Laserfiche WebLink
Cha1Z1p1U17 P_o. Box 1305e <br /> i Precision Tank 'testing Sacramento. CA 95813-3059 <br /> Llearua Na. 73848 CA 800-660-9443 <br /> NEV SM-949-9443 <br /> (91 G) 927.I557 <br /> Fax <br /> (9 16) 927-7345 <br /> HORNER EZY-CHECK CERTIFICATION <br /> Owners Proerty Tanks s} <br /> Companyrs r ,14 hone_L� <br /> Address N ^4 4j i 5d N <br /> Ci7-6 State--e-,/q— Zip <br /> Name & Location of Company <br /> Company Awa 4P —Phone-L_) <br /> Address <br /> City State Zi p <br /> NOTICE TO OWNER(S)l A COPY OF THIS TEST RESULT HAS BEEN FILED WITH THE PROPER REGULATORY AGENCY,. <br /> WHICH IS REASON FOR TESTING <br /> `NOTICE"IT IS THE RESPONSIBILITY OF THE OWNER(S)TO CONTACT THE LOCAL ENV. HEALTH DEPT,W <br /> HIS/HER AREA OF ANY TANK FAILURES WITH(24)HOURS. <br /> Who requested When? <br /> Identify by I.D Product Capacity Apx. Age Steel Fiberglass Brand/Supplier <br /> ' S L ,3d a 6 f <br /> Tanks to be filled Date: ,7, - Z. 7 Time: <br /> Distributor Extra Product to top off <br /> Comments <br /> REPRESENTATNE(S)OR OvmER(S)WILL BE NOTFIEO WHEN THE TEST HAS BEEN COMPLETED AND ONE OFFICI.aL MUST BE PRESENT DURING <br /> THE TESTING. ALL TESTS MADE ON THE TANK(S)SYSTEMS ARE vALD THE HORNER-EZY CHEK LEAK DETECTK)N PROCEDURES. <br /> TMS CERTIFICATION St- v THE CWTERIA ESTABLrz HEDBy THE NATIONAL FIRE Assoc.{PHATrPLE.T 329). <br /> Test Results Include Tanis(s) L3' LinDBe(s) Q"'Vapor Recovery System ❑ Vent Line(s) R" <br /> Tank Tight Tight LeakfPer Hr. Leak/Per Hr. Date Tested <br /> 1D# Tank Lines Ind. Tank Detected Line <br /> Y GP'<D Y BSN 0 c r <br /> Y 0 N 0 Y 0 N 0 <br /> Y D N 0 Y 0 N <br /> Y 0 N Y D N 0 <br /> Technician: Certification <br />