Laserfiche WebLink
.93247RD.1.56 SAN-WAN ENVIRONMENTOL CO. <br /> IVANHOE, CA 93235'. PHONE (209) 798-1856 <br /> ! AINLAY TANK `TEGRITY TESTER'" FIELD TEST DATA <br /> I NAME ADDRESS PHONE <br /> TANK <br /> OPERATOR <br /> 2 IDENTIFICATION CAPACITY—GALS. MANUFACTURER STEELIFIBRGLS. AGE—YRS. <br /> - o 7 <br /> TANKS TO ~ .1 <br /> BE TESTED <br /> 3 WATER <br /> TABLE DISTANCE FROM GRADE TO WATER INS. <br /> 4 TANK WILL BE FILLED (TIME)ON 4 /-17j-/ W. <br /> TANK EXTRA 5 GALS PRODUCT AVAILABLE FROM <br /> FILL-UP FILL UP TO BE ARRANGED BY I AR. PHONE ( ) <br /> CONTACT AT STORAGE TERMINAL IS MR. PHONE( ) <br /> 5 NAME � ADDRESS PHONE <br /> OUTSIDE /YO.cJF <br /> CONTRACTORS <br /> 6 NAME AUTHORITY PHONE <br /> OFFICIALS <br /> TO BE <br /> CONTACTED <br /> 7 <br /> SPECIAL <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 /> ITANK IS TANK IS LEAK RATE TEST DATE <br /> TEST TANK IDENT TIGHT NOT TIGHT G.P.H. <br /> RESULTS ( — S C..- O c1 ID <br /> i <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 /> SfEVEANG CERTIFICATE NO. <br /> m CERTIFICATION SIGNED ISSUE DATE <br /> 1 <br /> FOR (TEST COMPANY) <br /> G <br /> a ADDRESS <br /> STATE ZIP <br /> r <br /> N <br />