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OWNER OF SITE <br /> CRISP TANK TESTING <br /> 140 W. ALDER <br /> STDCKTDN, CA 95204 HORNER EASY TESTING METHOD ADDRESS e <br /> 4 .7 `1 7 X77 S. C� olcee� <br /> WORK SHEET . .... - 0 � CITY-RATE-ZIP COOL <br /> 33 37 01; gsz'b/ <br /> TANK No. e TEST LEVEL PRODUCT_ r ese CAPACfTY,2 S00 CHART CAL /I 5 _ 3S _ , DO / S'�(A) OWNER OF TANPS <br /> 1.t7, G AnDREss <br /> EASUREDGRAVITY PRODUCT TEMP_ COEFFICIENT, BOD '� 6 -TEMP GAL IDOO4 3. 9/ JB) <br /> i <br /> ( TEST LEVEL LEVEL GAIN • R (A) LEVEL TEMP, TEMP, GAIN• R (D) TEM F. FINAL CITY STATE-ZIP CODE <br /> NO. ISTART ENO LOSS- R (A) NESULT START CND LOSS- • (B) RESULT RESULT TIME <br /> 40 f a x - 00 o /S-4 x .3 .9/` <br /> OPERATORS NAME AT SITE <br /> - / <br /> x TYPE OF SYSTEM <br /> Ge� <br /> v,G <br /> - - ` �SUSAIERGE ❑DUCTION <br /> x JSy` _ -®- x3,91 .-A- -Oo� Ss /�.� <br />( 1 OQ LFILL PI OF DOLOR CODE OF PROC <br /> - s ` FILL PIPE <br /> 44 CLEAR ORAF <br /> x F q ` x .9 `�Q RED DIAAIETE R OF TANK <br /> 29�[1 <br /> METAL <br /> j� //// ^ 4 w� ❑ F16ERGL x ♦ OI • /sq ♦ /Sv D (7 x 3 -91 -F 0078 ` � TYPE OF RECO <br /> , D7 VERY SYSTEMO / <br /> ❑IRALIS ANJA(p <br /> RED JACKET ❑MEA <br /> 51 1 ®- x , oo/ ,e' 6 - s$ = , o x3.9 0 00 9 �/ <br /> WATER LEVEL IN TANK <br /> s / . - S� x oal'f ` .e- ./ss' - /s�7 ' 0oy x 3 q - o l�� �Fo�s6 ;,No -00 <br /> DEPTH OF GROlMO WATER (IF KNOWN; <br /> 00/q 'oo/ .159 - 1Go 'tool 1115171 ' +0039 -0Q02' zo /s /'�w 3 o ' <br /> 1 <br /> D <br /> ATE STORAGE SYSTEM FILLED <br /> STATION LOCATION [ ��r o ke e C eirVI ' r CERTIFIED TIGHT V P- — DATE <br /> 3 a M <br /> E OF TANKS <br /> ADDRESS__ / 303 �l/ [�Q QD SEE d LEAK RATE PER HOUR •�Z� I <br /> CITY ` Oct 1 STATE �Cc' 1'� OPERATOR LeOh 4rr�l �R 15/'] I <br /> Z 4fe / + E OF Es <br /> DATE_ �- — �P10 SIGNATURE <br /> ATERIARED MATERIAL <br />