Laserfiche WebLink
), .3.3247 Rb.1b6-- SANIAN ENVIRONMENT CO. <br /> IVANHOE, CA 93235: PHONE(209) 798-1856 <br /> ' AINLAY TANK `TEGRITY TESTER'" FIELD TEST DATA <br /> 1 NAMEADDRESS PHONE <br /> i TANK c>c ;v-�- 7Z)a,1 _ -C a/ - <br /> t <br /> OPERATOR Sta T M0, 0- <br /> S <br /> 2 IDENTIFICATION CAPACITY—GALS. MANUFACTURER STEELIFIBRGLS. AGE—YRS. I <br /> TANKS TO <br /> BE TESTED t <br /> 3 WATER <br /> TABLE DISTANCE FROM GRADE TO WATER �IINS: <br /> 4 TANK WILL BE FILLED3^ -- (TIME)ON (7 ht <br /> TANK EXTRA 5 GALS PRODUCT AVAILABLE FROM <br /> FILL-UP FILL UP TO BE ARRANGED BY 10R. PHONE( 1 <br /> CONTACT AT STORAGE TERMINAL IS MR. PHONE( ) <br /> 5 NAME ADDRESS PHONE <br /> OUTSIDE <br /> CONTRACTORS �(�• a <br /> 6 NAME AUTHORITY PHONE <br /> OFFICIALS <br /> TO BE <br /> j CONTACTED <br /> ` a . <br /> 7 <br /> SPECIAL F9,y�T�iF��? <br /> NOTES OR <br /> PRECAUTIONS <br /> 8 - ALL TESTS WERE PERFORMED IN ACCORDANCE WITH PROCEDURES DESCRIBED IN SOILTEST'S <br /> INSTRUCTION BOOK. CRITERIA FOR TIGHTNESS IS ESTABLISHED BY NATIONAL FIRE PROTECTION <br /> ASSOCIATION BULLETIN. N.F.P.A.329. <br /> I I <br /> TANK(DENT TANK IS TANK IS LEAK RATE TEST DATE <br /> TEST TIGHT NOT TIGHT G.P.H. <br /> RESULTS p_S _ -ry UOS$ <br /> 1 <br /> 1 <br /> 9 THIS CERTIFIES THAT THE TANKS DESCRIBED WERE TESTED BY THE UNDERSIGNED AND THAT THE STATED <br /> RESULTS REPRESENT THE TRUE STATE OF THE TANKS ON THIS DATE TO THE BEST OF MY KNOWLEDGE- <br /> STEI(� g \ uC• �� , CERTIFICATE NO. <br /> CERTIFICATION SIGNED��-L ISSUE GATE <br /> 1 x FOR(TEST COMPANY) <br /> 0 <br /> ^' ADDRESS <br /> m <br /> o STATE ZIP <br /> N <br />