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DATA CHART <br />-1 rJ'� /F,o�r Use With 1�� } <br />1 LOCATION: lnI cbmt1R'? `'ujb ��() S�CV.TOa1 OA - <br />91 -1 No. asW. C-1 CIIY SYN TNaphona No. <br />3 OWNER: t Y'i�! <br />Nara MOINo RwlsaenYlNa PoNWn TNaphons Na. <br />3 OPERATOR: i Xdl'ii <br />Nama OaoYb Mpl. of DMaI AEEIax (11 ollleronl Ihan LocaBon) TNaphom No. <br />0 REASON FOR TEST_rrtAll - 4'7(a()IPfj) <br />6 TEST REQUESTED BY:1� <br />1 IDENTIFY it TIME <br />EACH LINE <br />AS TESTED (MILITARY) <br />N.— <br />' POMpon <br />Ohdo, No. SIM" A".,, <br />1 �• <br />$ SPECIAL INSTRUCTIONS: L- C I <br />5t 611%%werl- <br />READING <br />BEFORE AFTER <br />NET <br />CHANGE <br />7 CONTRACTOR OR COMPANY MAKING <br />TEST <br />AFTER <br />MECHANIC($) NAME <br />8 IS A TANK TEST TO BE <br />YES <br />B MAKE AND TYPE OF <br />(1l� <br />•'� pp�\�-'UKl0 <br />MADE WITH THIS LINE TESTI <br />PUMP OR DISPENSERS—) <br />❑ NO <br />1oD16 <br />�'F__'C <br />COVER� APPROXIMATE <br />Pilf•.I (CIr Iii PTk �OP <br />10 WEATHER <br />—TEMPERATURE <br />IN TANKS <br />OVER LINES BURIAL DEPTH <br />COm1aN, $lock Too. aY. <br />1 IDENTIFY it TIME <br />EACH LINE <br />AS TESTED (MILITARY) <br />13 LOG OF TEST PROCEDURES, <br />AMBIENT TEMPERATURE, <br />WEATHER, ETC. <br />14 PRESSURE <br />18 VOLUME <br />18 TEST RESULTS <br />FN OR kPa <br />READING <br />BEFORE AFTER <br />NET <br />CHANGE <br />CONCLUSIONS. REPAIRS AND COMMENTS <br />BEFORE <br />AFTER <br />"D <br />-,00� Cn_? <br />1�t-Lf�47 P�.�'1 'i iC�JI A <br />-,c'1Dt5 C;pt\ <br />1oD16 <br />Qrt� <br />01 to <br />'0' <br />,o1_14Z� <br />oo�•� <br />1�0 <br />A5 <br />�r \Goo <br />10 IES <br />I�c� <br />c <br />h, <br />ICe•R`�: <br />I eF,\ <br />-,L1na^ <br />