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Cer Tight S I 1 E 1 N F 0 R M A T I 0 N 4' 0 It M I m <br /> Inoculation Yracer'ftghtO /0j(�6-� State w <br /> Yechniclan [ } {� - ID g: License <br /> Fraser !ob �}��0 Sampling 2��` Yracer'[fght4 _` bEy s 2 State <br /> U <br /> Technician �'1 t� ID <br /> license <br /> c <br /> rn <br /> [Addreess <br /> �yn IO07� N. RWY qCj city : SiOCIIZZTON state :CA ZIp y � <br /> Precision Tea{ Lea;; lmineatlae ^ <br /> © Depth to ground water In tank pit c� <br /> Initial Teit All Water Ingress <br /> Inoculation date Os at inoculation/fnitial visit (in Inches): In. <br /> (see Lox at right) — Depth to ground water in tank pit <br /> Annual leis t Desampling/secondth <br /> ` Monthly Monitoring 11 Sampling dale L— (0 / O S visit (in Inches): In. ^ <br /> Retest 14{� - To be used for ALL Water Ingress Tests �+ <br /> Result Yerineatlan J maximum Semple VacuumTenk(s) were constantly & completely El IK submerged in ground water for the Ed <br /> z <br /> Residential 5aoi(a) © (Highest probe Vacuum on sit r) in lig duration at the teat 7 YES NO D <br /> i C i V •-� J t: -� y n C <br /> :�_� At inoculation Al sampling <br /> Q` .Ego <br /> Sank No. Product A° Volume ; c 4 n € j t <br /> trio aRille!a=l ieel row urn: <br /> (in gallons) s <br /> a Y n fa Innher) (in Inches (in fae3ne (la Inches <br /> � ( UuleRo>?D m o ?,Goo 943+( SR.i- X801 PO , L " 41.5t' ��•Sfe rQv NO M_�, <br /> C] L Q 11 C1 <br /> rrs 10 j ret )D m xo <br /> M no C7 Q Q Q <br /> Per N m xn x <br /> No ❑ Q Q ❑ n <br /> N x° rm as m SQ <br /> C) i� 0 Q Q C7 n <br /> TO RD M xa is M <br /> 0 Q <br /> � � Q Q No mss <br /> QQ Q <br /> Tis RD 0E Q <br /> TQ No rII 1'a <br /> CI Q C7 Q <br /> � <br /> No :n av m se <br /> 0 <br /> Comments :______ <br /> ------------------- <br /> CO <br /> ---------- <br /> ---------------------------------_----------------------------------------_------------_ _ _ ___ <br /> rivitede-n-is 3er. 01 __ �_ ,Trues R".fffir/ Caitarflier <br />