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Crisp Tank Testing & Construction Company <br /> Phone (209) 931-1828 <br /> Post Office Box 30487 '; V Licensed <br /> Insured <br /> Stocldon, California 9513 <br /> / I:uV 211990 UCENSE #92-1248 <br /> l� *TEST REPORT* LEONAPr) E. CRISP <br /> ENVIRONMENTAL HEALTH <br /> PERMIUSERVICES <br /> DATF : <br /> OWNER OF SITE:_P ^ n _n p6nEs <br /> ADDRESS: Ro . Box , �,�g CITY : ,-OAZIP:3L�- <br /> OWNER OF TANKK(S);_PclfQ,/5 <br /> ADDRESS: po. BOX 3'm CITY: <br /> ' ZIP: , <br /> OPERATOR AT LOCATION: YL E&' KIA) i o Y t f rzoj <br /> ADDRESS: L� CITY : klz(\ ,�_AZIP:9.S� <br /> NAME OF COUNTY::n ` ' ty J1✓1 AGE OF TANK: <br /> TANK#:-n bLE. CAPACITY :_ /)0 GALLONS. METAL: FIBERGLASS: <br /> SINGLE WALLED: DOUBLE WALLED: DIESEL: PREM. UNLEADED: <br /> UNLEADED:: REGULAR LEADED: KEROSENE: WASTE OIL: AVGAS: <br /> VAPOR RECOVERY--YES__)�_NO IF YES, PHASE 1 :-X- PHASE 2 :—&. <br /> SYSTEM TYPE--SUCTION: SUBMERSIBLE:_X_- INLINE LEAK DETECTOR--YES_-X_NO_ <br /> SHEAR VALVE--YES:NO OVERSPILL CONTAINER--YES?NO—. <br /> NO <br /> TANK FILLED--DATE: 111IO NI) . TIME: <br /> TANK TESTED--DATE: t�gD. START:_.() t_)D(o FINISH: _70C) . <br /> LEGNTH OF TEST: C2 HOURS . MINS. <br /> TANK BOTTOM TO GRADE:-LU" . TANK TOP TO GRADE: T" . DIAMETER:��" . <br /> TEST LEVEL ABOVE GRADE:11 - WATER IN TANK:0" . <br /> DEPTH FOR TAKING SAMPLE: 191" . TEMPERATURE PROBE DEPTH:_" . <br /> TEST LEVEL TO TANK BOTTOM: " . GROUND WATER ABOVE TANK: ::7 0(. <br /> Psi : '0-2NET TEST PRESSURE: ,Q3 . <br /> **RESULTS OF TEST** <br /> CERTIFIED TIGHT--YESNO <br /> LEAK RATE PER HOUR: + --I <br /> SIGNATURE OF TESTER• _, <br />