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CRISP TANK TESTING OWNCR OF SITE <br /> 140 W. ALDER <br /> STOCKTON, CA 95204 HORNER EASY TESTING METHOD AD-RCLy n P1 <br /> tl_ Chieeo ee <br /> WORK SHEET 5 G CITY -STATE-ZIP CODE <br /> OWNER OF ANKS <br /> TANK No. (�_P TEST LEVEL PRODUCT CAPACITY Q ) CHART CAL Oo a, L _ _. I 0 00 9 (A) <br /> / / S 6o✓e <br /> MEASURED GRAVITY o PRODUCT TEMP. � (� COEFFICIENT . 000 4A TEMP CAL el"5 AODREss <br /> D m <br /> f O? "ART LEVEL GAIN • TEMP. TEMP. GAIN• R <br /> XIA) LEVEL (is) TEMP. FINAL CITY -STATE-ZIP CODE <br /> ENO LOSS- RIA) RESULT START END LOSS- x (B) RESULT RESULT TIME <br /> I <br /> -7 x � t �� I4a;).`4,003 /8'/8 <br /> O O Q O OPERATORS NAME AT SITE <br /> _ X 4- x / <br /> 5eeli <br /> V O V . oat <br /> V .0p 7 0 <br /> 2 • 0 <br /> /50 <br /> r .3 YPE OF SYSTEM <br /> x SUBMERGE SUCTION <br /> ooaENGTH OF OOQ OD FILL PIPE <br /> (d8 I lVCOLOR CODE OF PRO <br /> DI <br /> CLEAR ORAN <br /> �1 _ � RED <br /> !/'/S O//�� 1 X x <br /> " • ✓� ' 000 P pC9 • 3 0� • / ..S" . O 1 >� DIAM ETER OF TANK METAL <br /> Y- <br /> l <br /> OaO7 • vo/8 43o I I-1a ova 's"26 / 0/ f00 /I /V TYPE OF RECOVERY SYJ- EM <br /> -_ X T_ . / <br /> [:)'BALANCE X RED J <br /> ACKET D HEAL03 LL ^J 010 78 05778 O g -30WATERLEVEL IN TANK <br /> S4 + 0Tp, 0- x5.78 -8- ; 000719 ,Y8, <br /> a.. <br /> DE FTN OF GROUND WATER (IF/C1JOM'Tq <br /> g - SS - �`� x I p007 '�. Ooo yS�2 - Lf3� - ,00S x� 7g _ . 0 oa 2O G, zu, <br /> `/ C+ DATE STORAGE SYSTEM FILLED <br /> STATION LOCATION DATE <br /> OAeRo k e e J eryic 2 CERTIFIED TIGHT V L�S - 1 ,3- e 70o QM- <br /> ADDRESS_ / 301 3. GbcRKAGE O F TANKS <br /> oee LEAK RATE PER HOUR V � 7 yes o�d <br /> CITY LO Ge% STATE Ca I/ F. / <br /> OPERATOR 4C.&aFT QJf� � /St7 AGE Of VIES <br /> DATE—Y —' r` p iO SIGNATUREC$SYl <br /> — y /7 .e S o%/ <br /> TESTING FLUID.IF DIFFERENT THAN <br /> �-� _ STOREDMATERIAL <br />