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CRISP TANK TESTING 5 G <br /> Stockton, <br /> ton, Ci Rd. 05 HORNER EASY TESTING METHOD- 23 f/ A DRESS 2oP �s <br /> stockton, cA 9szos 3 a 3 7 <br /> 3/ Biecuwvop 2)/RIyz <br /> WORKSHEET CITY-STATE•ZIP CODE <br /> TANK,No. () h � TEST LEVE �PRODUCT R S CAPACITY �So 0 OWNER OF TANKS <br /> ,�_CHART CAL __ D.3 .,0 0/ (A) `Z <br /> MEASURED GRAVITY ��• PRODUCT TEMP b� COEFFICIENT J TEMP CAL. 000-599 OD . j . 0 (B) ADDRESS <br /> Air Temp <br /> 0- o< GRAv� � S <br /> ! LEVEL LEVEL GAIN♦ x(A) LEVEL TEMP. TEMP. GAIN♦ x(B) TEMP. FINAL CI'fY•STATE-ZIP CODE <br /> NCO; START END LOSS- x(A) RESULT START END LOSS- x(B) RESULT RESULT TIME 1030 <br /> x <br /> 9 7 3o _- 67 00 ` 0 2 7-'5-0 - . 7 4�4� –. 00 C7L <br /> X5-'0 <br /> S•0 0 03 .'0969 1 /Ozis OPERATORS NAME AT SITE <br /> /V <br /> �'7 — p [� o — �- -y i_!lE2oKEE' <br /> 2 <br /> /00 43 - .5 / x. 00 D / l �� - , o g x . 0 / c. � ', s 3 0'71 //00 TYPE OF SYSTEM <br /> /vl + - //Od OSUBMERGE SUCTION <br /> _ I LENGTHO F COLOR ADE OF PRODU: <br /> x �] �y J x <br /> 3 _- _� / — �0/ 0� • / ;A T . 0 O . 0 ? o / /01 - ���5 ILL PIPE <br /> ✓/ 0 x - 33 CLEAR <br /> ORA <br /> NG <br /> x RED <br /> 00 0 '7 ? • D O•(- 113L) DIAMETER OF TANK METAL <br /> - <br /> //.30 i tY /� FIBERGLA <br /> . aha _ x TYPE OFF RECOVERY SYSTEM- 3 . 00i6 - . 7/ ` oo . o ` <br /> /ids <br /> ❑BALANCE O RED JACKET []HEAL! <br /> — x . 00/6 ' O 6a — , G / xS OSO 9 / /? Liquid level <br /> Q WAVER LEVEL IN TANK <br /> NL /200 � �� <br /> g - G5 =33 x - S�5 07o 12 1.5' — <br /> ' 00 x 0 DEPTH OF GROUND WATER (IF KNOWN) <br /> x _ — _ — x i <br /> 65 - <br /> 30 -_ 35 .00/6 0 _0 09 -® �/ 13o e /ow �o <br /> DATE/TIME STORAGE SYSTEM FILLED <br /> DATE TIME <br /> STATION LOCATION �f C 1_0 kee S e Y CERTIFIED TIGHT yE S `7 - 8 <br /> / AGF:OF TANKS <br /> ADDRESS 3 0 3 �, h e r olre LEAK RATE PER HOUR 11• D S�/0��2 . 13 YRS <br /> KS O/� <br /> CITI# /4 S7A7E a� OPERATOR__ h a r d E 6. 1r � S AGF OF LINES <br /> DATE 110 — 21 17 SIGNATURE <br /> TES_,ING FLUID, IF DIFFERENT THAN <br /> nUFR Cn0 ocueorc STORED MATERIAL <br />