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f <br />:BIZ <br />LL:i± ± <br />1 <br />2 <br />7 <br />2- <br />8. <br />2 <br />I -L , JD <br />2-r2 <br />12-' <br />'r <br />-77 <br />7d <br />67 <br />(Z%2�(123 <br />2,0 -OIOJ �. � S.ciZ3 Jd U5 y <br />lLf3� <br />2;s <br />r2 KL <br />i v <br />�� <br />Sti <br />q7 <br />—q <br />S` <br />yt� <br />Z: Yk, <br />C <br />5'S <br /><OW? -0 '0(OV S.A24 - Lb -.JJ( C,C/LfY <br />'UJ�Y( <br />9D <br />y <br />Jdc1l <br />Laosr 0 s.113 LS, tit sL/Y <br />-vvs9 <br />13�2� <br />l g <br />CCS <br />1 z <br />L), <br />/s <br />2 <br />1 <br />t3�3b <br />i✓ <br />�'r <br />S1 <br />(EZY CHEK) <br />rJn un � TEMPERATURE ION A <br />TEMPER4M COMPENSATION 8 <br />NET VOL CHANGE <br />L <br />- <br />X Faraor A -Low Start End � X Fx1or B <br />+Exparapn Start" X Facer 8 $" <br />F <br />2,0 -OIOJ �. � S.ciZ3 Jd U5 y <br />LLR <br />OQdv- <br />' <br />2a -0 00 L5 y -}oo( ,Sy`f <br />7�Ivv <br /><OW? -0 '0(OV S.A24 - Lb -.JJ( C,C/LfY <br />'UJ�Y( <br />Jdc1l <br />Laosr 0 s.113 LS, tit sL/Y <br />-vvs9 <br />3 <br />ZCi,vvreU �,cILLI 2Z vvo S",YY <br />-vva l <br />'3U <br />, <br />vvo o <br />-vo(d� <br />:oa(,o i.fszZ <br />'-26iw Gi tsz{ Ia.yLi .Jd <br />2 <br />20 - oot0 S 6Lr 2i ov S%yY <br />Je v ' <br />-vv�v .y2-1 trS,g1� _ve S':y"fy <br />vu <br />'vv <br />" <br />20 -.ao bb 6f.1rtr f. Le -ao1 I 5-,yyL( <br />:oo� <br />- ov4v <br />' 1 <br />rOv20 :dd Zv les Irzb (.S. Ylo "> Do i17YV <br />' vol l <br />—I <br />U>Zcl .aU2o bf V2O <br />—Z <br />Z dJ� U f.Y7S,$20 o J .S`/y <br />v <br />Jv�lO <br />JQ .D✓J S.SYY <br />60w <br />s� <br />.Jozo 700(60 l.i /y cS,Srt`r Olo .SY`( <br />0vd <br />.dDUD <br />Z_-vvLD <br />oza - '44"0,dad S,SK <br />_Jovv <br />3 <br />vd zo ' d 0L d L,5, �i 1 1.!;, rd if <br />,vdvv <br />vov � <br />L) <br />.cJozc� JrJJ S,ts�k (.�. tll ,000 Ssyy <br />a as a <br />-v®vd <br />A. Tank Bot. to Grade %%40 <br />B. Tank Top to Grade 49 <br />Send Report to: <br />C. Tank Diameter 91 • <br />Client 0-1c <br />D. Test level above grade z-1 w <br />Address 4 3 2 I ,j -r t-tJ2 n "' 2 0 <br />E. Depth of water in tank w <br />City, State S T_.�C t« -o �J C^ <br />F. Depth for taking sample <br />Phone ( j - <br />Ann: <br />H <br />G. Temp. Probe depth (connector) S 2 <br />H. Test level t0 Tank Bot. <br />CEMW CAT*N The a a urzny ow v' go* sysWM "M °moi° <br />__L�mj" <br />I. Groundwater above tank bottom D <br />a Fft en 3 <br />J. Product Pressure per 1" height.LUL PSI <br />Tank No. %J IJ,JJO na�u <br />Test Pressure Form la <br />Tight `/�S <br />�ozoz_ <br />��� <br />_SG.L_x .n2im -x .038 j� Y.3y1 <br />Leakage Indicated <br />Technician ,v.tuc Cc.h-� <br />N a <br />Date Tested <br />LCH 97 --ll('( <br />