br /> I ADDRESS _ , CITY `STATE ('�l ZIP <br /> NAME OF COUNTY <br /> < i <br /> F TANK , I U_) ON PLOT PLAN. AGE OF TANK <br /> } + ' DESCRIPTION OF TANK: <br /> CAPACITY ,DIAMETER� METAL FIBERCASS <br /> . , , TYPE OF SYSTEM: SUCTION : SUBMERSIBLES: OTHER <br /> VAPOR RECOVERY SYSTEM? e ; TYPE <br /> PRODUCT BEING TESTED L 3 MEASURED GRAVITY <br /> COEFFICIENT <br /> _ ,Q,.2- . TEMPERATURE OF PRODUCT <br /> MM .fidf, AIR_ <br /> STORAGE PJLLFD'- DATE <br /> �l�- ,- !- yS' , TIME . <br /> TESTED - DATE STAR!_aG..; , —i FINISH C% ,.3e <br /> LENGTH OF TEST '1F`5 - <br /> MEASURED WATER IN TANK. HEIGHT OF LIQUID LEVEL (� } <br /> ' DEPTH OF GROUND WATER —" <br /> PSI AT TANK BOTTOM , <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES _ NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + ; or <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATO ' <br /> c/ SIGNATURE OF OPER0, R <br /> r DATE , <br /> I <br /> t , <br /> I ; <br />