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- ' CRISP TANK TESTI alit <br /> P. O . BOX 30487 �� <br /> - Stockton , California <br /> (209) 931-1925 JAN 101990 <br /> ENVIRONMENTAL HEALTH <br /> TLS*r REPORT PERMIT <br /> OWNER OF SITE eGh <br /> ADDRESS r of <br /> CITY f�/r/o�� STATED _ZIP a�r� <br /> OWNER OF TANKS S S a 1.o v <br /> ADDRESS CITY STATE`ZIP <br /> OPERATOR AT LOCATION y�j/EC GL'"<t Store, <br /> ADDRESS Yyo7 LA ifyyr / o CITYS o STATELaZIP <br /> NAME OF COUNTY_ <br /> TANK Il V , 014 PLOT PLAN. AGE Or TANK <br /> DESCRIPTION OF TANK: <br /> CAPACITYjd40/� ,DIAMETER 9 , METAL- FIBERGLASS_ <br /> TYPE OF SYSTEM SUCTION : SUBMERSIBLE_ : OTHER <br /> VAPOR RECOVERY SYSTEM?_��(-,5, TYPE <br /> PRODUCT BEING TESTED MEASURED GRAVITY <br /> API SPECIEEIMMC GRAVITY B 60°F hl;l. PKODUCT , TEMPa., / COE; /1dU 95� <br /> SIUITAGE FILLED _ DATE LQ- /O- 7S9 , TIME /90 O <br /> TESTED - DATE ZD- // - �9 `� , START 064' S , FINISH D d , <br /> LENGTH OF TESTS <br /> MEASURED WATER IN TANKHEIGHT OF LIQUID LEVEL1 6 C/" <br /> DEPTH OF GROUND WATER o ' PSI RT TANK BOTTOM �� _ <br /> RESULTS OF TEST: , <br /> CERTIFIED TIGHT? - YES _; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + ; or <br /> REMARKS BY OPERATOR " <br /> NAME OF OPERATOR 3 rj 4 <br /> SIGNATURE OF OPERATOR <br /> % n <br /> DATE__Z - /�- P -------- . <br /> .. 11 <br /> I <br />