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CRISP TANK TESTING � q <br /> 2004 Piccoli #9 ul <br /> Stockton, Ca 95205 (209)931-1828 <br /> TEST REPORT <br /> OWNER OF SITE <br /> ADDRESS CITY � ' y� STATE4&ZIPqS2,�3. <br /> OWNER OF TANKS <br /> ADDRESS mod CITY STATEL&ZIFqb�i 3. <br /> OPERATOR AT LOCATION <br /> ADDRESS14C2ZS' , f/1 P CITY STATEMZIF <br /> NAME OF COUNTY G9jj j—��q//jn <br /> TANK 4t ON PLOT PLAN. <br /> DESCRIPTION OF TANK: <br /> CAPACITY ,DIAMETER 4S'! , METAL FIBERGLASS_,AGE <br /> TYPE OF SYSTEM: UCTIONX_: SUBMERSIBLE OTHER <br /> VAPOR RECOVERY SYSTEM? ; TYPE <br /> PRODUCT BEING TESTED JZ4jTn— MEASURED GRAVITY , <br /> COEFFICIENT T- EMPERA' URE OF PRODUCT 44 , AIR_q. <br /> STORAGE ggyySTEEMM /� <br /> FILLED - DATE y , TIME a:DD <br /> TESTED - DATE , START , FINISH <br /> LENGTH OF TEST Qua <br /> MEASURED WATER IN TANK . HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATERjj ' . PSI AT TANK BOTTOM <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES ; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + ; or - —C15(p09 S.M. <br /> REMARKS BY OPERATOR 1;4f 3p y/ ea v.s Lo h a t,ie � )' V- lg o c 4 e <br /> NAME OF OPERATOR bj)t)4'pf1 also <br /> SIGNATURE OF OPERATOR ° <br /> DATE <br />