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2004 Piccoli <br /> SlockLO11, Ca 95205 (209)931-1818 <br /> TEST REPORT <br /> OWNER OF SITE --ti HLS <br /> ADDRESS 11394 h" f. lly 99 _ CITY-ZmAj STATEC4t ZIP2S <br /> OWNER OF TANKS` T T RCl IBJ <br /> ADDRESS_ 1/396 N,_lyw� 29 CITY rZ STATE' ZI <br /> OPERATOR AT LOCATION__j & T TkuCkiti/G _ <br /> ADDRESS_ !/3 d�g � 9 . _ CITY��j e'�i _`.-TA[[-e1; ZIP95 rya. <br /> NAME OF COUNTY Sq Al <br /> TANK #.—/ ON PLOT PLAN. <br /> DESCRIPTION OF TANK:� <br /> CAPACITY oU ,DIAMETER 'S METAL ( FIBERGLASS <br /> TYPE OF SYSTEM: SUCTION SUBMERSIBLE OTHER <br /> VAPOR RECOVERY SYSTEM? /y'o ; TYPE <br /> PRODUCT BEING TESTEDLaMEASURED GRAVITY <br /> COEFFICIENT,5'Z, 7 TEMPERATURE OF PRODUCT 71 AIR ;7 <br /> STORAGE LL •_ DATE fU—i3 -e? 7 T IME / <br /> TESTED - DATE /p -/ p7 , START Zf�,F FINISH_Z,Z, � <br /> LENGTH OF TEST a? c,. s �--, <br /> MEASURED WATER IN TANK O - HEIGHT OF LIQUID LEVEL /,�yL <br /> DEPTH OF GROUND WATER-&,�n,,�pf PSI AT TANK BOTTOM . <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES X ; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + Or - <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR <br /> SIGNATURE OF OPERATOR /. <br /> DATE n <br /> OCT 2 9 1987 <br /> EN'/"'OMENTAL HEA <br /> LTH <br /> "ERMIT/SERVICES <br />