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___ __ ---- --- - - - - T - _ <br /> -."__.. _ <br /> 'last hour o2 "\ first hour QkJNER._OF SITE: <br /> CRISP TANK TESTING2004 U , S Q <br /> Stockton, CA li 895205 g x ' HORNER EASY TESTING METHOD ADDRESS: <br /> w�PL N`(!YYORK SHEET 1-TY-STATE-ZIP: <br /> CHART CALIBRATIONS (A) <br /> a� first hr /�ti r,r?4� OWNER OF TANKS: ' <br /> TANK# TEST LEVEL c PRODUCT CAPACITY t � - <br /> last hr ADDRESS: <br /> MEASURED GRAVITY5LPRODUCT TEMP 60 AIRC,5_ COEFFICIENTz' TEMP CAL -7_1�O X <br /> T�TLEVEL LEVEL GAIN+ LEVEL EM TEMP : uN N+ X(B TEMP: FINAL • TIME CITY-STATE-ZIP: <br /> START PND LOSS- X A RESULT START • END LOSS- X(5) RESULT RESULT <br /> GRADE TO TANK BOTTOM: 7/// <br /> X - 4- s DIAMETER OF TANK : 4(5-!i <br /> I0012,2 . OQ `-Z�R��r' vO cj �^ ? LENGTH OF FILL PIPE : c" i/ <br /> X — _ _ Lam' GROUND WATER DEPTH : 1,5-1-� 0o)qa a� qa x`77 57 - <br /> X � -g- s HIGHTH OF LIQUID LEVEL <br /> • 1 �3 WHILE TESTING <br /> X X <br /> 77 �`I �pQ n,r ODDo'ZG �l VAPOR RECOVERY YSTEM: <br /> )40D ( ) YESQ. NO <br /> 76 $ �q'�2�D - SYSTEM TYPE: <br /> �t�13 (. ) SUBMERGE XSUCTIDN <br /> 0TH R • <br /> > X-B- �'_ /)�J 7 G 8- X �� �6D �3 TANK TYPE: - METAL . <br /> _ $ X _ " Irl - ,a�7 = $ X �a -�- -�T 1' ( ) FIBERGLASS <br /> COLOR CODE OF- PRODUCT: <br /> CLEAR ( ) RED <br /> n 4)-. . <br /> X ")I) -� �i`7 f / -� X , <br /> aQ,__1� _ �- -� ( ) ORANGE <br /> AGE OF TANKS-. <br /> fI �[ \ AGE OF LINES:LAPJPFDL"-)Aj <br /> TANK LOCATION'—� � � � (EL LEAK RATE PER HOUR i• <br /> /1 J \ ` STORAGE SYSTEM FILLED: <br /> ADDRESS I�/ S �'7 ( r/ 0 PASS (XJ FAIL ( ) INCONCLUSIVE ( 1 <br /> � / ,, �� / - rESTING <br /> AT :`f—//-:S r P. <br /> 7771CTZ?/ 1 STATE / A , OPERATOR ^�1�K' / 1��1 <br /> CITY / FLUID IF DIFFERENT <br /> DATE / `v'C' SIGNATURE " � � � EN STORED MATERIAL : <br /> V <br />