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RAMM- 1i 1401 Halyard Dr.;#130.W.Sacramento,CA 95891 <br /> Tank Testing&Service Station Maintenance (918)x372-7535 <br /> AINLAY TANK 'TEGRITY TESTER T:M FIELD TEST DATA <br /> I <br /> 1 NAME / ADDRESS PHONE <br /> TANK lnc 1#d �rc> <br /> OPERATOR ks , Y II <br /> 2 IDENTIFICATION `CAPACITY—GALS. M ANUFACTURER STEELIFIBRGLS. AGE—YRS. <br /> TANKS TO I <br /> BE TESTED <br /> !i <br /> 3 WATER <br /> TABLE DISTANCE FROM GRADE TO WATER—/G INS. <br /> i <br /> i <br /> 4 TANK WILL BE FILLED 7a�f�yt_ (TIME) ON_..fG' 1 I <br /> TANK EXTRA 5 GALS PRODUCT AVAILABLE FROM A!e /U RSL f S �M II. <br /> FILL-UP FILL UP TO BE ARRANGED BY MR. PHONE( } Ii <br /> CONTACT AT STORAGE TERMINAL IS MR. �/ lrr PHONE ( q1t } ' <br /> II. <br /> 5 NAME ADDRESS PHONE <br /> OUTSIDE <br /> CONTRACTORS I <br /> li <br /> 8 NA��M//E AUTHORITY PHONE I� <br /> OFFICIALS KJ9i'�i'r11 ' 11 r 1 vr I�.L -a-4ild u, <br /> TO BE to r' ldJ t., )0C. 6,:,z J-co Q <br /> CONTACTED ce '5` I� <br /> 7 <br /> SPECIAL <br /> NOTES OR <br /> PRECAUTIONS jl <br /> I <br /> 8 ALL TESTS WERE PERFORMED IN ACCORDANCE WITH PROCEDURES DESCRIBED IN SOILTEST'S <br /> INSTRUCTION BOOK. CRITERIA FOR TIGHTNESS IS ESTABLISHED BY NATIONAL FIRE PROTECTION <br /> ASSOCIATION BULLETIN. N.F.P.A. 329, 11 <br /> TANK IS TANK IS LEAK RATE <br /> TEST TANK(DENT TIGHT NOT TIGHT G. P.H. TEST DATE <br /> RESULTS -4 ot LID( ,� D --) <br /> II <br /> II <br /> li <br /> II <br /> 9 THIS CERTIFIES THAT THE TAf4KS DESCRIBED WERE TESTED BY THE UNDERSIGNED AND THAT THE STATED <br /> RESULTS REPRESENT THE TRUE STATE OF THE rANKS ON THIS DATE TO THE BEST OF MY KNOWLEDGE. <br /> j II <br /> 1 CERTIFICATE NO.___ 14I 0 <br /> CERTIFICATION SIGNED. _t- CX wk Q ISSUE DATE <br /> FOR(TEST COMPANY) <br /> ADDRESS R CON <br /> _ I <br /> Tank Testing&Service StationMainlenance <br /> P.D.Box 1024 <br /> West Sacrame lo,California 95691 <br /> .I <br /> I! <br />