Laserfiche WebLink
Crisp Tank Testing & Construct -ion company <br />Phone (209) 931-1828... 1 L Lf Llcensad <br />Post Office Box 30487 L/ Insured <br />Stocldon, California 95213 MAY 2 5 1994fdL L&SE LI�SE #92-1248 <br />**TESTREPORT** LEONARD E. CRISP <br />.. csnnnneinnFnlTAI NF <br />OWNER OF SITE: J�:, IN 11,1APERM1115 to <br />ADDRESS: ;4&'21 ft) SIL IILh CITY:'�Y)Ltkitb'n <br />OWNER OF TANKS:_ '`�X J -- <br />ADDRESS: CITY:—ZIP: <br />OPERATOR AT LOCATION: -- <br />ADDRESS: CITY: ZIP- <br />COUNTY:, c �(UCUIn .TANK #: 1 AGE: GAT,LONS:�J <br />METAL(V) FIBERGLASS( ) <br />DIESEL( ) UNLEADED(VC) <br />WASTE OIL( ) KEROSENE( ) <br />SUCTION( ) SUBMERSIBLE( <br />SHEARVVALVE--YES(Y-) NO( ) <br />VAPOR RECOVERY SYSTEM --YES( <br />SINGLE WALLED( ) DOUBLE WALLED( ) <br />PREMIUM UNLEADED( ) ( ) <br />AVIATION GAS( ) JET FUEL( ) <br />OVERSPILT, CON'T'AINER --YES( <br />IN-LINE LEAK DETECTOR--YES(\Q <br />NO( ) *IF YES, PIIASE 1O <br />WATER( ) <br />NO(W <br />NO( ) <br />PHASE. 2 (4) <br />TANK FILL DATE: TIME: <br />TANK TEST DATE: A/15) C)-IQD END: t)gOD LENGTH OF <br />TANK BOTTOM TO GRADE.... 13l" TEST LEVEL TO TANK <br />TANK TOP TO GRADE....... 3p, GROUND WATER ABOVE 'TANK.. 1L)" _ <br />DIAMETER ................ .................... Q�IV <br />PSI. � <br />TEST LEVEL ABOVE GROUND NET TEST PRESSURE......... 4.(p_ <br />WATER IN TANK........... CH/I API SPEC GRAV.............. <br />DEPTH FOR TAKING SAMPLE. TEMP ..................... <br />TEMPERATURE PROBE DEPTH. 40 API SPEC GRAV @ GO' F.... L5 <br />COEFICIENT OF EXP.........( jfl l <br />CERTIFIED TIGHT--YES(Y, NO( ) LEAK RATE PER/ITR:+. ( /- <br />PRODUCT LINE TEST--PASS(-fit) FAIL( ') <br />CERTIFIED TIGHT--YES(6) NO( ) <br />COMMENTS: <br />SUCTION( ) PRESSUREO <br />LEAK RATE PER/HR:+ J— <br />DATE: / jq 1614- SIGNATURE OF 'PESTER: <br />REV 3/92 <br />