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09/13/00 09:47 V20 1762 SUSD FAC PLANNG IM003/008 <br /> t p.o. Box 13059 <br /> r <br /> 5acr,il1u:ilto CA 95813-3059!'recision Tank 'I'csticag <br /> a License No. 73348 CA 800-660-9443 <br /> NV 800-949-9443 <br /> 1-916-927-1557 <br /> Fax: (916)927-7315 <br /> Date:1..1- <br /> Site ID: �---- <br /> Operator: <br /> �� �t{�i e rte• <br /> Site Address: <br /> City:�Q a 3 State: , <br /> DQ <br /> Zip: Phone: — On Job Site TiMe.- <br /> _ Off Job Site Time: <br /> Precision Leak Detecior Teat <br /> Tank # 9 Tank#2 I Tank it 3 Tank#4 <br /> Product JOE'.r;:6t.., <br /> Serial Number i _ U)-.�1 „ - <br /> Resiliency <br /> l �0 _ <br /> Opening Time <br /> Test Leak Rate -�--- <br /> Functional Element - ` - _ <br /> Holding Pressure <br /> Metering Pressure___ <br /> Pass Pas Puss L <br /> Fail —-"_ <br /> Pass ❑ <br /> Q Fail O Fail C� Fail Q <br /> Comments.- <br /> ----------- -- <br /> TECHNICIAN: William Campbell- LIC. 90-1324 Signature' \�� <br />