Laserfiche WebLink
Crisp Tank Testi <br />Phone (209) 931-1828 <br />Post Office Box 30487 <br />Stocidon, California 95213 <br />ng & Constructfon Company <br />Licensed <br />OC T 0 6 1993 LICENSE 92-1248 Insured <br />**TROT RRPf1RT** LEONARD E. CRISP <br />OWNER OF SITE: KW I K-GEi'lDMNS6 <br />ADDRESS:20Pjl 1yjt4TRY �'l (I� CITY: STOC'.KTONI \ZIP - <br />OWNER OF TANKS: �:-: to <br />ADDRESS: CITY: ZIP: <br />OPERATOR AT LOCATION: <br />ADDRESS: CITY: ZIP: <br />COUNTY:aN OC)PGUIN TANK #: a AGE: GALLONS: 10, 0()L) <br />METAL( FIBERGLASS( ) <br />DIESEL( ) UNLEADED( ) <br />WASTE OIL( ) KEROSENE( ) <br />SUCTION( ) SUBMERSIBLE(,() <br />SHEARVVALVE--YES(() NO( ) <br />VAPOR RECOVERY SYSTEM --YES( ) <br />SINGLE WALLED(YC) DOUBLE WALLED( ) <br />PREMIUM UNLEADED( ) ( ) <br />AVIATION GAS( ) JET FUEL( ) WATER( ) <br />OVERSPILL CONTAINER --YES( ) NO(X) <br />IN-LINE LEAK DETECTOR--YES(X) NO( ) <br />NO( ) *IF YES, PHASE I(X) PHASE 2(x) <br />TANK FILL DATE: — TIME: — <br />TANK TEST DATE :q-99-g3START: 03�50 END: LENGTH OF TEST: <br />TANK BOTTOM TO GRADE.... <br />i 3 a <br />TEST LEVEL TO TANK BOTTOM <br />TANK TOP TO GRADE...... ....... <br />GROUND WATER ABOVE TANK.. <br />DIAMETER ................ <br />_ <br />PSI..................... <br />TEST LEVEL ABOVE GROUND. <br />V <br />NET TEST PRESSURE........ <br />WATER IN TANK ........... <br />API SPEC GRAV............ <br />J <br />DEPTH FOR TAKING SAMPLE. <br />TEMP ..................... <br />TEMPERATURE PROBE DEPTH. <br />API SPEC GRAV @ 60' F ...... <br />• <br />COEFICIENT OF EXP........�iv'?: <br />CERTIFIED TIGHT--YES(-4) <br />NO( ) <br />LEAK RATE PER/HR:+ <br />PRODUCT LINE TEST--PASS(-�) FAIL( ) <br />CERTIFIED TIGHT--YES(?Q NO( ) <br />COMMENTS: <br />SUCTION( ) PRESSURE(A <br />LEAK RATE PER/HR:+ /-4— <br />DATE: 9_q L 9!2 SIGNATURE OF TESTER <br />REV 3/92 <br />If <br />