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CRISP TANK TESTING <br /> 2004 Piccoli #9 s w '•` <br /> (209)931-1828. 1 , <br /> Stockton, Ca 95205 NOV 2 9 1989 <br /> TEST REPORT ENVIRONMENTAL HEALTH <br /> PERMIT/SI:PR1,1IU-70' <br /> OWNER OF SITE(J�T'1��L('!\ "n <br /> ADDRESS JG I /�, / ILlell;i)11 pl , CITY ," • ! STATES /), ZIP(ISj13. <br /> OWNER OF TANKS , <br /> ADDRESS /0/ ,l), CITY > SIPTATE Zaafj. <br /> OPERATOR AT LOCATION .- ja':7'. L ([ dl's�yl l Ad) <br /> ADDRESS /L/j! ._�L? . C_r'iili L- �/ CITY TATE , ZIP^>,S�lG <br /> n <br /> NAME OF COUNTY y '/ �• <br /> TANK # ON PLOT 6LAN. <br /> DESCRIPTION OF TANK: <br /> CAPACITY�>g e. , ,DIAMETER v'" , METAL hIBERGLASS.,AGE <br /> TYPE OF SYSTEM: SUCTION SUBMERSIBLE SUBMERSIBLE JTHER <br /> VAPOR RECOVERY SYSTEM? T;—)) ; iTYPE_ <br /> PRODUCT BEING TESTED MEASURED GRAVITY_ 6T_,p .. <br /> COEFFICIENT X51-,,C <br /> k4MT OF PRODUCT 61h , AIR. <br /> STORAGE PILLED:- DATE �t -/f- X, ' , fIME <br /> TESTED - DATE 4-/j START /,3L'(? , FINISH SZr� <br /> LENGTH OF TEST <br /> MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER. PSI AT TANK BOTTOM. <br /> RESULTS OF TEST! <br /> CERTIFIED TIGHT? - YES, ; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + ; or <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR <br /> SIGNATURE Off' OPERATOR <br /> DATE <� jjY - <br />