Laserfiche WebLink
C=.ftiRlsP'*APJK TES�&QG <br />Stockton, Ca 95205 <br />OWNER OF' SITE <br />ADDRESS W} 7, <br />sums <br />CITY <br />J/iSL�ri .♦ <br />OPERATOR AT LOCATION ''c <br />ADDRESS o7 CITY STATEMZI 26. <br />NAME OF COUNTY p <br />TANK # ON PLOT PLAN. <br />DESCRIPTION OF TANK: <br />CAPACITY Q ,DIAMETER,_ �C� : METAL F IBCRGLASS ,AGS <br />TYPE OF SYSTEM: SUCTION : SUBMERSIBLE OTHER <br />VAPOR RECOVERY SYSTEM? A TYPE <br />PRODUCT BEING TESTED . MEASURED GRAVITY ' <br />COEFFICIENT �. TEMPERATURE OF PRODUCT ° ,AIR <br />STORAGE FILLED•- DATE #=,;Y� , TIME '%� <br />TESTED DATE-- , STAR&jp , FINISH�/ <br />LENGTH OF TEST <br />MEASURED,WATER'IN TANK} HEIGHT OF LIQUID LEVEL <br />DEPTH OF GROUND WATER/rj"� PSI AT TANK BOTTOM L 0 <br />RESULTS OF TEST: <br />CERTIFIED TIGHT? - YES_,Z___; <br />LEAK RATE PER HOUR: + ; or <br />REMARKS BY OPERATOR <br />N0. IF' NO EXPLAIN IN REMARKS. <br />NAME OF OPERATOR <br />SIGNATOR 0� OPERATO <br />DATE <br />