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1% <br />CAI s'p TANK <br />T'ESTING <br />-P.O. BOX -30487 <br />Stockton, . California ; <br />�r,i2Q9.1 e931-1828_� <br />x <br />TEST REPORT <br />a 'j dkr <br />iP L " k L'kYst i <br />OWNER OF SITE �� <br />,a r °w <br />ADDRESS` <br />.�- CITY STAT�Z <br />OWNER OF tANKi_ �} /-i 1" Uri"57, <br />ADDRESS <br />CITY STAT ZIP ' <br />OPERATOR AT LOCATION <br />ADDRESS <br />CITY <br />STATE ZI 2 , <br />NAME OF COUNTY `" <br />TANK 0. ". _____ ON PLOT PLAN. AGE OF TANK <br />DESCRIPTION OF TANK: � N' <br />CAPACITY DIAMETER_9.L ; <br />METAL F IBERGLASSr____. , -� £➢ <br />TYPE OF SYSTEM: SUCTION : SUBMERSIBLE : OTHER" <br />VAPOR RECOVERY SYSTEM? ®TYPE <br />PRODUCT BEING TESTED • <br />MEASUREQ;GRAVITY • <br />API`'SPECIEIC GRAVITY 9 60oF` OflUCI, EMP <br />Y <br />STORAGE syST <br />ED <br />F IIL- DATE <br />TESTED -DATE -- T <br />® T ; 0 (J , FINISH , <br />LENGTH OF TEST ,f <br />MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL <br />DEPTH OF GROUND WATER ..�-- • PSI AT TANK BOTTOMZ4""`• <br />RESULTS OF TEST: a 4 <br />CERTIFIED TIGHT? - YES`' <br />•rNCLIF NO EXPLAIN IN REMIARKS.'`' <br />LEAK RATE PER <br />HOUR. +_< or <br />REMARKS BY OPERATOR ° <br />• s r y � o K' <br />l • <br />NAME OF OPERATOR - <br />SIGNATURE OF OPERA <br />DATE sz.c=lam <br />