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VHOM %sujmri i t u" 1A,141% Q 1 :J 1 I.Jwl 1 Itrl l 1 AVL.�Da7 1 L-0 1 <br /> 4 <br /> Time Rnad.nPIIIIDUCI MOMTV11ING ON I t R ProAuu IEIAPERAIUfIE COMPENSATION n <br /> 4 — —_ VM"- <br /> iEMFERAIUpfCOMPENSAl10N8 NfrVOLCHANGE <br /> 1Md.laryl No slap rnd Gam X rauo�A +GamStan °Gam X faun A +Espansans lossloss Ca+Iiaftn Sian End Loss X Filo•Et LLA <br /> 7( �_� _� o.c� g �cr18 q o(� _ 3 _6�_ G B - ( -oo g � y� � -- � o <br /> 2Z2 to t3 S -3 2.2g Z. -.00l 0030 <br /> -7 5 25r- eso <br /> _ - <br /> �- 'tel B 2.2 2 2 a a $ r <br /> v 2.27 fl <br /> 48 3 1,3 7 2.2 0 o e <br /> o <br /> IZa (v3 0 28 .Z 2460 O ®36 <br /> a o <br /> 0 7/ &o3 <br /> f ao B 2$a Z_ 8 ®o ao 8 <br /> l (0 3 G 3 0 Z 28 V <br /> _ / -.�/8 <br /> Jaz & <br /> — 0 2•z8f 2.281 p a <br /> v _ i <br /> O ®O 8 <br /> A. Tank Bot. to Grade 12,0 ^ <br /> Send Report to: <br /> 0 B. Tank Top to Grade -�3 Client p 2-�-N`- <br /> GRAOE C. Tank Diameter " <br /> " Address /`'•o. Bek 10 L-a te <br /> O. Test Level above grade Zs City, State L-t V6�ca_zF., cA IfSSa <br /> G B E. Depth of water in tank _� PhcyTe So <br /> F. Depth for taking sample _(o S ^ ( jt/23.7s�L <br /> F Attn: �g. V4'11D �%al•s r/2a ' <br /> H G. Temp. Probe depth (connector) _3 S ^ <br /> A H. Test levet to Tank Bot. 183 ^ CEPTWICAT " T".q j0 e#"ftM ft„m,,,,„„,,,,,, <br /> o"Asa ThM mmca" 'TqM"aam+M.o ataosanaA <br /> 1. Groundwater above tank bottom a In Aa"atona,i"a P.Oft on Assns rampna�M <br /> 1. — C J. Product Pressure per t" height 03z Psl <br /> Tank No X27-Diu! <br /> WATER Test Pressure Formula Tight YES <br /> DEPTH E -- Leakage Indicated --o,o1 to y <br /> — -1�3.x •o3y_( x .036 )� .B9S 9 � _ <br /> NET IEst Technician 5 tc-ff*,e.D 5/J-V* L,r...,Kq!-1 37 <br /> "S SUPE Date Tested v Axfw+- y 7) <br /> I <br /> A <br />