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Data Chari for tank System Tightness Test <br />ro TO is <br />11AA;1 ►N1KI n f Ilk, <br />1. OWNER ►►own, ❑ -City of Lodi, 221 West Pine Street, Lodi, Dick W'iech <br />"�'� <br />tan►Is1 [j i't y of Lodi. , 1331 So. Ham Lodi Lane + , . (209)334- 5`'M <br />Nk ..r Mage seembb"Vv.r vskoftom <br />1. <br />OPERATOR <br />City of Lodi, 221 W. Pine St. Lodi, Call Box 3006 Lodi 95241 <br />Ms" <br />Ado qN •y✓M n` <br />ARRANGEMENTS <br />d. <br />REASON FOR <br />Regulations governing <br />underground storage of hazardous <br />substances, subchapter 16 of chapter 3 of title 23 of the <br />TEST <br />Paplar.Fully) <br />California ministration o e. <br />„ <br />Richard W'iech, Maintenance Superintendent, City of L@Oi 8/11/66 <br />g. <br />WHO REQUESTED <br />16. <br />CONTRACTOR, <br />M " <br />221 W. Pine Call <br />Ta» coma." v Arnrtw-.o Do L4 <br />Boy. 3006 Lodi CA 952+1-1, <br />TEST AND WHEN <br />PECKANICS. <br />_ <br />Asat»r TWononr <br />6. <br />WHO IS PAYING <br />City of Lodi Richard <br />Wiech Maintenance Super. (209)334-5634 <br />�""'S'^rNAO'"� l Yft"` ' t r . , C a 11 <br />B"' IYLI° tr-, L o d i , C A 9 5 2 41 x"1910 Towoha~ <br />FOR THIS TEST? <br />11. <br />OTHER <br />jwtin0 <br />zu <br />Anr"ie. of <br />Oro. . NkWt'0CW.'% <br />- <br />Wentit, by Dvect»n <br />Caparlty <br />brsndiSapplw• <br />Grad* <br />Approa-Apr <br />fzwl/Frbwplau <br />S. <br />TANK(S) INVOLVED <br />is✓irrp tat •k <br />Isou "M W4& on 9w *010 W* symome in woore«w. Mtt, bss pe W" poweaed far <br />12. <br />5" 000 <br />Dt 6moh0d w saw -hod ow owu wf", rooAs oe f>.Am* <br />Tan► IMnjo4al bn Tjst.l L"Lw Ir'"Atad <br />Osu Tested <br />M r ,• r .. I? <br />101 9X) <br />�f.�. <br />11 <br />rn►* r w ww) 919 9100- Wr A s"Wrw wom be" on to ow*s1 .h••rn TAoa Nbeew as 0710w* <br />pw'o l W <br />��;` ENVIRONM(NIAl F:ltoviAUM ENGN <br />- .e BOX,, ?rf,,, S%� OeTtk_ sttn•' <br />(.DcaleOn <br />Caysr <br />Frk <br />veno <br />Pumps <br />7. <br />INSTALLATION <br />DATA <br />>~ f <br />J <br />Mo% r»sa. erlww.,. <br />owd M aYuor,. Ou <br />Coobvets. 6"Li Too, <br />fiarv.. W. <br />wit, IOWA wee►1 Drop <br />Weu Pkwno% F*6 <br />Sao. Nanbob"d <br />vrticn Mnta T <br />Wcaon. Ilanwtr. <br />M►Yr N ►nowr <br />!. <br />UNDERGROUND <br />Is 'Mitt 0~ a" tank 7 <br />WATER <br />Dsptt. to the Wsu. t0b6 <br />r« ® •b <br />!. <br />Fill -UP <br />M. Dsu Aatp.d py <br />Tanks to !w f*od Mn <br />ARRANGEMENTS <br />L'& pmd"cl w _op ott" And run TSTt. Now tend who to pwAck ) ConsWw. NO Load <br />TOmtinst or D*w abrow <br />ow ration or irnpuoy -- <br />„ <br />16. <br />CONTRACTOR, <br />PECKANICS. <br />any otn., oontraeuv <br />frmcovsd <br />11. <br />OTHER <br />INFORMATION <br />- <br />OR REMARKS <br />Add.tae81 informatwn on any harm elbow 0"I& It or WOW* to 4 lowoad wt»n Now* Y in ",aw o' sorlWMta4 Vsanor► or oWarw*s pa+ <br />is✓irrp tat •k <br />Isou "M W4& on 9w *010 W* symome in woore«w. Mtt, bss pe W" poweaed far <br />12. <br />TEST RESULTS <br />Dt 6moh0d w saw -hod ow owu wf", rooAs oe f>.Am* <br />Tan► IMnjo4al bn Tjst.l L"Lw Ir'"Atad <br />Osu Tested <br />M r ,• r .. I? <br />�f.�. <br />11 <br />rn►* r w ww) 919 9100- Wr A s"Wrw wom be" on to ow*s1 .h••rn TAoa Nbeew as 0710w* <br />pw'o l W <br />��;` ENVIRONM(NIAl F:ltoviAUM ENGN <br />- .e BOX,, ?rf,,, S%� OeTtk_ sttn•' <br />odw 90 ~s so rwN*d ►, <br />v . / <br />/_,' <br />r <br />— — - <br />