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��IIIII� Chain <br /> I pion P.O. Box 13059 <br /> Precision Tank Testing Sa amento, CA 95813.3059 <br /> Ucenw No. 73848 CA 800-660-9443 <br /> NEV 800-949-9943 <br /> (9161 927.1557 <br /> Fax: (916) 927-7345 <br /> HORNER EZY-CHECK CERTIFICATION <br /> Owners P o ert�Tanks(s) <br /> Company I Phone_P-64 ) <br /> Address_SD4 T��7 61-vz <br /> City T4 ac y State c 4. Zip <br /> Name & Location of Company <br /> Company g_g_ p..T`c- Phone-C-_) <br /> Address <br /> City State Zip <br /> NOTICE TO OWNER(S)i A COPY OF THIS TEST RESULT HAS BEEN FILED WITH THE PROPER REGULATORY AGENCY, <br /> WHICH IS REASON FOR TESTING <br /> 'NOTICE'IT IS THE RESPONSIBILITY OF THE OWNER(S)TO CONTACT THE LOCAL ENV. HEALTH DEPT.,IN <br /> His/HER AREA OF ANY TANK FAILURES WITH(24)HOURS. <br /> Who requested When? <br /> Identify by LD Product Capacity Apx. Age Steel Fiberglass Brand/Supplier <br /> Tanks to be filled Date: 1S-z7-9 Time <br /> Distributor cc 6rtrA+ T-- Extra Product to top off Ara <br /> Comments •a 3 T,4-,,,K H,as ,, << aa rH� uhPo z R� Q <br /> f. A,n,rt C-10 „D itnfa.o trl i <br /> REPRESENTATNE(S)OR OWNER(S)WILL BE NOTIFIED WHEN THE TEST HAS BEEN COMPLETED ANO ONE OF-FICIAL MUST BE PRESENT DURING <br /> THE TESTING. ALL TESTS MADE ON THE TANK(S)SYSTEMS ARE VALID THE HORNED-E.n CHEK LEAK DETECTION PROCEDURES. <br /> THIS CERTIFICATION SHOWS THE CRITERIA ESTABLISHED BY THE NAPOONALL FIRE ASSOC.(PHAMPLET 3291. <br /> Test Results Include Tank s) Q"Line s) l9 Vapor Recove S stem 0"Vent Line(s) [�- <br /> Tank Tight Tight Leak/Per Hr. Leak/Pef Hr. Date Tested <br /> ID# Tank Lines Ind. Tank Detected Line <br /> a Y N ❑ Y r9--N ❑ <br /> 3 Y ❑ N [➢-"' Y ❑ N ❑ <br /> Y N Y N D <br /> Y ❑ N ❑ Y ❑ N ❑ <br /> Technician: 7�� <br /> �.Pcz ��� �� Certification <br />