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FF®RDA- <br />d Street Galt, Ca. 95632 <br />E <br />AST TANK TEST <br />-0112 Fax 209 744-0116 <br />e <br />Site .. <br />Test Bate: <br />Address <br />City °'� <br />Equipment: <br />- y <br />0..i <br />Test Method Developed By: <br />Tank ManufacturerIndustry Standard ' Professional Engineer <br />Other (Spec): <br />Test Method Uses: <br />r' Pressure <br />Vacuum Hydrostatic <br />Other (Specify)• <br />Measuring Equipment Used for Testing: a <br />JW c r <br />Tank # <br />Tank # <br />Tank # <br />Tank # <br />Tank Capacity: <br />, <br />Tank Material: <br />Product Stored:, <br />Wait time between applying <br />Pressure/vacuum( water and stating <br />test: <br />Test Start Time: <br />Initial Reading (Ri <br />Test End Time: <br />Final Reading RD: <br />a <br />Test Duration: <br />Change in Reading Rf-Ri): <br />4 <br />Pass!Fail Threshold: <br />Test Result: <br />Was sensor removed for testing? <br />- <br />Was sensor properly replaced after <br />'? <br />testing? <br />Comments — (include information on repairs made to testing) <br />Technician: Lyle D. Nimmo ICC #52491.15 -UT Exp. 07/01/09 <br />il *" N sM <br />Signature:_ Date. �' t <br />