Laserfiche WebLink
�i:". .�ti,Ar�1Jd'S',.4ii.'R1�'Lr4lLt5l ��`•�f�:'Lii.�.A° =. <br /> - 114Ulq <br /> ANK STING <br /> 2004 PICCUIi +9 � /�►���r,,� <br /> Stock (209)931.1828 <br /> Stockton, Ca 95205 <br /> TEST REPORT MAY 41989 <br /> ENV001,11 MENTAL HEALTH <br /> PERMIT 1 SERVICES <br /> OWNER OF SITE <br /> _h_Q_L1 -)-h il 11 1 1 ( j) I . <br /> ADDRESS ' _) �: . _ ' . <br /> �� CITY ` •U `v 11 STATE- ZIP L- <br /> OWNER OF TANKS_ r J t,(1 �� (' ,� !,' ,/ ��1 l l r � I ( ' <br /> ADDRESS CITY <br /> STATE ZIP ' <br /> OPERATOR AT LOCATION ') ' <br /> ADDRESS 0 7. <br /> '+ CITY _L OL i f 0 1► STATE�_tIP <br /> NAME OF COUNTY 1-1 , j ., . 11 , , , ' <br /> TANK 0 �., , 'j ON PLOT PLAN. AGE OF TANK V l l <br /> DESCRIPTION OF TANK: <br /> CAPACITY !, ►() ,DIAMETER`{ METAL FIBERGLASS <br /> TYPE OF SYSTEM: SUCTION v ; SUBMERSIBLE • <br /> VAPOR RECOVERY SYSTEM? OTHER' ; TYPE • <br /> PRODUCT BEING TESTED Ljj, <br /> MEASURED GRAVITY; , /, ►, • <br /> COEFFICIENT • r) ' — <br /> �' ) . 1EM'ERATURE OF PRbUUCT �� AIR r� r <br /> STORAGE S5YYSTEM; DATE FILL - TIME <br /> _ <br /> TESTED - DATE � `,'r' l�-••-�-1-_� � �l ''!! . <br /> START ► S , FINISH p <br /> LENGTH OF TESTS y {' - • <br /> MEASURED WATER IN TANK� HEIGHT OF LIQUID LEVEL_f tI, <br /> DEPTH OF GROUND WATERS ,) ' PSI AT TANK BOTTOM <br /> J ' <br /> RESULTS OF TEST: + <br /> CERTIFIED TIGHT? - YES \( ,{ <br /> LEAK RATE PER HOUR; + - ' N- IF NO EXPLAIN IN REMARKS,, <br /> or - 7 • <br /> REMARKS BY OPERATOR <br /> NAME of OPERATOR <br /> /s p , <br /> SIGNATURE OF OPERATO ' <br /> DATE' r <br /> t � 1 ` I ti� y .' i i. .`fit,,• <br />