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LJAIA L•T7Ar11 rVti IANK ZT.71 tM I Ita171 "r-Ob 1 C.71 <br /> 4EZY CHEK) <br /> Ilia tinQiy am ILAMIVBWUFIE COYPBGM M A I TBNV A1tE / I 1ET <br />/filStiM Ma 9W br � aor <br /> I FiA M !m Ead � I fins M b <br /> / ,: ! d " I F�aor t WI <br />,3 ' 6 s 'ta. .o 7c W sqf t4,s9 q ­,Cc Z'201 octvo <br /> AO 2 -1r oeJ, .od .s � '-oo3 I.9.o/ o <br /> E 3 14 ax r -l1 vo3� :a}q7, dl. S 6 .513 _vv3 /•10/ oo36 <br /> ;6 h 6 6.0 — ev _OjqF 6l.s 3 R. SRI :ooJ /,W/ -cV k -ol3y <br /> �b S 60 5-3 <br /> ya C s —s K -ort o 41. s8s 61.s -ao3 1.al0 7c,036 700 <br /> ly 6 y3 -S ,00 :0110 'r,5AA 6/,5- •-oO3 I• 1 -oo36 <br /> 3 - 9 — .00 r 599 6 .S73 .o06 1,dal -0077- <br /> '06 .M66 6r, s73 61.570 .003 t.7o6 =o036 -co3o <br /> u ' o co -3 0d `0066 6/.SAO 6� 565- =caS I 1-dor :Ooeo ':Ooo6 <br /> I,, 6q ,3 ,00} ,0066 I,SGs (,l.S6l —oaq I.a0/ -0o :xrB <br /> ,O• Oaf 6/.561 P ss?- -Ocq 1.7.et <br /> E 13 66 63 ,3 oo .0066 1557- P,SSh :ocS /, o -0060 =coo6 <br /> v 1q 63 S -w '_C' 6/• 5s} 6!.-5/43 —cos !, o .0060 <br /> u 55" -14 m -c 1, 547 6/.s42 -oos /. 1 -",40 —00)- <br /> Or lG ss sa —3 1 oa},1 ,o066 olj,,74a 6/.98 17mg /.20/ =oo/{g - <br /> aa 7 S -3 6/. 93g 6!,53-5 =003 -oo36 <br /> s <br /> 19 4q '4 100f 1_71-09q P.S16- 6/s3/ 7004 J.AO/ ,asy .pp b <br /> rq 4 l3 o0}1 er,� 67,5-31 R. dB :003 1.dor :e 036 0030 <br /> WI 3� - x7} oc <br /> A. Tank Sot. to Grade 110 <br /> S. Tank Top to Grade 3G Send Report to: <br /> GRADE D C. Tank Diameter 774 • Client /ur Q P <br /> <0 Address {/.wNy 2 <br /> D. Test Level above grade � <br /> g a City, State G-11�QE's✓ cam• <br /> G 6 E. Depth of water in tank Phone ( )9Y3 - 2#41 <br /> F F Depth for taking sample ' Attn: ,r,j , <br /> H G. Temp. Probe depth (connector) 31 <br /> A H. Test level to Tank Sot- 170 • �., fi4M W ONn.n tre m nacare•b d-r air m u r, w rsr• <br /> -Tqr+ww we os.r hooww _ <br /> 1. Groundwater above tank bottom O ft vw ft• `"`'1OY0d"�"'"°'" 3" <br /> J. Product Pressure per /" height ,0 6" SI Tank No. F#0 3 - ,z coo R£G 6`125 <br /> WATEFf - - Test Pressure Formula Tit X '-Og . <br /> DEPTH E 7t, 136 Leakage IndicateO <br /> x -016 _,( Z x�a sl, f� 10- hnician G �°j!%zoawfbNses <br /> " ' Date Tested 3-8- So <br />