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DATA CHART Order # ` 58216 <br />For Use With Station # 1/641 <br />` 1LOCATION: Beacon 1210 E. <br />N.. w«. <br />E OWNER: <br />Hammer Ln <br />Stockton CA <br />(209) 477 3111 <br />Ntht TaMPlwnt N0. <br />• 1L • . •'. Nwt <br />IaNWet TtlNwaw Na <br />•� t OPERATOR. <br />s� Nw <br />Oak& MW, a 0" <br />- <br />AdMew Of NO NAw1 NwRQ TwAlwnei Nw <br />• REASON FOR TEST <br />- <br />E TEST REQUESTED BY: <br />.. <br />.. <br />r <br />3 <br />a SPECIAL INSTRUCTIONS:. <br />I tr <br />Own FAL <br />SNIY4 ASOM <br />- - <br />�•. 7 CONTRACTOR OR COMPANY MAKING TEST <br />_ MECHANIC(S) NAME .Sacramento E ui ment Maintenance Com <br />m 1 erson <br />Inc. Lee Roeves_ <br />p .'J IS A TANK TEST TO DE <br />u~i MADE WITH THIS LINE TESTI. <br />e 1 Co~ <br />- > - <br />. t0 WEATHER <br />`Q YES S MAKE AND TYPE OF <br />- PUMP OR DISPENSERS <br />NO <br />TEMPERATURE IN TANKS ® "P�'C <br />COVER APPROXIMATE - <br />OVER LINES BURIAL DEPTH <br />COnaelw Nat 4aw �. <br />91 IDENTIFY <br />EACH LINE <br />AS TESTED <br />- 12 TIME <br />-(MILITARY) <br />," <br />-13 LOG OF TEST PROCEDURES, - 14 PRESSURE <br />.. AMBIENT TEMPERATURE,':: PW OR kPt - <br />- WEE ATHER. ETC. .. AFTER BEFORE <br />BEFORE <br />15 VOLUME <br />READING NET <br />AFTER CHANGE <br />16 TEST RESULTS <br />.. CON REPAIRS AND COMMENTS <br />OS <br />Line Test Quick Reference <br />S <br />® <br />osso 0 <br />Results: Date <br />_ <br />J J <br />S U <br />Unlead <br />Regular. 0 <br />e <br />v <br />ti <br />A:; .. <br />� <br />ys ,®o27c� <br />� w .LIZ <br />S v aoaCa <br />� • - - <br />�= - •�: <br />• <br />y <br />! <br />.UOZS <br />Tr <br />IC <br />- <br />rz .. <br />Gobt,�Zos <br />