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n • <br /> .r <br /> CRISP TANK TESTP Q. BOX-30487 <br /> u��I <br /> Stockton , Califcrnia <br /> 0209_)_;931-1828 <br /> TEST REPORT <br /> OWNER OF SITE <br /> AD(RES5 L 1 TATE ZIP, C 5� <br /> OWNER OF TANKS <br /> ADDRESS 1��I;=� I L� I l�F f�-` / kJf CITYfn({ STATEZZLZI L_jl _ <br /> OPERATOR AT LOCATION . Y"n <br /> ADDRESSI Ia ) Ll .F >sk' lu CITY nr LSTATE2I 5 )' (' <br /> NAME OF COUNTY_ oA6f IY1 <br /> TANK 0 LL. _ ON PLOT LAN. AGE OF TANK. j <br /> DESCRIPTION OF TANK: <br /> CAPACITY nLLO . ,DIAMETER `��� , METAL>C�IBERGLASS . <br /> TYPE OF SYSTEM: SUCTION: SUBMERSIBLE OTHER_ <br /> VAPOR RECOVERY SYSTEM? ; TYPE <br /> PRODUCT BEING TESTED e_ MEASURED GRAVITY <br /> API SPECIEIC GRAVITY A 600r' '-TEMP. __ COE O <br /> STORAGE SYSTEM <br /> ED <br /> FILL - DATE I . 3--q[ TIME <br /> TESTED - DATE I ,-C , START ('r , FINISH,��, <br /> LENGTH OF TEST. ? (7 ry iry,, <br /> MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER_ PSI AT TANK BOTTOM �- <br /> RESULTS OF TEST: ' <br /> CERTIFIED TIGHT? - YES ; NO IF NO EXPLAIN IN REMARKS.S <br /> LEAK RATE PER HOUR: + ; or <br /> REMARKS BY OPERATOR <br /> :k. <br /> 0 <br /> NAME OF OPERATOR <br /> SIGNATUUR�E� OPERATO k '" <br /> DATE_"f --'-- -3-'--- a <br /> r $�L r>4 A "1i.t4. ,rte y '4 <br /> �t^ <br /> ' .� n 411.1. ✓ i °P(' t ." (tF 13�a;y1 <br /> s , <br />