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rCrisp Tank TAtingo ruc n company <br />Phone (209) 931-1826 <br />LicensAd <br />Post Office Box 30467 <br />Insured <br />Stockton, California 95213 <br />LICENSE #92-1248 <br />**TEST REPORT* <br />---- LEONARD E. CRISP <br />OWNER OF SITE: 1A V1 tLf�_---_—_ <br />--- <br />ADDRESS: CITY: <br />7,IP — <br />OWNER OF TANKS: �1 <br />_ <br />ADDRESS: CITY: <br />OPERATOR AT LOCATION: <br />ADDRESS: CITY: <br />ZIP: <br />COUNTY: �I'LA_ 'TANK #i <br />AGE: GALLONS: <br />METAL(V) FIBERGLASS( ) SINGLE <br />WALLEDO--) DOUBLE WALI,E])( ) <br />DIESEL( ) UNLEADED( ) PREMIUM <br />UNLEADED(Y—) _.( ) <br />WASTE OIL( } KEROSENE( ) AVIATION <br />GAS( } JET FUEL( ) WATErd( ) <br />SUCTI0N(1�,L) SUBMERSIBLE( ) OVERSPILL <br />CONTAINER--YES(14) NO( } <br />SHEARVVALVE--YES( ) NO(V) IN—LINE <br />LEAK DETECTOR --YES( ) NO(k) <br />VAPOR RECOVERY SYSTEM --YES( ) NO(V—) <br />*IF YES, PHASE l( ) i111ASE 2( ) <br />TANK FILL DATE: TIME: <br />LS`I'AR'T": <br />TANK TEST DATE: � 1 END: 1 a LLENGTit OF TEST:��' <br />TANK BOTTOM TO GRADE.... <br />'PEST LEVEL TO TANK BO'ITOM���,� <br />TANK TOP TO GRADE....... - -r---- <br />GROUND WATER ABOVE TANK— <br />DIAMETER ................ <br />PSI..................... .v <br />TEST LEVEL ABOVE GROUND.r <br />NET 'PEST PRESSURE....... . <br />WATER IN TANK.......... <br />API SPEC GRAV........... <br />DEPTH FOR TAKING SAMPLE. <br />TEMP ..................... -"-- <br />TEMPERATURE PROBE DEPTH.—a-7 <br />API SPEC GRAV @ 601 F .... <br />COEFICIENT OF EXP........ .—L y <br />CERTIFIED TIGHT --YES( NO( ) <br />I,EAK RATE PER/11R:-+• /— . 0U�-12) <br />PRODUCT LINE TEST --PASS(`) FAIL( } <br />CERTIFIED TIGHT --YES( NO( ) <br />COMMENTS: <br />SUCTION('-) PRESSURE( } <br />LEAD RAPE PER/HR : + <br />DATE:{�+r� SIGNATURE OF TESTER: <br />REV 3/92 <br />1. <br />