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140 W. ALDER IndergroundStorage T&4 <br /> STOCKTON, CA 95204 <br /> HORNER SYSTEM <br /> OWNER OF SITE <br /> L <br /> AUDRESS OF OWNER D4 AA i 14 C _CITYJ.� _STATE ZIP�J- Y / • <br /> OWNER OF TANK <br /> _ 06� or T /0 d / YG <br /> ADDRESS OF OWNER 0 `� O X �Gr/ /CITY L, d/ STATE ( c, <br /> NAME OF OPERATOR AT LOCATION /U /7 <br /> ADDRESS OF LOCATION l F i fCITY Ll�� STATE (. ZIP • j. <br /> NAME OF COUNTY Yl ,1nOog)fa <br /> TANK d _ON PLOT PLAN LOCATION. STORAGE SYSTEM FILLED; DATE7-jS-5t(,TIME <br /> DATE OF TEST TIME OF DAY: START p�FINISH U 0 i <br /> LENGTH OF TEST_ Lk S_. AIR TEMPERATURE f1S) 'I <br /> DISCRIPTION OF TANK-CAPACITY,;700 0DIAMETER�METAL _FIBERGLA55 <br /> t <br /> TYPE OF SYSTEM- SUCTION SUBMERSIBLE OTHER <br /> TYPE OF VAPOR RECOVERY SYSTEM <br /> TYPE OF PRODUCT BEING TESTED J)i P S'c / MEASRURED GRAVITY 3 j COEFFICIENT 000 '-1 <br /> TEMPERATURE OF PRODUCT g a o <br /> MEASURED WATER IN TANK O DEPTH OF TANK TOP FROM GROUND LEVEL j �f <br /> DEPTH OF GROUND WATER�9 Q10�0 HEIGHT OF LIQUID LEVEL IN TEST STAND OR STAND PIPE <br /> AGE OF TANK AND LINES <br /> RESULTS OF TEST: CERTIFIED TIGHT: YES x No IF NO EXPLAIN IN REMARKS BELOW <br /> LEAK RATE PER HOUR: <br /> f <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR Y'/ � <br /> SIGNATURE OF OPERATO mea 2f "p°A2 <br /> DATE — ,2 7 — gi <br /> -�a <br />