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ALLTEPIH PETROLEUMSERACES <br /> 17759 Buttercup Circle, Sonora, CA 95370 <br /> (209)532-7320 Fax(209)533-2650 <br /> California Tank Tester: 1068 California Contractor: A 623541 <br /> UST MONITORING SYSTEM TEST DATA SHEET <br /> Facili <br /> ty tPOa OwnerZvi p { Date S- t0-9 6 <br /> Address a 6• M Al A 51 Address u <br /> City R'4 Po N C4 CA a5-366 City CA " <br /> Annular probes: <br /> Product Visible sign ofproduct? Probe operational? <br /> 1 L N a - pR cis f s 5-rtw <br /> 2 50L tj0 (3 'Z(ME s 5 <br /> 3 <br /> 4 <br /> Sump probes: <br /> Product Product in sump? Probe operational? Positive shutoff? <br /> 1 UL NO q L= S qG .F <br /> 2 S OL Nth G-5 ES <br /> 3 <br /> 4 <br /> Pressurized piping test (if required): <br /> • Product Line test result Leak detector test Pass/Fail <br /> 1 VL • <br /> 2 $0 L. ¢f <br /> 3 <br /> 4 <br /> Remarks: tVa-,-J ::r�5 TA.tx-4 1 Ox1 <br /> Tank Test Technician: Mike Dotten, License # 1068 Rev.3/96 <br />