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CRISP TANK TESTING I es1 Clv <br /> 140 V1. ALDER Underground Storage Tank <br /> STOCKTON, CA 95204 HORNER SYSTEM <br /> OWNER OF SITE <br /> ADDRESS OF OWNER_Z2 515- E E, CITY STATE_ -�Z I P 519zv3 <br /> OWNER OF TANK <br /> ADDRESS OF OWNER C I TY „/ STATE Z I P- <br /> NAME OF OPERATOR AT LOCATION gg <br /> ADDRESS OF LOCATION _ /��/S` !J AkSTATE C ZIP 9SzU3 <br /> NAME OF COUNTY .✓ �fp•4Q/-i�! �E✓ eoq <br /> TANK #i' J ON PLOT PLAIN LOCAT i ON. STORAGE SYSTEM FILLED; DATE /- -A T I ME /c)D o <br /> DATE OF TESTTIME OF DAY: START //410 FINISH /6 23 <br /> LENGTH OF TEST S. 3 .eJ AIR TEMPERATURE 7 0 <br /> DISCRIPTION OF TANK-CAPACITY/a DIAMETER--? ,5 • METAL X FIBERGLASS <br /> TYPE OF SYSTEM- SUCTIONSUBMERSIBLE OTHER <br /> TYPE OF VAPOR RECOVERY SYSTEM Ij ALjCr-JDcv.il <br /> TYPE OF PRODUCT BEING TESTED ,QfG'yI�/ MEASRIJRED GRAY lTY S(. % C 0 E F F I C I ENT•Doo(6.s <br /> TEMPERATURE OF PRODUCT 72- <br /> MEASURED <br /> ZMEASURED WATER IN TANK S LDEPTH OF TANK TOP FROM GROUND LEVEL s <br /> DEPTH OF GROUND WATER <br /> HEIGHT OF LIQUID LEVEL IN TEST STAND OR STAND PIPE <br /> AGE OF TANK AND LINES 12L2.5 <br /> RESULTS OF TEST: CERTIFIED TIGHT: YES NOS_. IF NO EXPLAIN IN REMARKS BELOW <br /> LEAK RATE PER HOUR: <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR ,O� <br /> SIGNATURE OF OPERATQps <br /> �„�yi F�,e ��.•�rr v5� DATE <br />