Laserfiche WebLink
FROM BANKS & CO. PHONE NO. 209 485 3165 Aug. 04 1998 03:57PM P3 <br />IL <br />ff 1) IX <br />Owner/Opierator <br />City, St., Zip <br />Site Agent <br />Site Address <br />County v;i <br />Line Connected <br />to Tank Number/Location <br />4 <br />Product Line Oispenses <br />Approximate Line. Length (in <br />Piet) <br />Line Matterial <br />Line Has P.L_L.D;tj§5P/ No <br />Twine Make ? <br />Model dt'CZ .7�_ <br />Dispenser Make Model <br />Tank -Test Ei:uiomeft to be i n - P'I aca Our! ns. <br />Li na- Test: Yes <br />Linis to be Te:ftad With a Line -Block in P I aca of P. L. L. O. es No <br />TUrbine*Output <br />Pressure P.S.r.; <br />Test.Prassura to be <br />Time <br />Tnitial, Fiiia3 <br />volt =* Leak <br />Average. <br />'Dispy", Rate <br />Laiak Rata <br />Using the Campo/mi I ler PL -400 Pressurized Piping Tightness 'resting Cquipment and test methods <br />the res alts, as showtvIT-Flo -w-.3idered DrodUCt tignt. <br />itut allow Ulu line Lobe car, <br />Final Results :te <br />Tester Licanse No. <br />Test. Oate <br />Tester's Sic -nature <br />PEI, <br />AMP K,ig ,GPORRUCA" - <br />