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3 9 'A�'!s�#A[�el sizrat?�sius !�gwwIAM tri 1 <br /> GASP TANK TESTIN <br /> 2004 Piccoli *9 <br /> . (209)931-1 <br /> Stockton, Ca 95205 <br /> MAY 1989' <br /> TEST REPORT <br /> ENVIROPdM�NTAL <br /> PERMIT/s�i�v,cFs . <br /> . OWNER OF SITE r) � ) �� �J. r � � <br /> ADDRESS`1 �� l l ' � ► ,l ', '�'� ', ' CITY ; , <br /> ,., r STATE.L)ZIP d 616 <br /> OWNER OF TANKS ', i ► >, i� ( i 1 j s n ! _ <br /> ADDRESS CITY <br /> STATE ZIP . <br /> OPERATOR AT LOCATION <br /> ADDRESS / - I� "ra I (' 4. (y, �� CITY G STATEc:a_ZIP <br /> NAME OF COUNTY_ `� r') 1 , ) ► ;) �1 (' 1 i I <br /> TANK 0 �� <br /> . ,'1 t ON PLOT IPLAN. AGE OF TANK_/_ J U . <br /> DESCRIPTION OF TANK: <br /> CAPACITY C'!)C ,DIAMETER 7�9 METAL FIBERGLASS . <br /> TYPE OF SYSTEM: SUCTION .',_,: SUBMERSIBLE_: OTHER <br /> VAPOR RECOVERY SYSTEM? ; TYPE <br /> PRODUCT BEING TESTED�� �, �) c� MEASURED GRAVITY; <br /> COEFFICIENT . TEMPERATURE OF PRODUCT <br /> STORAGE FILTED.- ? " <br /> L _ DATES, ' 66 :`) '1 , TIME <br /> TESTED - DATE - c START �1 ' r r. <br /> f �J , FINISH y , <br /> LENGTH OF TEST �� ;( ) <br /> MEASURED WATER IN TANK r` ` L7 HEIGHT OF LIQUID LEVEL_j J <br /> DEPTH OF GROUND WATER PSI AT TANK BOTTOM �) <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES _; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + ; or <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR <br /> SIGNATURE OF OPERATO -��- <br /> DATE - G <br /> = •:,. r <br />