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r <br />ay ,.H'Crisplank X.,;ting & Canstruc,-an, Company <br />87llmxP oceBo304 <br />�< 310cldon, California 95213 <br />"TEST REPOR'C** <br />OWNER OF SITEt_ eWl (SEE f-Qck-t' C <br />ADDRESSs208i Ci�(1NTRY l C1 -AB ciTY: vTi)CLZUA Cf�_7,IP�5ZQ�- <br />OWNER OF TANKS: AN44�E <br />ADDRESSt CITY: <br />OPERATOR AT LOCATION: 7 <br />Mc <br />ADDRESS: CITY: _ <br />COUNTY: \JOAQi J I NJ_TANK #:___AGE; <br />licensed <br />LICENSE #92-1248 insured <br />LEONARD E. CRISP <br />--ZIP:_ <br />__ZIP: <br />GALLONS: - Q am <br />METAL(() FIBERGLASS( ) SINGLE <br />WALLED(X) DOUBLE WALLED( ) <br />DIESEL( ) UNLEADED(X) PREMIUM <br />UNLEADED( ) ( ) <br />WASTE OIL( ) KEROSENE( ) AVIATION <br />GAS( ) JET FUEL( ) WATER( ) <br />SUCTION( ) SUBMERSIBLE(X) OVERSPtLL <br />CONTAINER --YES( ) NO(X) <br />SHEAR:'VALVE--YES(X) NO( ) IN-LINE <br />LEAK DE'FEC'1'01?--YES(x) NO( ) <br />VAPOR RECOVERY SYSTEM--YES(x) NO( ) <br />*IF YES, PHASE 1()() PHASE 2(x) <br />TANK FILL DATE: TIME: <br />j TANK TEST DATE 27 -ZZ -93 STARTOBIS <br />END:/Q/5 LENGTH OF TEST': '2 VIP <br />!TANK BOTTOM TO GRADE.... )31 <br />TEST LEVEL TO TANK BOTTOM �(oQ <br />TANK TOP TO GRADE....... 38 _ <br />GROUND WATER ABOVE TANK.. — <br />DIAMETER ............... 93 <br />r TEST LEVEL ABOVE GROUND. 29 <br />PSI ........................ U26 <br />NET TEST PRESSURE........ <br />WATER IN TANK........... — <br />,16 <br />AFI SPEC (,RAV............ 58.5 <br />DEPTH FOR TAKING SAMPLE. 84, <br />72 <br />TEMPERATURE, PROBE DEPTH. <br />API SPEC (;RAV (a1 60' F.... 57 <br />CERTIFIED TIGHT --YES (X) NO( ) <br />COEFICIENT OF EXP........p�J��73 <br />LEAK PATE, <br />,PRODUOT LINE TEST--PASS(Y,) FAIL( ) <br />SUCTION( ) PRFSSIIRE(,/-) <br />!'CERTIFIED TIGHT --YES(-) NO( ) <br />I,I'.AK RATE 11I:R/11R:4 <br />COMMENTSt <br />—' <br />DATE: 7-2-3-93 SIGNATURE OF TES'1'EP,C�— <br />REV 3/92 <br />r <br />' r <br />r <br />f <br />R <br />