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URI1 W I ANK I L-5 I ING & CONI RUC TION CO. <br /> P.O. BOX 30401 - LICENSED <br /> SIOCKTON, CA 95213 INSURED <br /> (209) 931 - 1020 <br /> fAX (209) 465-3006 <br /> * ** * *TMST REPORT* * ** * LICENSE #92-1248 <br /> (� LEONARD E. CRISP <br /> OWNER OF <br /> ADDRESS:__Fs tib�_1S1.LQLIS�vUI( ITY: � P k1 OYl ZIP:_g� <br /> OWNER OF TANKS:----------J------------ - - - — -- <br /> ZIP:____ <br /> OPERATOR AT LOCATION:--_—___ _.__—__—_____ _-- <br /> ADDRESS:-____ CITY: ZIP:—_-- <br /> COUNTY _ ulau1 ft, TANK#:- AGE:___— GALLONS:��_— <br /> ME'TALK) FIBERGLASS( ) SINGLE WALLED 0-) DOUBLE WAL, fiD( ) <br /> DIESEL( ) UNLEADED ( ) PREMIUM UNL. ( ) lkk Dll <br /> SUCTION SUBMERSIBLE( ) OVERSPILL CONTAINER'*YES( ) NOW) a': . <br /> SHEAR VALVE**YES( ) NOR-) IN-LINE LEAK DETECTOR**YES( ) NON-) II` ~ '� �1 1vN I'vl' <br /> VAPOR RECOVERY SYSTEM**YES( ) NOP(-) IF YES, PHASE 1( ) PHASE II( ) <br /> 1995 <br /> TANK FILL. DATE:— TIME: <br /> TANK TEST DATE:._l�'J Q START: lIZD END:_L IZ-0 _ ''IVIRONMENTALHEALTH <br /> LENGTH OF TEST: Zlim rLRMIT/SERVICES <br /> TANK BOTTOM TO GRADE....._.1.1`1) TEST LEVEL TO TANK BOTTOM.... <br /> TANK TOP TO GRADE............�L—" GROUND WATER ABQVE TANK-,_ " <br /> DIAMETER.............................. _' PSI...........................r..............:r.... <br /> ,....-•_Q�- <br /> TEST LEVEL ABOVE GROUND._" NET TEST PRESSURE............:.......... J2 <br /> WATER IN TANK.................... 0- API SPECIFIC GRAVITY................. 58 <br /> DEPTH FOR TAKING SAMPLE._95-25 " TEMPERA.TURE................................__ `0 <br /> TEMPERATURE PROBE DEPTH...-" API SPECIFIC GRAVITYP 60' F..... Ft-(b <br /> COEFFICIENT OF EXP,..................... MZM3 <br /> LEAK RATE PER/HR:+_ �/- <br /> CERTIFIED TIGHT: YES(Y4 NO( ) <br /> PRODUCT LINE TEST: SUCTION( ) PRESSURE( ) <br /> LEAK RATE PER/HR: +�—/-- <br /> CERTIFIED TIGHT: YES( ) NO( ) <br /> J <br /> DATfi:�z�(.CI�S SIGNATURE OF TESTE . <br /> Ir <br /> COMMENTS:_ -- <br /> 1Ze�/7/q4 <br />