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I ESTING tlx CON] PUC-1- 101st <br /> P.U. I)(IX 30411-6 <br /> ', � IJCEN',iI•.0 <br /> SIOCK141H, CA 95213 INSURED <br /> (2119) 931- Iozo <br /> fnX (2119) 4fi5-3i111C► LICENSE #92-1248 <br /> W * * *'1'1�s'II R 'POR'f* 1 LEONARD E. CI:ISP <br /> OWNER OF SI'I'fi:_. f?._! --- y► CCJ. <br /> 7.I P:c <br /> OWNER o ' 'T'ANK'S: a /ng- a Love. <br /> ADDIUSS: - - - CITY: <br /> - _ 7.IP: <br /> f n <br /> OPERATOR AT LOCATION:..... <br /> nNDRrsS:_`1ol �� 'r...f:Waldy r,l'TY: S�"����uh e a_. xIP:C-15 ;�a 6 <br /> TANKn: WO (;A1.I.ONS:1;2Dc) b <br /> Mli'I'Al.(',o FIBERGLASS( ) SFNGI.Ti WAI.I.IiU( 1X)11111,1: WAI.I,ED( ) <br /> UIf:Slil.( ) UNLEADED N) PREmiUM UNL. P) <br /> Stl(;TION(,fi) SIIIIMERSTIII.Ii( ) OVERSI?II.I. CON'1'AINIiR••YI;S( )..NO(� <br /> SIIEAR VAI.VIi"YES( ) NO(�6 IN-LTNI- LEAK D1s1'!i(:1'OIt"YfS( ) NO(� <br /> VAPOR RIsCOVf:RY SYS'I'IIM"YI:S(� NO( ) IF YIiS, PHASE Ip"-) PHASE II/W <br /> TANK FILL -- <br /> TANK TEST I)A'1'I;:-11-"L��L S'I'Alt'I':O_? �. _ . _ I'ND:.Q �!_ Q <br /> 1.1?NG'I'11 01' -- <br /> TANK IIOTTOM TO GIZADI:....._/)6 1'I:S'I' 1,11 `1, TO 'i'ANK IIOI"I'O 60 <br /> TANK TOP TO GRADIi............ 3. b_-" M.... _._..—. <br /> I)IAME'1 g GROUND WA'T'ER ABOVE TANK......._$ <br /> rslt. G PS <br /> 1'!iS'I' 1.1:VEt. <br /> ABOVE. GROUND-3 .............................. <br /> 6- <br /> -. NIi1 1 EST PRE:SSIIRE......................._�!ZG_.. <br /> WATER IN TANK....... " API SPECIFIC; GRAVITY.................. _ <br /> DI:P'TII FOR 'TAKING SA�1P1.1:..._��._" I I:1LiPl:RA'I'URE.... 15A.- <br /> .............................. <br /> 1'I:MPERATURI; PROBE DL'P'1'li...3 " <br /> A!)! SPf:(:IFI(: (;RAVi'I'Yo fill' 11 - _ <br /> CC)IiI FICII'sNT OF F3XP.......................dv__¢�G � <br /> LEAK RATI: <br /> CIi11TIF1ED TIGHT: Yh5( ) NO( ) <br /> PRODUCT III NI. 'I'I;S'1': SUCTION( l�IZIiSSUItIi( ) <br /> LEAK RAPE PIiR/Tilt: - <br /> CERTIFIED 1'1611'1': YI;S(�P NO( ) <br /> . iGHA'I'l►Itli <br />