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Crisp Tank Testing & construction company <br /> HF GI TI: <br /> r Cc --1 <br /> Phone (209) 931.1828Licensed <br /> PH I: <br /> Post Office Box 30487 27 Insured <br /> Stockton, California 95213 _ <br /> **TEST REPORT** L I C7 "-92-124$ <br /> lit.:,• , : .' E. CRISP <br /> OWNER OF SITE: <br /> ADDRESS: / fi -3A 4 X P0 C ( ! CITY: . ' OG Jf h Lj__ZIP 9,5 A0 <br /> OWNER OF TANKS: S '1 P a- -i,I O V P <br /> ADDRESS: CITY: ZIP: <br /> OPERATOR A//T// LOCATION:'�fJ f/py J� Ph fP)' <br /> ADDRESS: `7 12, , A I�pl" wakCITY:SO& /)bi —1 ( 2, <br /> COUNTY: S�a4 1610 ) TANK #:�Of)e- AGE: GALLONS: <br /> METAL(1)4) FIBERGLASS( ) SINGLE WALLEDQQ DOUBLE WALLED( ) <br /> DIESEL( ) UNLEADED( ) PREMIUM UNLEADED( ) ( ) <br /> WASTE OIL() KEROSENE( ) AVIATION GAS( ) JET FUEL( ) WATER( ) <br /> SUCTION(-f-) SUBMERSIBLE( ) OVERSPILL CONTAINER--YES( ) NO( ) <br /> SHEAR''VALVE--YES( ) NO( ) IN-LINE LEAK DETECTOR--YES( ) NO(�C) <br /> VAPOR RECOVERY SYSTEM--YES( ) NO *IF YES, PHASE 1 ( ) PHASE 2( ) <br /> TANK FILL DATE: TIME: <br /> TANK TEST DATE: L 3-7START:15 51/ END:z-z5-.v—LENGTH OF TEST: a i? B <br /> TANK BOTTOM TO GRADE. . . . //0 TEST LEVEL TO TANK BOTTOM O <br /> TANK TOP TO GRADE. . . . . . . . GROUND WATER ABOVE TANK. . 1�­ <br /> DIAMETER. . . . . . . . . . . . . . . Z PSI . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . <br /> TEST LEVEL ABOVE GROUND. / U NET TEST PRESSURE. . . . . <br /> WATER IN TANK. . . . . . . . . . .. ' API SPEC GRAV. . . . . . . . . . . <br /> DEPTH FOR TAKING SAMPLE. '/ �g 5 TEMP. . . . . . . . . . '. . . . . . . . . . .�� <br /> TEMPERATURE PROBE DEPTH. (�43API SPEC GRAV C 60 ' F. . . . . <br /> COEFICIENT OF EXP. . . . . . . . 00 <br /> CERTIFIED TIGHT--YEStj-} NO( ) LEAK RATE PER/HR:+ <br /> PRODUCT LINE TEST--PASS( ) FAIL( ) SUCTION( ) PRESSURE( ) <br /> CERTIFIED TIGHT--YES( ) NO( ) LEAK RATE PER/HR:+ /- <br /> COMMENTS: <br /> DATE: SIGNATURE OF TESTER: <br /> REV 3/92 <br />