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� . - Crisp Tank TeMin �C <br /> onstrucAn Company <br /> Y <br /> _ _ I I• <br /> Phone (209) 431-1528Licensed <br /> Post Office Box 30487 - f t�% {'� -�- Y� <br /> Stocldon, California 95213 AY'� I LICENSE #92-1 ' ` <br /> **TEST REPORT** LEONARD E. CRISP <br /> OWNER OF SITE: <br /> ADDRESS: CIT- 1 - <br /> L ,��Z I P l_���•' 1 <br /> OWNER OF TANKS: <br /> ADDRESS: CITY: ZIP: <br /> OPERATOR AT LOCATION: -- _ uy],(' _•.•.. --- <br /> ADDRESS: CITY: 1ZIP: <br /> z) <br /> COUNT TANK #: r_�AGE: GALLONS: fr� '?� 1 /( . !'��, <br /> METAL W) FIBERGLASS( ) SINGLE WALLED() DOUBLE WALLED( ) <br /> DIESEL O) UNLEADED( ) PREMIUM UNLEADED( P., ( ) <br /> WASTE OIL( ) KEROSENE( ) AVIATION GAS( ) JET FUEL( ) WATER( ) <br /> SUCTION(Y-) SUBMERSIBLE( ) OVERSPILL CONTAINER--YES( } NO(V) <br /> SHEARVVA•LVE---YES( ) NO( 1A IN-LINE LEAK DETECTOR--YES( } NO(�j <br /> VAPOR RECOVERY SYSTEM--YES( ) NO(V) *IF YES, PHASE 1 ( } PHASE 2( ) <br /> TANK FILL DATE: TIME: <br /> TANTS TEST DATE:J&,-�/JSTART: 030 END-)0f)V LENGTH OF TEST: <br /> TANK BOTTOM TO GRADE. . . .�1 147 " TEST LEVEL TO TANK BOTTOM I : <br /> TANK TOP TO GRADE. . . . . . . ''• " 1 GROUND WATER ABOVE TANK. . �==' <br /> DIAMETER. . . . . . . . . . . . . . . . qla PSI . . . . . . . . . . . . . . . . . . . . . <br /> TEST LEVEL ABOVE GROUND. /C2 NET TEST PRESSURE. . . . . . . . r <br /> WATER IN TANK. . . . . . . . . . . API SPEC GRAV . . . . . . . . . . . ,`J �3 <br /> r <br /> DEPTH FOR TAKING SAMPLE.')W' TEMP. . . . . . . . . . . . . . . . . . . . . <br /> TEMPERATURE PROBE DEPTH.{ �,, API SPEC GRAV C 50 ' F . . . . o) . <br /> COEFICIENT OF EXP. . . . . . . . / , J.),J <br /> CERTIFIED TIGHT--YES�() 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:_LLZz 3ZClf SIGNATURE OF TESTER : <br /> REV 3/92 <br /> e <br />