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f <br /> CF11S <br /> wrA re <br /> 2004 Piccoli * <br /> Stockton, Ca 95205 (209)15 <br /> csaw <br /> a <br /> • '. , 'I f I <br /> ! TEST REPORT FEB 9 1989 <br /> ENVIRONMENTAL HEALTH <br /> '1 OWNER OF SITE PERMIT 1 SERVICES <br /> ADDRESS <br /> ' CITY <br /> c < TATEZ <br /> ADDRESS <br /> CITY OWNER OF TANKS <br /> � •, � n� ��r�r <br /> ' — CITY .— <br /> xSTATE�(.6— ZIP°J <br /> OPERATOR AT LOCATION { ,� �• r r _ <br /> ADDRESS <br /> s � i�.} • N a��I c� 9 CITY <br /> NAME OF COUNTY STATE 014 ZIf2y2/�� - --- <br /> f , �r;�C � <br /> TANK 0 s <br /> ! t I ._..L" ON PLOT PLAN. AGE OF TANK— <br /> ' .DESCRIPTION <br /> ANK: DESCRIPTION OF TANK: <br /> �i CAPACITY Z, ,DIAMETER0� METAL, FIBERGLASS <br /> ".. TYPE OF SYSTEM: 5UCTION <br /> : SUBMERSIBLE��; OTHER <br /> VAPOR RECOVERY SYSTEM? ; • <br /> PRODUCT BEING TESTED2ILL41-a. ' TYPE <br /> - C MEASURED GRAVII Y" J, _ • <br /> COEFFICIENT c c EMPERA`f RE OF PROQUCT <br /> STORAGE SYSTEM: <br /> FILLED W DATE _2 a -8` , TIME <br /> TESTED - DATE1 I 0 3 $ p START 7 r FINISH­14 <br /> LENGTH OF TEST '7 h C, 5 <br /> MEASURED WATER IN TANK z � 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 .. r <br /> ' I <br /> REMARKS BY OPERATOR <br /> I <br /> NAME OF OPERAS <br /> SIGNATURE OFA R <br /> , <br /> DATE r-Q <br /> i <br /> I , <br />