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Crisp Tank Testing & Construction Company <br />LIC <br />Phone (209) 931-1828ENf9Licensed2-1248 Insured <br />Post office Box 30487 <br />Stockton,, California 9520 LEDIA&RD <br />**T11T 1111111'** <br />OWNER OF SITE: 7 <br />I, Y <br />ADDRESS: <br />OWNER OF TANKS: <br />ADDRESS:— —CITY: <br />OPERATOR AT LOCATIOPN: <br />ADDRESS:,` I TY U�113 N <br />el <br />- <br />COUNTY .�IrANK #: GA[,LONS <br />METAL() FIBERGLASS( ) SINGLE W74T,1,ET)(,)e) DOUBLE WAL1,Fi)( <br />DIESEL( UNLEADED( ) PREMTU11 UNI,EIADFt)(,�,) A <br />WASTE OIL( KEROSENE AVIATION GA_q( ) JTIrt' FUEL( WAT 1,"R <br />SUCTION{) SUBMERSIBLE( OVEIRSF)ILL CO1TrAINER--YF­S( 0 <br />"k) <br />SHEAR; 1;'VALVE--YE1c;( NO X) IN-LINE 1,EAK I)FTl--,C'TOR--YES( No <br />VAPOR RECOVERY SYSTEM --YES( NO (XC) *IF YES, P11ASE 1( PHASE 2( <br />TANK FILL DATE: _TIME: <br />TANK TEST DATE:j— START: R T END: _LENGTH OF TEST: <br />TANK BOTTOM TO GRADE.... /,—_ TEST LEVEL, To TANK BOTTOM <br />TANK TOP TO GRADE....... GROUND WATER ABOVE TANK.- <br />9 <br />DIAMETER......., ... <br />PSI ...................... <br />. I ... <br />TEST LEVEL ABOVE GROUND._ X3 MET TEST PRESSURE....... . <br />WATER IN TANK.......... API SPEC (.37RAV ............ ... <br />DEPTH FOR TAKING SAMPJ,E._0.,_.:) ..................... <br />TEMPERATURE PROBE DEPTH.- API SPEC (33RAV 03, 60 v F .... <br />OF EXP........ <br />CERTIFIED TIGHT---YES(NA C10( , E <br />R/IIP : 4 <br />PRODUCT LINE TEST --PASS V) FAIL( <br />CERTIFIED TIGHT -.-YES NO( <br />COMMENTS: <br />DATE SIGNATURE OF T1, -,STEP'-' <br />REV 3/92 <br />