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Crisp Tank Testing & Construction Company <br /> Phone (209) 931-1826 —j Licensed <br /> ,I <br /> `lisudPod Ofoce Box 30487 <br /> Slocldon, California 95213 LICENSE #9z"'-12484¢ e <br /> JAN 04 1991 LEONARD E. CRISP <br /> *TEST REPORT* <br /> F'"4RONIMENTAL HEALTFI <br /> Hr'­`..'SERVICES n <br /> DATE: - <br /> OWNER OF SITE: _ EP-n1i_ <br /> ADDRESS:�140 C, 10atF_i2)00 CITY: L ,:ZIP: <br /> OWNER OF TA .PNK(S):/ 2 � <br /> A1Rd. <br /> � jnI /rte <br /> ADDRESS-,_4q(�-] (� , L) k IOD RJCITY - <br /> 0 <br /> ITY : <br /> N <br /> OPERATOR AT LOCATION.-. <br /> 5xLTJ 1�•C� ,,,(���}}}T��F2� I <br /> ADDRESS: d-7 �{� f2�nn CITY: q <br /> ski L ,�ZI P:9sa� <br /> F `xNAME OF COUNTY: AGE OF TANK: <br /> TANK#: �. CAPACITY: O O GALLONS . METAL: /� FIBERGLASS: <br /> SINGLE WALLED:: DOUBLE WALLED:_ DIESEL: PREM, UNLEADED: <br /> UNLEADED: REGULAR LEADED: KEROSENE : WASTE OIL: AVGAS: <br /> VAPOR RECOVERY--YES:NO IF YES, PHASE I : PHASE 2 :-X-. <br /> SYSTEM TYPE--SUCTION: SUBMERSIBLE:_X_. INLINE LEAK DETECTOR--YES N0__X <br /> SHEAR VALVE--YES__X'NO OVERSPILL CONTAINER--YES NO . <br /> TANK FILLED--DATE: TIME: <br /> TANK TESTED--DATE: ,2—IB—`l0 • START: 5-6 . FINISH: <br /> LEGNTH OF TEST: HOURS. MINS . <br /> TANK BOTTOM TO GRADE: TANK TOP TO GRADE: DIAMETER:" . <br /> TEST LEVEL ABOVE GRADE: WATER IN TANK:_" . <br /> DEPTH FOR TAKING SAMPLE: _ _.T' - TEMPERATURE PROBE DEPTH: lo,3 <br /> TEST LEVEL TO TANK BOTTOM::_" . GROUND WATER ABOVE TANK:'" . <br /> PSI :��- NET TEST PRESSURE::. <br /> **RESULTS OF TEST** <br /> CERTIFIED TIGHT--YES_,X_NO <br /> LEAK RATE PER HOUR: + <br /> ]Z J / <br /> SIGNATURE OF TESTERc )p_J, nl� <br />