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CRISP -TANK TES` ING <br /> 2004 Piccoli #9 (209)931-1828 <br /> Stockton, Ca 95205 <br /> TEST REPORT <br /> OWNER OF SITE <br /> ADDRESS CITY STATEaZIPq '�3. <br /> OWNER OF TANKS <br /> ADDRESS � CITY STATEIAZI09,��. <br /> 4,1 <br /> OPERATOR AT LOCATION <br /> ADDRESS1 ,� j P CITY STATEZIP � <br /> NAME OF COUNTY �S4n ��nQQlll <br /> TANK # ON PLOT PLAN. <br /> DESCRIPTION OF TANK: <br /> CAPACITY ,DIAMETER , METAL FIBERGLASS ,AGE <br /> TYPE OF SYSTEM: SUCTION: SUBMERSIBLE : OTHER <br /> VAPOR RECOVERY SYSTEM? TYPE <br /> PRODUCT BEING TESTED MEASURED MEASURED GRAVITY <br /> COEFFICIENTEE3MM�' g TEMPERATURE OF PRODUCT_, AIR <br /> STORAGE FILLED:- DATE TIME <br /> TESTED - DATE START ,�!LlJ , FINISH _. <br /> LENGTH OF TEST <br /> MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER . PSI AT TANK BOTTOM Sa <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 OPERATORnnGRr� E. 15n <br /> SIGNATURE OF OPERATOR Qoyla. va C.r7 <br /> DATE #, . <br /> �yrt Jc_c_- <br />