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,..:Crisp Tank Testing & Construction Company <br />r <br />Phone (209) 931-1828Licensed <br />Post Office Box 30487 ju-INSE j92-124 Insured <br />Stockton, California 95213 17, (- <br />p�p <br />OWNER OF SITE: <br />ADDRESS: CITY <br />Z P <br />OWNER OF TANKS: <br />ADDRESS: <br />OPERATOR AT LOCATION: <br />ADDRESS: 7T <br />COUNTY: TANK, TANK, #: <br />METAL FIBERGLASS( ) SINGJ-E WATJ,F1)(X) DOUBLF WALLE3)( <br />DIESEL( UNLEADED( ) PREMIUM UIJLEADED(kr) <br />WASTE OIL( KEROSENE( AVIATION GAS( ) JEIT FUEL( WATER( <br />SUCTION( ) SUBMERSIBLE( ) OVERSPILL CONTAINER --YES( NO (/Yl <br />SHEARVVA-LVE--YES( ) NO(�C) IN-LINE LEAK DET "rCTOR--YES( NOK) <br />VAPOR RECOVERY SYSTEM --YES( ) NO *1F YES, PHASE 1( PHASE 2( <br />TANK FILL DATE: TIME: <br />TANK TEST DATE S T A R T END: /� ? LENGTH OF TESq':a;2 <br />TANK BOTTOM TO GRADE.... - <br />'[117,ST LEVE1, TO TANK BOTTOM. <br />TANK TOP TO GRADE....... GFOUNT) WATER ABOVE TANK <br />DIAMETER ................ . PSI ............................ <br />TEST LEVEL ABOVE GROUND., J2,3 NET TEST PRESSURE........_ <br />.WATER IN TANK ........... . API SPEC (;RAV .............. <br />DEPTH FOR TAKING SAMPLE-�_._J_'__ TF-vip ...................... <br />TEMPERATURE PROBE DEPTH. <br />API SPEC (FAV ' GO' <br />('f) FF T('1 I' (11' I -"X I I . . . .. . . <br />CERTIFIED TIGIIT­YES(�'ic'j No( 1,FAK RATE PER/11R:4- <br />PRODUCT LINE TEST--PASS(k) FAIL( SUCTION{,�,_j PRESStj33E( <br />:CERTItIED TIGHT --YES NO( 1111',?1K RATE PEW11R:+ <br />COMMENTS: <br />DATE: SIGNA,r0RE OF, TESTEP. <br />:.REV 3/92' <br />