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i <br /> 1 <br /> Lawrence Tank Testing D.L. Lcwrence <br /> CXV In e( <br /> P.O. Box 407 Downieville,California 95936 <br /> (916) 289-310 <br /> , LOCATION: 7 <br /> Z tY••1 Nw•w4M Cuw« /N!'/� �L <br /> 2 T� Clry _ <br /> SYu iw.onow•No. <br /> O 2 OWNER: ............ ... <br /> N•M ,4J.•N <br /> R•p..••wYY•• I••Iww 7.1•yMw•N <br /> 3 OPERATOR; • <br /> N•M ON .K REASON FOR TEST Uv.w OYr <br /> A60.w•111 MR«ow1 YMw Loc•Yew) T�.«Yw•N•, <br /> _ <br /> i <br /> o <br /> N� E TEST R[pu[sr(p BY: <br /> V Iou Y•w <br /> p •~ O.o«Mw 91-1 A—— <br /> 1 SPECIAL INSTRUCTIONS: <br /> 7 CONTRACTOR OR COM/ANY MAKING TEST <br /> M[CHANIC(S) HAMS <br /> O ( 15 A TANK TEST TO BE YES <br /> MAO(WITH THIS LIN( TEST? <br /> MAK[AND TYPE p/ <br /> NMP OR DISPENSERS <br /> pe ❑NO <br /> 10 WEATHER TEMPERATURE IN TANKS_oFCOVER APPROXIMATE <br /> C OVER LINES BURIAL DEPTH <br /> .OENTIFY Cowe.•Y,BY<•low•Y. <br /> ACN LINT 12 TIME 13 LOG OF TEST PAOC[OUR(S, 14 PRESSURE 16 VOLUME <br /> S T[STEO IMI LI TARY) AMBIENT I lA 1[RATURL16 TEST RESULTS <br /> W[ATHEIL (TC, o•i OR IF. READING <br /> BEFORE NET <br /> AFTER <br /> BEFORE AFTER CHANGE CONCLUSIONS, REPAIRS AND COMMENTS <br /> Ill Ail, <br /> of V I l s <br /> J S` <br />