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CRISP TANK TESTING OWNER OF *IIL <br /> 2004 0cktOli Rd. #9 <br /> Stockton, ADDRESS PoPEkT ES <br /> HORNER EASY TESTING METHOD <br /> 3/ BizcHwoO� �j1 <br /> RAGE ZqQ� WORK SHEET CITY•STATE•ZIP CODE <br /> , I LOWNDE�R-OF TCAANKS <br /> TANK No. /y� O TEST LEVEL PRODUCT/ aazA?(iAS CAPACITY /ODOO CHART 31 /6/ - <br /> 9S z Seo <br /> (ql SS <br /> MEASURED GRAVITY S9 PRODUCT TEMP �s ADDRESS <br /> Air Temp �� COEFFICIENT S9. S TEMP CAL Ooo603 a a Opo �. 0Go (g) <br /> �S <br /> •r LEVEL LEVEL GAIN ♦ x(A) LEVEL TEMP. TEMP. GAIN ♦ x(e) TEMP. FINAL CITY•STATE-ZIP CODE <br /> NO. START END LOSS– II(A) RESULT START END LOSS– x (B) RESULT RESULT TIME �J!/ <br /> l - <br /> x <br /> 6 3 - / . 00 a. ® a� - . SSo - O - .z/3 Abe ✓,� <br /> x OPERATORS NAME AT SITE <br /> u /1/3 Ch E/ZOKJE e[ <br /> _ �E.2viCf <br /> O (0 0 [� x <br /> T ^ 0 /v;Z 009 <br /> /.2 -28 TYPE..,O__F//fYSTEM <br /> /✓L — Y T/` I 12,2 6? 2(fUBMERGE SUCTION <br /> x <br /> // --ny�... _ '��• — I /�jx <br /> OO/4 'OO <br /> ` O02 / LJCa / i�LENGTH OF <br /> COLOR—CODE OF PRODU:O2�3 ILL PIPE <br /> – a fz.3 ,// CLEA ORANG <br /> X <br /> / x <br /> u RED <br /> OO/v O/ (� 3 . 003 Q'�/ Q aQ /2S 8 DIAMETER OF TANK METAL <br /> PILL :? /' a <br /> _ a x �a – a x a FIBERGLA <br /> TYPE OF RECOVERY SYSTEM <br /> a x . – a a ❑BALANCE [3 RED JACKET MEAL' <br /> x <br /> WATER LEVEL IN TANK Liquid level <br /> DEPTH OF GROUND WATER (IF KNOWN) <br /> a x a _ a X a <br /> DATE/TIME STORAGE SYSTEM FILLED <br /> DATE TIME <br /> STATION LOCATION �fcERokEE J E F✓ic E CERTIFIED TIGHT 1/,E S �T- 29-e7 <br /> J. C�J ��J iE — �Ayo <br /> ADDRESS <br /> 3 EKofIEE LEAK RATE PER HOUR Q/p/ AGF.OFTANKS <br /> c Y 1 C C r��� �ppY.,- So e-D <br /> L O ( STATE C (� OPERATOR L L O h 8 r cly <br /> AO: OF LINES <br /> DATE J/ O O QJ SIGNATURE (/(laG /'p y't S oc D <br /> �r TESIINO FLUID. IF DIFFERENT THAN <br /> ()V[R Fno O[uenvc STC PEED MATERIgI <br />