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Tank Testing Construction <br />Ph one <br />() 939-9828 Licensed <br />Post Office Box 30487 Insured <br />Slocidon, California 95293 LICENSEf-92-1243 <br />' <br />**TEST REPORT** LEONARD rRjSP <br />OWNER OF SITE:�0. w <br />ADDRESS: O. _ CITY: &c ,CCZIP <br />R, <br />OWNER OF TANKS: �a Jri'P <br />ADDRESS: CITY: , ZIP: <br />OPERATOR AT LOCATION: Prd A hsL /�! o d M,9 r t - <br />ADD ESS: 0 `7 LAJ 0 '' yy��CITY« 7PG a , ZIP: <br />COUNTYt TANK # : AGE: Z6 GALLONS: ® I>. <br />METAL( FIBERGLASS( ) SINGLE WALLED(?) DOUBLE WALLED( ) <br />DIESEL( ) UNLEADED(®O PREMIUM UNLEADED( ) ( ) <br />WASTE OIL( ) KEROSENE( r) AVIATION GAS( ) JET FUEL( ) WATER( ) <br />SUCTION( ) SUBMERSIBLE(OL) OVERSPILL CONTAINER --YES( ) NO(11) <br />SHEARVVALVE--YES() NO( ) IN-LINE LEAK DETECTOR --YES( ) NO(\d <br />VAPOR RECOVERY SYSTEM <br />NO( ) *IF YES, PHASE 1(�) PHASE 2(D <br />TANK FILL DATE: TIME: <br />TANK TEST DATE: C TART: �END:�®LENGTH OF TEST: c�S <br />TANK BOTTOM TO GRADE... tie f TEST LEVEL TO TANK BOTTOMM 1f <br />TANK TOP TO GRADE....... GROUND WATER ABOVE TANK.. <br />DIAMETER............... PSI..................... �Q � <br />TEST LEVEL <br />ABOVE GROUND. <br />_ NET TEST PRESSURE...... . <br />` API SPEC GRAY......... <br />DEPTH FOR TAKING SAMPLE. -7(i TEMP .................... <br />TEMPERATURE PROBE DEPTH,--;A"o, API SPEC GRAY C 601 F.... �►T <br />• COEFICIENT OF EXP......:�'Z� <br />CERTIFIED TIGHT --YES( NO( ) LEAK RATE PER/HR:+ / <br />3a <br />PRODUOT LINE TEST --PASS(/-) FAIL( ) SUCTION( ) PRESSURE <br />CERTIFIED TIGHT--YES(t-) NO( ) LEAK RATE PER/HR:+ /- <br />COMMENTS: <br />ATE: "SIGNATURE OF TESTER. <br />REV 3/92 <br />