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.. - OWNER OF SITE ' <br /> CRISP TANK TESTING <br /> 2004 Piccoli Rd. #9 or i <br /> f Stockton, CA 95205 HORNER EASY TESTING METHOD 59 ,S7 53 ADDRESS <br /> 4 a-7 73 / &ACHWOM .D <br /> WORKSHEET3 a a a 9 CITY-STATE.ZIP CODE <br /> p D -CA- S2- 0 <br /> (� <br /> TANK No. �0 TEST LEVEL <br /> ESTLEVEL 00 6 (A) OWNSE <br /> R OF TANKS <br /> /0HARTCAL • $ 3 <br /> MEASUREDGRAVITY 59 <br /> PRODUCT TEMP �i SCOEFFICIENT �B.S ADDRESS <br /> TEMP CAL DOO 0 0 - 6. <br /> Q 0ga Ig) <br /> Air Temp /.,8o <br /> L = Alew L iJ2 ojroegjPn <br /> TEST LEVEL LEVEL pglN♦ x(A) LEVEL TEMP. TEMP. GAIN♦ x(B) TEMP. FINAL CITY•STATE•ZIP CODE <br /> HO. START END LOSS— x(A) RESULT START END LASS— x(e) RESULT RESULT TIME <br /> _ I x c— f JZ 00' /700 VAC <br /> 6 - <br /> '0016 0 6 863, � 5, x 6. o6 /� OPERATORS NAME AT SITE <br /> � � .a/ l / /3 <br /> NL <br /> ,z x c ` x c� TYPE F SYSTEM <br /> 0 0 0 69 - a o a o '0 6 /o 2a <br /> f 3 I CP C — O = c I _ c c ®SUBMERGE SUCTION <br /> / J x T <br /> • 0 0 9 /0 0 O0 ; :.87 6 � —006 4.061 036 LENGTH OF COLOR CODE OF PP.QuI <br /> 003 /0S1 , FILLPIPE <br /> [� Q _ /OV 3 �/� /� CLEAR ORANt <br /> O / V x / c _ x / p 4f RED <br /> / D 6 .0 . 6/ —. Oa .Olo . O c. OO /�(/ /Qsg DIAMETER OF TANK pl META• <br /> NL _ T los8 9 1 C❑1. FIBERGLJ <br /> x x <br /> .,861 856 -. 0In4o 06 • 030 cQ 79 ///,3 TYPE OF RECOVERY SYSTEM <br /> ///3 []BALANCE DREDJACKET DHFAL <br /> x <br /> x Q <br /> . <br /> CIO/ . 0 �/ 5 �� 6 '(� .0 c I �0348 /��8 WATERLEVELINTANK Liquid leve] <br /> I c x — <br /> 7 - 35 — (73 00/6 - 0 3�8 sb 5 +, oo x <br /> DEPTH OF GROUNDWATER (IFKN <br /> c <br /> z <br /> x .06 <br /> DATE/TIME STORAGE SYSTEM FI LLEO <br /> STATION LOCATION �_ e V U P e S e Y V /.L 2> DATE TIME <br /> CERTIFIED TIGHT P/EASE SFE /�ar,E 2 /O-� S-87 /800 <br /> AGE OF TANKS <br /> ADDRESS D. C. P Y V- O a LEAK RATE PER HOUR Y b vcD <br /> fofiY � n � �' STAT-c C ri / GPERATOR L- � D jI ��� !� � ( l �� /8f'25 <br /> p AGE OF LINES <br /> } DATE O - !, - t] / SIGNATURE �g' m�-�_ <br /> y TESTING FLUID.IF DIFFERENT THAN <br />