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r •MUTM.Yff <br />1) Reason for test: Annual Inspection <br />2) Special Instructions: None <br />3) Is a Tank test to be made with this line test? Yes -No <br />4) Make and Type of pump or dispensers: a i?7T "; ►� c k Ri'^ <br />S)Weather:CoaL. Temp. In Tanks: f c Cover over Lines (concrete/asphalf/both) <br />6) Approx. Burial depth of lines " <br />11 12 13 14 15 16 <br />Identify Time Log of Test Pressure Volume Net Change Test Results <br />Product (Military) Procedures, PSI of kPa Readings Conclusions, repairs and <br />Line ambient temp, comments <br />weather, etc. Before After Before After <br />° O ♦0 <br />tf <br />/c <br />L® <br />o v <br />Ti <br />Performed by Technician: Lee Reeves State License #90-1124 Test Date:—) 7 - <br />Travis Murphy State License #91-1123 <br />Sacramento EqWpMentUaifAenanoerAMM3anY, Inc. <br />2533 Connie Drive - Sacramento - CA. 95815 <br />916-925-2716 <br />ar\cu\fiptl <br />Work Order ■ <br />Customer ,.Cheaper <br />Box 886 <br />15 West Grantline <br />' ■.'P.O. <br />Benicia, CA 94510 <br />Tracy, CA 95376 <br />707-745-6691�' <br />'• " <br />r •MUTM.Yff <br />1) Reason for test: Annual Inspection <br />2) Special Instructions: None <br />3) Is a Tank test to be made with this line test? Yes -No <br />4) Make and Type of pump or dispensers: a i?7T "; ►� c k Ri'^ <br />S)Weather:CoaL. Temp. In Tanks: f c Cover over Lines (concrete/asphalf/both) <br />6) Approx. Burial depth of lines " <br />11 12 13 14 15 16 <br />Identify Time Log of Test Pressure Volume Net Change Test Results <br />Product (Military) Procedures, PSI of kPa Readings Conclusions, repairs and <br />Line ambient temp, comments <br />weather, etc. Before After Before After <br />° O ♦0 <br />tf <br />/c <br />L® <br />o v <br />Ti <br />Performed by Technician: Lee Reeves State License #90-1124 Test Date:—) 7 - <br />Travis Murphy State License #91-1123 <br />Sacramento EqWpMentUaifAenanoerAMM3anY, Inc. <br />2533 Connie Drive - Sacramento - CA. 95815 <br />916-925-2716 <br />ar\cu\fiptl <br />