Laserfiche WebLink
,Nov 25 03 10:33p Mi a Dotten [20-1 533-2650 p.4 <br />17759 Buttercup Circle, Sonora, CA 95370 <br />Phone: 209-532-7320; Fax: 209-533-2650 <br />California Tank Tester: 90-1068 <br />alltech@getrocket.com <br />TANK TEST SUMMARY <br />Facility: Countryside Mini Mart <br />Address: 14971 Hwy 88 <br />City: Lodi CA <br />Facility contact: Gary Bergen <br />L.I.A.: San Joaquin; Dennis Catanyag <br />Tanks: <br />No. Product <br />VII <br />Date: November 25, 2003 <br />Phone: 368-5380 <br />L.I.A. Phone: 468-3459 <br />Test Test Ullage <br />Capacity Method Result Result Pass/Fail <br />Piping: ®Pressurized piping Not Tested <br />ā¯‘Suction system <br />Line Product Test result Pass Fail L.D. test Pass Fail <br />1 <br />2 <br />3 <br />4 <br />Dispensers: <br />Calibration: QTested; ®Not tested; ®Sealed by W & M. <br />Dis . Product Test Result Pass Fail Gallons <br />1 Not Tested <br />2 <br />3 <br />4 <br />Groundwater: > 16 feet <br />Remarks: <br />I declare under penalty of perjury that I am a licensed tank tester in the State of California and <br />that the pfor ation conta ned int ort is true and correct to the best of my knowledge. <br />Date (I A r44 Mike Dotten, License # 90-1068 ae.uiruvzoos <br />