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DATA CHART <br /> For Use With <br /> pf4 T Lp <br /> aLNETESTER L1 � /J <br /> 1 LOCATION : �� �/ eq6 � *elgl74* ! Jr 1� 7i l� �ri A `7 <br /> m w Street No. and/or Corner City State Telephone No. <br /> E Z _ <br /> Z O 2 OWNER : <br /> Name Address Representative Position Telephone o. <br /> 3 OPERATOR : _ 546 <br /> Name / Dealer, Mgr. or Other Address (If different than Location) Telephone No. <br /> 4 REASON FOR TEST _— !7 � ' 9 /' P •T"3 dr <br /> z <br /> o -- <br /> 1— 5 TEST REQUESTED BY : <br /> cn U in U Name Position Order No. Billing Address <br /> O <br /> J <br /> 6 SPECIAL INSTRUCTIONS : <br /> 7 CONTRACTOR OR COMPANY MAKING TEST <br /> MECHANIC (S) NAME <br /> O <br /> 8 IS A TANK 14 TEST TO BE YES 9 MAKE AND TYPE OF <br /> Lu MADE WITH THIS LINE TEST ? PUMP OR DISPENSERS <br /> `m m Q IW—c; ElN O <br /> 2 0 o COVER APPROXIMATE <br /> 10 WEATHER TEMPERATURE IN TANKS 'F 'C OVER LINES BURIAL DEPTH <br /> Concrete, Black Top, etc. <br /> 14 PRESSURE 15 VOLUME 16 TEST RESULTS <br /> 11 IDENTIFY 13 LOG OF TEST PROCEDURES, <br /> EACH LINE 12 TIME AMBIENT TEMPERATURE, psi OR kPa READING NET <br /> AS TESTED ( MILITARY) WEATHER, ETC. CHANGE CONCLUSIONS, REPAIRS AND COMMENTS <br /> BEFORE AFTER BEFORE AFTER <br /> c7z t �752r <br /> �ZC 5 fie L2 Tis ' 020 <br /> l 2b JTZ of 7P <br /> , D 7l <br /> , <br /> leer <br /> oqb <br /> L 0 A Diva � z <br /> 09 zo 395� 03J'70i <br /> 5,0 'Z 5'w e & ( w* rL041 y1I OaD <br /> ! ! p /1l � z)� o o 310 <br /> - �l7 0 Dales . D � Dd 3C� —, v 0S0 <br /> L <br /> Vw <br /> I'I 70 P0 h 0 h �o �SGr <br /> V <br /> 0 ;170 � 0630IL <br /> , POPyU oma —, Db �a , DO �so <br /> /007 <br /> 1 ,k7 L <br /> TRIANGLE INC, OF SACrRANIiEdN ' irD <br /> P. O. BOX 9795 <br /> SACRAMENTO, CAUFORNIA 95823 <br />