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- <br />11 <br />IDENTIFY <br />_ ___ <br />12 <br />TIME <br />1I <br />13 <br />LOG OF TEST <br />AMBIENT TETRUCEDURESMP, <br />WEATHER, ETC. <br />WOR- ORDER <br />#74714 <br />CUSTOMER <br />JOB LOCATION <br />DATE: <br />O 1c <br />CUSTOMER COMPANY <br />CHEAPER <br />rCONTACT:- <br />JOHN JOHNSON <br />P.O. BOX 886 <br />15 WEST GRANTLINE <br />STAMN <br />o <br />BENICIA, CA. 94510 <br />TRACY, CA. 95376 <br />�- <br />37 <br />f7' <br />7_0_7_-_7_4_5_-_6_6_9_1 <br />-St_:_83a--3_6j3----------------------------------------------- <br />------------------- <br />DATA CHART FOR USE WITH PETROTITE LINE <br />TESTER _ <br />1) <br />REASON FOR TEST: <br />MNUAL INSPrUTION <br />,od <br />2) <br />3) <br />SPECIAL INSTRUCTIONS: <br />IS A TANK TEST TO <br />NONE <br />BE MATTE-9ITH THIS LINE TE T? YES <br />Z NO <br />150 <br />O <br />4) <br />MAKE AND TYPE OF <br />PUMP OR DISPENSERS: �� �.l c tt- ...-- <br />a <br />00 <br />G,A Al. <br />5) <br />WEATHER�r <br />TEMP. IN TANKS: <br />CONGHLIt, <br />AbPHALI <br />'05l <br />enaRn_ <br />IN OF LINES 2 0 <br />- <br />11 <br />IDENTIFY <br />_ ___ <br />12 <br />TIME <br />1I <br />13 <br />LOG OF TEST <br />AMBIENT TETRUCEDURESMP, <br />WEATHER, ETC. <br />14 <br />PRESSURE <br />PSI OR kPA <br />BEFORE AFTER <br />15 <br />VOLUME <br />READING <br />BEFORE AFTER <br />NET <br />CHANGE <br />16 <br />TEST RESULTS <br />NS, <br />CONCLUSIONS, <br />REPAIRS, <br />AND COMMENTS <br />LINE L <br />O 1c <br />O <br />o <br />yV <br />.074 <br />f7' <br />-too <br />-,ov rs <br />z o <br />001 <br />,od <br />O o <br />s <br />4/9 <br />41 <br />150 <br />O <br />1621p <br />D 1,02/0 <br />' O d O <br />—top 0 5 <br />a <br />00 <br />G,A Al. <br />Lt. p 10 A Cl -t <br />, o l a <br />'05l <br />+t o f <br />v <br />0900 <br />6q/5 <br />,O a <br />M vt o <br />.o io <br />- 7, <br />-,2 n2 <br />c <br />6 <br />a <br />p9-15 <br />,do9'� <br />Moo <br />L9 0 0 <br />— <br />000 <br />L <br />,Dom <br />'00 o <br />on <br />' O o <br />--- <br />---------------L------ <br />------ <br />------ <br />------ <br />------ <br />---- --- -------- <br />PERFORMED BY TECHNICIAN: LEE REEVES STATE LICENSE UYU-11Zl+ <br />TRAVIS MURPHY STATE LICENSE u91-1123 <br />SACRAMENTO EQUIPMENT MAINTENANCE COMPANY INC. <br />2S33 CONNIE DRIVE - SACRAMENTO - CA. - 9815 <br />916-92S-2715 <br />ar' =u \r`..p' It <br />2 <br />