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Champion P.O. Box 13059 <br />Sacramento CA 95813-3059 <br />Precision Tank Testing CA 800-660-9443 <br />License No. 73848 NV 800-949-9443 <br />1-916-927-1557 <br />USTest 2000/P Fax: (916) 927-7345 <br />TEST EVALUATION REPORT <br />THE US Test 2000 System declares a tank to be leaking wines, the measured leak rate exceeds <br />thethreshold of .05 gph and has a probability of false alarm of <1% and a probability of <br />det.edion of> 99%. Champion assumes no responsibility for product leakage. Our responsibility <br />extends only to the testing of tanks as to tight or not tight, as of the date and levels tested. <br />Date: G -rw- (k(p <br />Site ID: V-1 t <br />Operator: �_LC,y ^ OVUEL <br />Site Address: 1)) 512 1_%.-t'EZL.00 ym� <br />City: h State: -A , On Job Site Time: <br />Zip: M22orp Phone: 41a'S m 4 1144 Off Job Site Time: 14400 <br />TEST TEST <br />all <br />❑ <br />LEVE® RESULTS <br />I. 01b/0 a CXXF 01,74 - PassFall <br />ULLAGE <br />❑ <br />2. • C01A + Pass <br />AFail <br />❑ <br />3. ;Z®/o • (7,tWI %3+ PassFail <br />9Fail <br />❑ <br />4. Pass <br />❑ Fail <br />❑ <br />5. Pass <br />❑ Fail <br />❑ <br />6. Pass <br />❑ Fail <br />❑ <br />LINE TEST RESULTS <br />1. Alm�-.. • C07 PassCail <br />all <br />❑ <br />2. �' RE'S '" : COSI Pass <br />ULLAGE <br />❑ <br />3. Pee%peve �' CXOfo Pass <br />PQ Fail <br />❑ <br />4. Pass <br />❑ Fail <br />❑ <br />5. Pass <br />❑ Fail <br />❑ <br />6. Pass <br />❑ Fail <br />❑ <br />TEST <br />TEST <br />2. M -D Pass Fail <br />❑ <br />ULLAGE <br />RESULTS <br />4. Pass ❑ Fail <br />❑ <br />I . Z O(® <br />SM: - CQ Pass <br />Fall <br />❑ <br />2. 116/6 <br />SN! - 0 Pass <br />J0 <br />Fall <br />❑ <br />3. %®/O <br />SNS, -7.0 Pass <br />Fail <br />❑ <br />4. <br />Pass <br />❑ Fail <br />❑ <br />5. <br />Pass <br />❑ Fail <br />❑ <br />6. <br />Pass <br />❑ Fail <br />❑ <br />1 11 <br />1. T>L- Q Pass A Fail <br />❑ <br />2. M -D Pass Fail <br />❑ <br />3. D'Lt> Pass P Fail <br />❑ <br />4. Pass ❑ Fail <br />❑ <br />5. Pass ❑ Fail <br />❑ <br />6. Pass ❑ Fail <br />❑ <br />TANK # <br />1. <br />2. <br />3. 4. 5. 6. <br />DIAMETER <br />W, <br />(s call <br />VOLUME <br />I t K <br />t 1)t k <br />PRODUCT <br />R -UNTIL, <br />5--LVIL <br />L <br />TANK TYPE <br />ST <br />$T <br />51T <br />PROD LEVEL <br />-71411 <br />" <br />DIFF/ VOL <br />! <br />,% 7 <br />1� <br />WATER IN TANK <br />WELL POINT <br />GRND WATER <br />Minimum Test Time From <br />Differential Volume Chart <br />Tank 1: (a0 WOK <br />Tank 2: ICU M 1 h <br />Tank 3: (, O WsI I K <br />Tank 4: <br />Tank 5: <br />Tank 6: <br />Any additional information requested by your office is on file at Champion Precision Tank Testing. <br />TECHNICIAN: William Campbell - LIC. 90-1324 - SIGNATURE DATE: - Z.o . Q t• <br />