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CRISP TANK TESTING OWNER OF SITE <br /> 140 N. ALDER <br /> STOCKTON, CA 952D4 HORNER EASY TESTING METHOD <br /> ADR 5 <br /> WORK SHEET <br /> CITY•STATE -ZIP CODE <br /> TANK No. � TESTI LEVEL�4�f PRODUCT�y� CAPACITY CHART CAL . bb�� 1A) OWNER OF/TANKS <br /> "ove <br /> MEASUREDGRAVITY urB.S- PRODUCT TEMP COEFFICIENT . D0067#,5- TEMP CAL ^, ^ !' O70 <br /> A�DRES <br /> Two LEVEL LEVEL GAIN. X(A) LEVEL TEMP. TEMP. GAIN. ■(s) TEMF_ FINAL CITY-STATE-ZIP CODE <br /> NO_ 9-TART LOSS- XIA) RESULT START QND LOSS- X (R) RESULT RESULT TIME <br /> {/j2 2 / /yyy� o ..L <br /> AIL ` "` • I` x OO iG t L ,U O 77 'O X 916 •O O ',0617 / OPERATORS NAME A7 SITE <br /> x _ x <br /> o Cf,e�oKee S�eev�ce <br /> gh TYPE OF SYSTEM <br /> XSUSMERDE []SUCTION <br /> X <br /> LENGTH OF COLOR CODE OF PRODUCT <br /> FILL PIPE <br /> SEAR ORANGE <br /> X x RED <br /> DIAMETER OF TANK <br /> METAL <br /> FISEROLASS <br /> TYPE OF RECOVERY SYSTEM <br /> DSAUINCE kX RED JACKET ONEALEY, <br /> WATE R LEVEL IN TANK <br /> DEPTH OF GROUND WATER (IF KNOWN) <br /> _ DATE STORAGE SYVrW FILLFA <br /> DATE <br /> STATION LOCATII`TON C`hPM//���I�Ex ie VICE CERTIFIED TIGHT <br /> ADDRESS ✓ O3 l Lam/)ce kee ADE of TANKS <br /> LEAK RATE PER HOUR P z-S3XZ / / yps. <br /> CITY Lil. / STATE ( r}VjF OPERATOR AGC OrLM1E3/! <br /> DATE— 7 —/41— Rib SIGNATURE / /b yr-s <br /> TESTING FLUID.IF DIFFERENT THAI: <br /> - .. STORED MATEAIAL <br />