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, .� CRISP TANK TESTING OWNER OF SITE <br /> 2004 Piccoli Rd. #9 a o fir yes <br /> Stockton, CA 95205 HORNER EASY TESTING METHODADDRESS <br /> 4 3 `t a8 <br /> p 73/ BiRc 1 cn e' <br /> WORKSHEET 32 37 `t CITY-STATE-ZIP CODE <br /> /-o d; - cA (?g-2 <br /> TANK No. TEST LEVEL PRODUCT 1Ze 9 CAPACITY D 0 O CHART CAL f (�ti�_9_. 1 00 (AI OWNER OF TANKS <br /> n o /NE <br /> MEASUREDGRAVITY 57 PRODUCTTEMP_ COEFFICIENT 5f, 8 TEMPCAL.OD .Zo 66 ADDRESS <br /> ` _(BI <br /> I L = n/ewL Ne N kARAI Air Temp c;� <br /> TEST LEVEL LEVEL GAIN• x(A) LEVEL TEMP. TEMP. GAIN• x(B) TEMP. FINAL CITY-STATE•ZI CODE <br /> NO. START END LASS— %(A) RESULT START END LOSS— x(B) RESULT RESULT TIME <br /> .l � - /goo hU►/E <br /> 1 � ` x/ ® o - Sa - 4/8 .flo/ , o a zl 490 -.,V87 -- - oa x`�`669� , 0/ a �0ly - 11116-/s OPERATORS NAME ATSITE <br /> NL — — _ — /� <br /> 9 9 - �`) o x` oo/ o o . S/8 -, oo . '4/, <br /> C9E2cf«` SEz�,�r <br /> 6/ ` QI/�q cO/OO / 3Q TYPE OF SYSTEM <br /> ! f7 Y V — [O <br /> /(SO E�fUBMERGE ❑SUCTION <br /> i _sem_ -�� = x x <br /> 100/ ro� /PCS ems/ �J I • �.o 4. 6 ' Q �Q 6 /65151 i (FILL PIPE COLOR LADE OF PRODI <br /> A/L 16 � , CLEAR ORANC <br /> _ ']� / RED <br /> x /17 �7 ` ` <br /> 3 9 b� Q •`T / •� / ♦O x /.GGT M/D�' I.I 7O0 DIAMETER OF TANK METAL <br /> r. <br /> s <br /> r I` /740 ❑ FIBERGLf <br /> x -Go 17 4 . 00/ QL /5 TYPE OF RECOVERY SYSTEM <br /> 1 <br /> AIL _ — 71� i ❑BAuwCE [31 RED JACKET ❑HEAL <br /> I7o ' - 0o13 •0 4-6gg" 0 33 r w WATER LEVEL IN TANK L1qUld level <br /> /730 /Ss�,• <br /> 70 - 49 - x, o a! ; oA .'f6 6 =, o o Y4. 699m, o o qo �s —G = y °"s`'�-' <br /> DEPTH OF GROUNDWATER (IF KNOWN) <br /> I 8 9� `70 =ata xR 00/3 , 0a86 6 5. :-.005 x4.669, <br /> 3 0 ova« "20 <br /> // DATE/TIME STORAGE SYSTEM FILLED <br /> STATION LOCATION eh A0kez seAL"/GE <br /> DATE TIME <br /> ��,, CERTIFIED TIGHT e S ) //- 3 -J1'.7 /lar <br /> I ADDRESS //3�3 S. C,hE2o &i5z 4,4 / LEAK RATE PER`HOUR S ADE OF TANKS <br /> CITY /-CJ ST> TE C� ze' OPERATOR C¢ - � ���h`A/LS QCD <br /> O "T IS AGE OF LINES <br /> DATE ��� J t) SIGNATURE p �P�EA2S 6C. <br /> S _ I TESTING FLUID.IF DIFFERENT THAN- <br />