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Customer .• <br />e •, a Mork • <br />Customer Company <br />Cheaper Store John Johnson <br />13 <br />Log of Test <br />Procedures, <br />ambient temp, <br />weather, etc. <br />15 West Grantline <br />Benicia, CA 94510 <br />Tracy, CA 9537-6 <br />707-745-6691 <br />.0 <br />• • <br />1) Reason for test: <br />2) Special Instructions: <br />3) Is a Tank test to be made with this line test? <br />4) Make and Type of pump or dispensers: <br />5) Weather. Coo < Temp. In Tanks: <br />6) Approx. Burial depth of lines h ® 01 <br />Armual hspection <br />None <br />K� Yes is No <br />;rAc /t X: <r2 <br />f c Cover over Lines (ooncrete/asphaWboth) <br />11 12 <br />Identify Time <br />Product (Military) <br />Line <br />13 <br />Log of Test <br />Procedures, <br />ambient temp, <br />weather, etc. <br />14 15 <br />Pressure Volume Net Change <br />PSI of kPa Readings <br />Before After Before After <br />16 <br />Test Results <br />Conclusions, repairs and <br />comments <br />o <br />.0 <br />(`67� <br />® go — Q5 <br />Roo <br />cMa <br />® r o 0 <br />tj <br />0 0 <br />is widle <br />TI esH'C <br />Performed by Technician: <br />ar\cu\f\ptl <br />Lee Reeves State License #90-1124 Test Date: <br />Travis Murphy State License #91-1123 <br />Sacramento"Equi c e y, Inc. <br />2533 Connie Drive - Sacramento - CA. 95815 <br />916-925-2716 <br />12 i ( I c7 L <br />