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"Crisp Tank Testing & ConstructTon Company <br />Phone (209) 931-1828 Liconsed <br />r Post Office Box 30487 Insured <br />Stocldon, California 95213 LICENSE #92-121$ <br />**TEST REPORT** LEONARD E. CRISP <br />OWNER OF SITE: kwCjK-ec. P -)(Ary <br />ADDRESS: ab�( ftlll2Afl/1 C111h CITY: ,"�it� illYi MAZIPg5QL <br />OWNER OF TANKS: 1-I&Mt) _ <br />ADDRESS: CITY: _, 7,IP: <br />OPERATOR AT LOCATION: Vgju) <br />ADDRESS: <br />� CITY: , ZIP: <br />COUNTY:, )w 01,11j1, TANK #: AGE: GALLONS:�()�(X1� <br />METAL(V-) FIBERGLASS( ) SINGLE WALLED( ) DOUBLE WALLED( ) <br />DIESEL( ) UNLEADED(K) PREMIUM UNLEADED( ) ( ) <br />WASTE OIL( ) KEROSENE( ) AVIATION GAS( ) JET FUEL( ) WATER( ) <br />SUCTION( ) SUBMERSIBLE(V) OVERSPILL CONTAINER --YES( ) NOM <br />SHEARVVALVE--YES(4 NO( ) IN-LINE LEAK DETECTOR--YES00 NO( ) <br />VAPOR RECOVERY SYSTEM--YES(V) NO( ) *IF YES, PHASE I(y) PHASE 2OK) <br />TANK FILL DATE: TIME: <br />TANK TEST DATE: 4�11/MSTART:—_ENll:_L29,3�LENGTII OF TEST: C-hrs <br />TANK BOTTOM TO GRADE.... ill TEST LEVEL TO TANK BOTTOM - <br />TANK TOP TO GRADE ....... _ GROUND WATER ABOVE TANK..__ <br />DIAMETER ................ PSI..................... Ip <br />TEST LEVEL ABOVE GROUND.NET TEST PRESSURE........�J�_ <br />WATER IN TANK.......... ._ API SPEC GRAV........... <br />DEPTH FOR TAKING SAMPLE. TEMP ..................... <br />TEMPERATURE PROBE DEPTH. API SPEC GRAV @ GO' F......51-4 <br />_ <br />COEFICIENT OF EXP........ <br />CERTIFIED TIGHT--YES(V) NO( ) LEAK RATE PER/IIR:+ /- •(� (p <br />PRODUCT LINE TEST --PASS(' FAIL( ') <br />CERTIFIED TIGHT --YES( NO( ) <br />COMMENTS: <br />SUCTION( ) PRESSURE( <br />LEAK RATE PER/IIR:+ /- :tk_ <br />DATE:_ �� �[ - SIGNATURE OF TESTER <br />REV 3/92 <br />I <br />