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t <br />TANK <br />NIG <br />2004 Piccoli *9 <br />Stockton, Ca 95205 i209j931.1828 <br />TEST REPORT <br />OWNER OF SITE <br />ADDRESS <br />CITY_ -J � }1•�'p�a STATEC�ZIP��t � <br />OWNER OF TANKS <br />ADDRESS _ CITY <br />STATE ZIP <br />OPERATOR AT LOCATION <br />ADDRESS ;? ,, - �' to l r %= r� i 1)) fl A t'�d <br />1r J77 �„ CITYYy_ afl &" STATEZIP6 t d <br />NAME OF COUNTY�� <br />TANK # 01' Q,, <br />.. ON PLOT PLAN. AGE OF TANK? S e P 1 d . ije1a� <br />DESCRIPTION OF TANK: <br />CAPACITY_g�9UTAMETER '� <br />--2- �----, METAL FIBERGLASS_LJIe� , <br />TYPE OF SYSTEM; SUCTION SUBMERSIBLES_; OTHER <br />VAPOR RECOVERY SYSTEM? ; TYPE - • <br />PRODUCT BEING TESTED MEA ED GRAVITY • <br />API SPECIEIC GRAVITY .A 60°F_ <br />PHEIDUCT• TEMPA0 COE d(ILISc/ 5/ <br />STORAGE POEM:- DATE <br />-�� .,�9 , TIME_I•d0 <br />TESTED - DATE "; DSTART <br />LENGTH OF TESTr� '� FINISH /_• <br />MEASURED WATER IN TANK ` HEIGHT OF LIQUID LEVEL a ell <br />DEPTH OF GROUND WATER- . <br />_ !`S.. ' PSI AT TANK BOTTOM , <br />RESULTS OF TEST: <br />CERTIFIED TIGHT? - YES__V <br />LEAK RATE PER HOUR: + `�' '-' NO IF NO EXPLAIN IN REMARKS. <br />-� <br />or 1 <br />7 . <br />REMARKS ppY OP�y r <br />. .Y U41ATOR 11/ C'_ 7 _lti Jr f/ln�e r a �n.,. _ i_ _ _ _ I i . <br />NAME OF OPERATOR Cf� l <br />SIGNATURE OF OPERATO) <br />YNa' wwi <br />APR 1 1989 <br />�POPNTAL HEALTH <br />' f�LRP.�i? i SERV;CES <br />