Laserfiche WebLink
DATA CIIA11T <br />For Use Willi <br />J <br />1 LOCATION: <br />3 OWNER: <br />3 OPERATOR: <br />4 REASON FOR TEST <br />1 . <br />LCI <br />Posl 011lce Oux 1220 <br />TWINS. (;ailloinla 93215 <br />1,1011111 CONSTRUCTION, INC. Phone,(209) 688.1980. <br />L_tccj,, <br />- r(�t� • 311 <br />to 6 telephone No' <br />oNl on Telephone No. <br />1 telephone No. <br />' e <br />: AV <br />i TEST REQUESTED BY: U' ( _ �._'a�—�. xu� — =__ S/�� 1� LF���i'CJ 1 1,.l L �'.1'1 • �: <br />HalitePosidun 011161 No. Billing Addwoe <br />B SPECIAL INSTRUCTIONS: <br />7 CONTRACTOR On COMPANY MAKING TEST' <br />MECIIANIC(S) NAME j--1 _A&t — <br />B IS A TANK TEST TO BE YES B MAKEAND TYPE OF , ' + <br />MADE Willi 11115 LNO INE ]ESTI -� PUMP OII DISPENSERS <br />-��Tog eI LQi 5 <br />i ® ' <br />COVERAPPROXIMATE ®ri <br />10 WEATIIER ®' /� TEMPERATURE IN TANKS ® 'F • 'C OVER LINES —.— c_ C --- BURIAL DEP1111 2 <br />Conceole. Willi I.P. etc. <br />11 IDENTIFY <br />EACN IINE <br />AS IESIEO <br />12 TIME <br />IMILIIAIIYI <br />13 l0G OF TEST PROCEDURES,--- <br />AMBIEIIf i1M1'ENA]UIIE,, <br />WEAl11Ei1, EIC. <br />14 PRESSURE <br />16 VOLUME <br />—'— <br />r�G'1 <br />psi ORkPe <br />READING <br />-- <br />BEFORE AFTER <br />;L <br />CONCLUSIONS, REPAIRS AND COMMENTS <br />BEFORE <br />AFTER <br />300 <br />fntrr1-I'NP fejt — <br />--/�' <br />`:r <br />�0 <br />®®1� <br />O8� <br />10b0 <br />III, ej <br />D® <br />gyp___._--•- <br />—►00 5 <br />,07 <br />I <br />I®fOR- - <br />1067 <br />•! . <br />it <br />; <br />. 3 <br />1; <br />to b;? <br />lobi <br />I <br />O <br />—,00,1, <br />x31,30 <br />"06, /— <br />, <br />006 q <br />`j% It T PS7 <br />-- <br />r- <br />♦ <br />o <br />-- <br />1 <br />K <br />F I <br />i <br />DATA CIIA11T <br />For Use Willi <br />J <br />1 LOCATION: <br />3 OWNER: <br />3 OPERATOR: <br />4 REASON FOR TEST <br />1 . <br />LCI <br />Posl 011lce Oux 1220 <br />TWINS. (;ailloinla 93215 <br />1,1011111 CONSTRUCTION, INC. Phone,(209) 688.1980. <br />L_tccj,, <br />- r(�t� • 311 <br />to 6 telephone No' <br />oNl on Telephone No. <br />1 telephone No. <br />' e <br />: AV <br />i TEST REQUESTED BY: U' ( _ �._'a�—�. xu� — =__ S/�� 1� LF���i'CJ 1 1,.l L �'.1'1 • �: <br />HalitePosidun 011161 No. Billing Addwoe <br />B SPECIAL INSTRUCTIONS: <br />7 CONTRACTOR On COMPANY MAKING TEST' <br />MECIIANIC(S) NAME j--1 _A&t — <br />B IS A TANK TEST TO BE YES B MAKEAND TYPE OF , ' + <br />MADE Willi 11115 LNO INE ]ESTI -� PUMP OII DISPENSERS <br />-��Tog eI LQi 5 <br />i ® ' <br />COVERAPPROXIMATE ®ri <br />10 WEATIIER ®' /� TEMPERATURE IN TANKS ® 'F • 'C OVER LINES —.— c_ C --- BURIAL DEP1111 2 <br />Conceole. Willi I.P. etc. <br />11 IDENTIFY <br />EACN IINE <br />AS IESIEO <br />12 TIME <br />IMILIIAIIYI <br />13 l0G OF TEST PROCEDURES,--- <br />AMBIEIIf i1M1'ENA]UIIE,, <br />WEAl11Ei1, EIC. <br />14 PRESSURE <br />16 VOLUME <br />—'— <br />16 TEST RESULTS <br />psi ORkPe <br />READING <br />-- <br />BEFORE AFTER <br />:TET <br />, <br />CHANGE <br />CONCLUSIONS, REPAIRS AND COMMENTS <br />BEFORE <br />AFTER <br />300 <br />fntrr1-I'NP fejt — <br />--/�' <br />`:r <br />�0 <br />®®1� <br />O8� <br />10b0 <br />III, ej <br />D® <br />gyp___._--•- <br />—►00 5 <br />,07 <br />I®fOR- - <br />1067 <br />-�.- <br />to b;? <br />lobi <br />13 S <br />' - . - --- <br />—,00,1, <br />x31,30 <br />"06, /— <br />.0 5— <br />006 q <br />`j% It T PS7 <br />-- <br />♦ <br />-- <br />