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CRISP TANK TES'T'ING <br /> 2004 Piccoh #9 (209)931-1828 <br /> Stockton, Ca 95205 ;;, <br /> TEST REPORT <br /> OWNER OF SITE , <br /> ADDRESS-701 A-b),_kja lsQA S . CITY . A)n .. STNTECAZIP1 j. <br /> i <br /> OWNER OF TANKS a <br /> ADDRESS CITY STATEJ,ZIPa.-a23. <br /> OPERATOR AT LOCATION n <br /> ADDRESS c CITY " STATE�ZIP <br /> NAME OF COUNTY <br /> TANK # ON PLOT PLAN. <br /> DESCRIPTION OF TANK: <br /> CAPACITYgDD,GQ�, ,DIAMETER �� , METAL F IBERGLASS ,_,AGE <br /> TYPE OF SYSTEM: SUCTION SUBMERSIBLE DITHER <br /> VAPOR RECOVERY SYSTEM? TYPE <br /> PRODUCT BEING TESTED � MEASURED GRAVITY <br /> COEFFICIENT_5Z,Q hPERATURE OF PRODUCT �p�, AIR <br /> STORAGE FILLED:- DATE , 4-11-R; , TIME <br /> TESTED - DATE START /30(), , FINISH , 16VO <br /> LENGTH OF TEST , ,R,- ,ny,,G . . <br /> MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER. PSI AT TANK BOTTOM <br /> RESULTS OF TEST: <br /> CERTIFIED TICHT7 - YES_ _; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + ; or - $ <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR <br /> SIGNATURE Or OPERATO <br /> DATE `Y�,�-,( <br /> ,i <br /> w f ^Y <br /> .Y n <br /> i waw?4 <br /> •?A �'`^ �Y�/� t. 4TH a kl" '° '.•# 1, <br /> , Ja <br /> '�.C,.�`.,, r a vys�rw 1�' f3,• .. , f"� <br /> s <br />