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L <br /> - - OYVNCF OF RITC <br /> CRISP TANK TESTING - <br /> 140 W. ALDER <br /> �.rJTALS <br /> STOCKT©N, CA 95204 HORNER EASY TESTING METHOD <br /> WORK SHEET <br /> CiTv-RTATE•Zi►CSDD <br /> yo,/' ell 951 a <br /> I OWNER OF. i^FqKs - <br /> TANK No. —' TEST LEVEL � C'.� <br /> PRODUCT CAPACITY— CRART CAL _03 1 .f (A) <br /> MEASURED GRAVfTY - PRODUCT TEMP c COEFFICIENT � 0�05� TEMP CAL . -0DL`s- � 70O . �• �{ J (B) AD DR E53 <br /> �/ <br /> TTsT LEVEL LEVELQRIN. R{A} L.1>rVE L TEI.l4_ TEMP. OATH• R ml TEUF. FINAL CITY-STATE-Zip GD C <br /> D. [TART END LOSS— x IA1 RESULT START• END LOSS� t(S} RESULT RESULT TIME <br /> .� 9d I r ^y��- /� r x �J 4 R /1 I �'f —y , <br /> 3 ©1� y jii . V'1 � T 1 C-� ) J `. C),161 027 CP£RATORS MARtE AT SITE <br /> 1 ,6-7 l0 t�� 13 , c�J3 .erg ,I(a �ol � . . r . 070.E .C,f7 TYPEOFSYSTEM <br /> X Y ` ' JL7 /5 7�RUL>•IERCE D SUCTION <br /> �7 w J C) 3 0l8� f�� 17.5- .o�.� x. 4,1 . 0 � 1 `,0 4/79 o 9! 3 a <br /> LENGTH OF C0L0R CODE OF PRCSDU <br /> FILL PIPL CLEAR <br /> I T / 00r '3 , Q13 o Q J � � 4 � . ©YFr ` p3s� RED <br /> + �� ./G 1!/ Q � q �}4j [3tAi.iCTER OF T/WK�, � METAL <br /> X �a� /_ � �/� x Lei ' ' 0 B5,21 ��! O - FI�ERGLA <br /> .�ti7 •©+ { cG L!J I f ,00' r V 7 rl�-0 - -TYPE OF RECOVERY SYST✓irlr�- <br /> : Cy Z. a sAL c� aPt ED JACKET DHEA <br /> 4— <br /> .,�3 Q �- X rUCJ r �LlQ 7S ! `F i.lJ r © V'S % ! i ' . a `a.�"u" LJ T '� d C (7 , 17 MATER L['��1NTAMK <br /> _ _ / � 7 <br /> - t-..1►. ' -�. x , 1 O '3 <br /> . 00$ x "OS2 03 7 /a. 3Z <br /> s``-` f► `. 1 2 t _ GE►TM Of GRDUftD W^TER TIF K?#0WN} <br /> a " Lo 13026 d _ • � �^ x 41 �� .��� �.�- `717 c�DW� <br /> •_ OATE ST 0P-^,aE 5YFTZm 111L1jn <br /> DATE <br /> V TATIDN LOCATION f � CERTIFIED TIGMT f'l 0 {F zm�L r.1 /0!Z q46 O b <br /> ADDRESS' !! ✓ / ,3 �j I APE DF TPavKS <br /> r' <br /> -. LEAK RATE rER Hau1� � �,(�K.✓pc�.✓ <br /> CITY= -�e� -- STATE_ ��4 DPERATDRJAN O 8 X987 APE DF L-" <br /> DATE 30 — ( <br /> SIGNATURE / ENVlROMENTAL HEALTH l/A//��/�c�.c� <br /> tJ <br /> TF ST FW1G.i► pIFFERENT THAM <br /> - LTORCD►+ATLIiIAL <br />