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C'WNER OF SITE <br /> CRISP TANK TESTING <br /> 2004 Piccoli Rd. #9 t , <br /> Stockton, CA 95205 HORNER EASY TESTING METHOD - '- , ADDRESS <br /> k �' l <br /> WORK SHEET '� `f )I <br /> CITY-STATE-ZIP CODE <br /> _ GWNER OF TANKS <br /> _LA ... <br /> TANK No. TEST LEVEL / PRODUCT / CAPACITY 16 0 0 i�_CHARTCAL - D _ y S, w. /? (q) <br /> MEASURED GRAVITY 3315 PRODUCT TEMP O COEFFICIENT 33, TEMP CAL-0 7 0`f 5/7 ' '1 n ADDRESS <br /> Air Temp— IBI f <br /> T) ) rGtd FSI? <br /> TEST LEVEL LEVEL GAIN♦ x(A) LEVEL TEMP. TEMP. GAIN♦ x(S) TEMP. FINAL CITY-STATE-ZIP CODE <br /> NO. START END LOSS— x(A) RESULT START END LOSS— x(e) RESULT RESULT <br /> TIME <br /> ..j._ •1 <br /> w X w l ; <br /> i C qF <br /> ^ CAIERATORS NAME AT SITE <br /> • �;� — _ �\ X r _ s <br /> � 9YPE OF SYSTEM I <br /> GC, <br /> VSUSMERQE ❑SUCTION <br /> w . _ a <br /> x w LENGTH OF COLOR CODE OF PROOtt. <br /> FILL PIPE <br /> ✓ " CLEAR ORANG <br /> C — n X w� _ . X w4- -- RED <br /> DIAMETER OF TANK <br /> ® METAL <br /> n — • x • _ s . w / �1 11 <br /> ^ r �J , <br /> ^ ❑ FISERQLA <br /> OM - <br /> 3; D BALANCE ❑RED JACKET ❑HEALI <br /> • UJ I 1 , (l/ C L�.�`/'. I c ,?`:1 , h (E I :-TER LEVEL IN TANK Liquid level <br /> X . w i/0 <br /> i r r a • /� DEPTH OF GROUND WATER `I, (IF KNOWN) <br /> x, w� s <br /> t .)ATL/TIMESTORAQE SYSTEM FILLED <br /> C � <br /> STATION LOCATION S 5 Y6 h S O C Q los CERTIFIED TIGHT _ S,GATE �� TIME <br /> n / AGE OF TAN . <br /> ADDRESS I\ I 4-4) LEAK RATE PER HOUR��' :' r A 1 r" i <br /> CITY 'i �' F-7'�;'� STATE /J h Chi Y Y' <br /> n OPERATOR ey C 1 AGE OF LIMES <br /> _ c1-7 <br /> DATE_ t 2 SIGNATURE <br /> TESTING FLUID.IF IJIFFFOrm,I-1w <br /> ti T <br />