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►WNER OF SITE <br /> CRISP TANK TESTING 7 G ( 5 <br /> 2004 Piccoli 8 <br /> Stockton, CA 95205 0� I a g HORNER EASY TESTING METHOD ADDRESS <br /> 8 3 — a <br /> • d $ - <br /> WORK SHEET g o0/3% <br /> 3-5 36 36 CITY-STATE-ZIPCODE <br /> 3 <br /> OWNER OF TANKS <br /> TANK No. TEST LEVEL Yl 0, PRODUCT / P 1 P-/ CAPACITY f/)0 Jn CHART CAL 4 _ ILA (A) <br /> c� r c <br /> MEASURED GRAVITY 3 2 • 2. PRODUCT TEMP 6 O COEFFICIENT ADDRESS <br /> Air Temp <br /> TEMP CAL'�R ,��/y590. / 0 s1 ��;(g) <br /> TEST LEVEL LEVEL GAIN• x(A) LEVEL TEMP. TEMP, GAIN+ x(B) TEMP. FINAL CITY-STATE-ZIP CODE <br /> NO. START END LOSS- It(A) RESULT START END LASS- x(B) RESULT RESULT TIME <br /> `/ J 4\ Cl/ y ' C.:s�;, 17 - ,d d 4 r�}/r ` p a i�• `-- OPERATORS NAME At SITE <br /> L) . 0 `� ! L_ i7 — • d 0 r u o r — • 2 I ; Tvor of SYSTEM , <br /> ) � ❑SUBMERGE ❑SUCTION <br /> { r`� �� jp� - 1`� i1LL 91PEc COLOR CODE OF PkODL•. <br /> j_ 'il /S CLEAR ORANG <br /> `i-- `t r <br /> x s s x s s RED. <br /> X. <br /> c ,:a - i _ r ' 1 . 00 6'? ' DIAMETER OF TANK <br /> L, ❑ METAL <br /> x A <br /> _ s 'JO ❑ FIBERGL <br /> O � - s X s � 1 <br /> r 0 0 , • �" " ' ��f t1 TYPE OF RECOVERY SYSTEM <br /> 14 ,4 t- [)BALANCE ❑RED RACKET ❑NEAU <br /> V / r/ x, Q, ! ` 0 0 I . % •, (? x ) `� WATER LEVEL IN TANK <br /> Liquid level <br /> IV <br /> 7 <br /> DEPTH OF GROUND WATER (IF KNOWN) <br /> FII <br /> 17 x <br /> ,U � ' <br /> L.1 7 ` . <br /> DATE/TIME STORAGE SYSTEM FILLED <br /> i <br /> DATE <br /> STATION LOCATION S U ,S C f f r. S t> o i .> ► F CERTIFIED TIGHT TIME <br /> t' -) / �" AGE OF TANKS <br /> ADDRESS r-�`1fZ'_/a l� e'i:'� ' z-f) LEAK RATE PER HOUR Oc� I(o(l <br /> CITY 7IX;��TIE� 4 —STATELY OPERATORn1,� .n" 1 <br /> sf +' r'� �)f ?� <br /> �� ``^ ! f�t AGE OF LINES <br /> DATE i `� ' SIGNATURE " f <br /> r <br /> TESTING FLUID,IF DIFFERENT THAN <br />