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- OWNER OF SITE <br /> I CRISP TANK TESTING <br /> 2004 Piccoli Rd. #9 r oPEkT/ES <br /> Stockton, CA 95205 <br /> HORNER EASY TESTING METHOD ADDRESS <br /> 'J3/ Br.ecHl..�ooD �j/ <br /> 2 ' WORK SHEET CITY•STATE•ZIP CODE <br /> PAGE <br /> L :>; - Cs+ - 95z <br /> TANK No. �O TEST LEVEL ///--// �5� PRODUCTIC�G//cA?C,OS CAPACITY /O, DOD • D OWNER OF TANKS <br /> , CHART CAL _ .3/, 4 � . Oo/6/ IAI <br /> : SAir,E <br /> MEASURED GRAVITY 5-9 PRODUCTTEMP COEFFICIENT S8• S TEMPCAL ,000603 10' '050 (,, o(oo IBI ADDRESS <br /> 'I Air Temp 42.5- <br /> TEST <br /> ISTEST LEVEL LEVEL GAIN- x(A) LEVEL TEMP. TEMP. GAIN♦ x(e) TEMP. FINAL CITY•STATE•ZIP CODE <br /> NO. START END LOSS- x(A) RESULT START END LOSS- x(B) RESULT RESULT TIME - <br /> - <br /> //s <br /> - x _ _ _ _ <br /> y/ �� s A�a vE <br /> 9 V J l 100/6 ®� ] g�7 a 0, q % Q�/� OPERATORS NAME AT SITE <br /> _ — — — /113 Ch E2oKEE SE.e V/cjr <br /> Q ' %10016 <br /> O/ IO / 0-..., (� 0 % 1 o6 o <br /> /y^ OO 12 -18 <br /> p TYPE OF SYSTEM <br /> 1 /✓L - T . - T c - T/� 1 /z 2g0 SUBMERGE SUCTION <br /> / �[ (� % I '/ LENGTH OF COLOR CODE OF PRODI; <br /> 0014 . 0 92'._ � / T .00 . 0 . D�y� 00570 - /_2 `3 1 FILL PIPE <br /> f DLEA GRAN: <br /> _ / _ /.2 fz3 RED <br /> 0016 0�9a $ 3 Doi % (o6`u - olgl .0 /2S 8 DIAMETER OF TANK METAL <br /> 9�/ <br /> - x • _ . FIBERCLi <br /> x <br /> J TYPE OF RECOVERY SYSTEM <br /> )� EIBALANCE [3RED JACKET [3MEAL <br /> 1 <br /> WATER LEVEL IN TANK Liquid level <br /> I - - X <br /> —t7-'_ .551�• <br /> DEFTH OF GROUNDWATER (IF KNOWN) <br /> DATE/TIME STORAGE SYSTEM FILLED <br /> _ GATE TIME <br /> STATION LOCATION ERokEE �EK✓/CE CERTIFIED TIGHT YES �O-2- Do <br /> ADDRESS Q 3' /E QO/CEE ��JNE _ 2- <br /> AGE OF TANKS <br /> LEAK RATE PER HOUR 0y0� <br /> CITY L O d- STATE_y C-7� OPERATOR Le- o of a Y'' c1 15, C <br /> AGE OF LINES <br /> DATE 0 O {`] SIGNATURES VK&C✓ �Py�S ocD <br /> TESTING FLUID.IF DIFFERENT THAN <br />