Laserfiche WebLink
.ISP TANK TESTING last haur first hour QL�HER._OE SITE: <br /> 2004 Piccoli Rd. #9 <br /> Stockton, CA 95205 HORNER EASY TESTING METHOD <br /> ADDRESS: <br /> r <br /> MAY z 5 1994 WORD: SHEET <br /> I-TY-:STATE-ZIP.- <br /> ENVIRONMENTAL HEALTH CHART CALIBRATIONS (A) <br /> 2 IT/ ERVIC - <br /> TANK�k ;.' TEST LEVEL RDDUGT 1' �Pr ,� �� (�yyy'_CAPACITY_ first hr, { �0 !�?� �f OWNE1�. OF TANK5: <br /> last hr _ <br /> ��- ADOFTESS: <br /> MEASURED GRAVITY PRODUCT TEMP AIR ' COEFFICIENT TEMP CAL X _ <br /> xLEVEL LEVEL GAIN+ LEVEL E�;� � � (S) <br /> START END LOSS- X A TEMP . Uh- L77 X( B ) TEMP: FINAL <br /> RESULT START END L�' � - XfR � R�SU!LT RESULT TIME CITY-STATE-ZIP : <br /> X _ _ <br /> _ GRADE TO TANK BOTTOM: <br /> X _ <br /> DIAMETER OF TANK �. <br /> LENGTH OF FILL PIPE: �a <br /> � - X - - = X _ GROUND WATER DEPTH :.- o2U <br /> ~ d�., � � � � � � HIGHTH OF LIQUID LEVEL/ <br /> - - = X - X WHILE TESTING <br /> P I= TN TANV <br /> - of -' V 3 ?s '� --; ;��3 � ,/)nt /',n WATT <br /> VAPOR RECOVERY <br /> SYSTEM.: <br /> = X _ ( ) YE5 NO <br /> SYSTEM TYPE: <br /> - <br /> OTHER :X - (. } <br /> SUBMERGE ( )SUCTION , <br /> •� CP U G �4 - = _ <br /> _ TANK TYPE : <br /> X ( ) METAL . <br /> _ X _ <br /> ''U ( FIBERGLASS <br /> COLOR CODE OF PRODUCT: <br /> = X o _ X , . �3 = oG ( } CLEAR ( RED <br /> ( ) ORANGE <br /> AGE OF TANKS- <br /> TANK <br /> NTANK LOCATIO ' LEAK RATE PER HOUP' + ? AGE OF LINES: <br /> ADDRESS � �-��� � ,� i ,� � ,^� _ <br /> ASS ('- FAIL ( INCONCLUSIVE ( ) STORAGE SYSTEM FILLED : <br /> CITY STATE E , ;� 1 ;I"' / <br /> OP_RkTOR �"�1 r DAT : 4 <br /> DATE COUNTY <br /> TESTING FLUID IF DIFFERENT <br /> SIGNATURE�-`„� THAN STORED MATERIAL : <br />