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CRISP TANK TESTING last hour first hour QWNEA._QE. SITE• <br /> � <br /> 2004 Piccoli Rd. 69 K I <br /> l Stockton, CA 95205 HORNER EASY TESTING METHOD ADDRESS: <br /> p a - E_ <br /> _ WORK SHEET L7:Y-STATE-ZIP: <br /> I / CHART CALIBRATIONS (A) n QS- <br /> TANKS 4 TEST LEVEL--L' PRODUCT 6�.CP.9� CAPACITY //�•D�L-first hr f = 'OWNER. OF TANKS: ' <br /> last hr ,DS AD <br /> ADDRESS: <br /> MEASURED GRAVITY13�JPRODUCT TEMP67AIRZ,,Xl COEFFICIENT 3 TEMP CAL,D0D 43 .0 XI = *, 4�a(B') <br /> TrsTLEVEL LEVEL GAIN+ LEVEL ItMH. TEMP: N+ X(B) TEMP: FINAL <br /> NO- START END LOSS- X A RESULT START END LOSS- X(9) RESULT RESULT TIME CITY-STATE-ZIP: <br /> x = — _ x - -t- /f5/4 / r 1), <br /> 96 �7a - 3 _ - _ _ <br /> OIoZ-�o ,Cb2A9S ,��D '� 'J - IDa •ODc� < GRADE TO TANK BOTTOM:/39" <br /> ( _ = x = _ = x - DIAMETER OF TANK <br /> t LENGTH OF FILL PIPE:3 71' <br /> t _ = x = - = x - GROUND WATER DEPTH : a(j� <br /> HIGHTH OF LIQUID LEVEL <br /> WHILE TESTING :/3,,)il <br /> VAPOR RECOVERY SYSTEM: <br /> x - - ( ) YES �1< NO <br /> X = PF - <br /> 1 s YSTEM TYPE: <br /> 7 SUBMERGE ( )SUCTIDN <br /> X -6THER : <br /> TANK TYPE: _ >< METAL <br /> - = x = _ - = X _ ( ) FIBERGLASS <br /> COLOR CODE OF PRODUCT: <br /> i _ = x = - = x = CLEAR) D <br /> ORANGE <br /> AGE OF T NKb- <br /> TANK LOCATION -- ��//-- ! AGE OF LINES: r <br /> C./�!LX� LiI�U LEAK RATE PER HOUR } <br /> f �{� STORAGE SYSTEM FILLED: <br /> • <br /> ADDRESS FOD ���1%.�<� f�{,{�-�.� SASS l� FgIL ( ) INCONCLUSIVE ( 1 <br /> GTY //L/J -w f n,2 ) r /► p/ DAT <br /> STATE OPERATOR FAQ ' -• <br /> NG <br /> FLUID IF DIFFERENT <br /> DATE —���� THAN STORED MATERIAL: <br /> 1 . SIGNATURE �x -I <br /> t! _ V <br />