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r� OWNER OF SITE <br /> CRISP TANK TESTING ✓ w _ <br /> 2004 Piccoli Rd. #9 <br /> Stockton, CA 95205 HORNER EASY TESTING METHOD � � a S' � 9 AGGRESS <br /> 7 113% 14wv99 <br /> 81 V� <br /> WORK SHEET CITY-STATE-ZIP CODE <br /> L - C _ 952540 <br /> PRODCAPACITY D CHART CAL d OWNER OF TANKS <br /> TANK No. TEST LEVEL&-/!5 - <br /> C! <br /> 17 <br /> MEASURED GRAVITY J t �_ . _PRODUCT TEMP, l ? COEFFICIENT e� 3 -TEMP CAL. 0 446 . 00 .4,3 70 {B) <br /> ADDRESS <br /> r Air Temp - 1 <br /> !L = t1e� ,',✓e O^� vT�/IP,4`. 139r�o 1.ti/'ti <br /> T LEVEL LEVEL GAIN t X(A) LEVEL TEMP. TEMP. GAIN+ X(a) TEMP. FINAL CITY-STATE-ZIP COD <br /> START END LOSS— X(A) RESULT START END LOSS— x(B) RESULT RESULT TIME <br /> -F -- /� La t' C - ,S-2 1/a <br /> — X [ / — s x *� 70 OPERATORS NAME AT SITE <br /> f �- i3 s -I�i uc <br /> py <br /> 2 p� Z . 0©r r ! / d 0/ • •0 sa 4f • o O 0 /c�ta� TYPE OF SYSTEM <br /> AIL- l _ /4400 0SUBMERGE � SUCTION <br /> ^� 1 x '>L x t T LENGTH OF COLOR CODE OF PRODLI. <br /> ✓ _ A • 00// s T 0 • Fr7 0 • .�-0 16 Tr • C9 <br /> 1211-5- FILL PTFE <br /> _�/ Y CLEAR ORANG <br /> A - f J Q /` /� RED. <br /> 4 3 53 s Q x Q ` . o l Q Ip — (.A .0 x z J 7., 06-55 DIAMETER OF TANK�cO ©J 3O METAL <br /> 4/� <br /> L -74-- � � � FIBERGLA <br /> X <br /> S L� I • O0 11 D a f}a , — J © x ' 3 7 e o c Q a p1 trf !� TYPE OF RECOVERY SYSTEM <br /> + <br /> Of /` t C] J� <br /> BALANCE a RED JACKET NEL_! <br /> X � T <br /> x <br /> - - da Q • a 41• R • O 00 4t /-5-00 WATER LEVEL INTANK L1gUld level <br /> — s •f- X500 -- <br /> /30 <br /> AIL <br /> �X <br /> - O'y xT 43G Q . {� OTJ �• <br /> SIS DEPTH OF GROUND WATER (IF KNOWN) <br /> KNOWN)6 ' <br /> elow <br /> DATE/TIME STORAGE SYSTEM FILLED <br /> DATE TIME <br /> STATION LOCATION - �'� �- CERTIFIED TIGHT ye p" 13 -1 7 17-� <br /> AGE OF TANKS <br /> ADDRESS �� �� A-V 2 LEAK RAV PER HOUR ~•©�� <br /> Lo i STA G <br /> E 4' OPERATOR 1 AGE OF LINES <br /> DATE ! / SIGNATURE -P nh Al,-, <br /> TESTING FLUID, IF DIFFERENT THAN <br /> nvrn Ff]R mruative 570RF-DMATERIAL <br />