Laserfiche WebLink
CRISP,, TANK TESTING Test Kee rt <br /> V ) W. ALDER <br /> S CKTON, CA 952D4 Underground Storage Tank <br /> HORNER SYSTEM <br /> OWNER OF SITE r,ylI� <br /> ADDRESS OF OWNER C 1 TY STATE , Z I P 2�r Zv3 <br /> OWNER OF TANK <br /> ADDRESS OF OWNER /1 c( S1y /� tP, CITY <br /> STATE �ff4 ZIP 9Szo3 <br /> NAME OF OPERATOR AT LOCATION <br /> i9 „ „9 Gr- <br /> ADDRESS OF LOCATION /15/S 4JCITY cJct� STATE [.� ZIP �S2U3 <br /> L/ <br /> NAME OF COUNTY ,c/ p Qvr.,JE✓LP <br /> TANK t ;�) ON PLOT PLAN LOCATION. STORAGE SYSTEM FILLED: DATE TIME /c; o <br /> DATE OF TEST /_r TIME OF DAY: START /{!p d FINISH Z423 <br /> LENGTH OF TESTS. 3 �) AIR TEMPERATURE 7° <br /> DISCRIPTION OF TANK-CAPACITY/p ©p _DIAMETER S METAL X FIBERGLASS <br /> TYPE OF SYSTEM- SUCTION_.,y SUBMERSIBLE OTHER <br /> TYPE OF VAPOR RECOVERY SYSTEM tj&4CAJoej,1 <br /> TYPE OF PRODUCT BE INC TESTED kEyZf2 MEASRURED GRAVITY S(. 7 COEFF 1 C I ENT. Ooo�,S <br /> TEMPERATURE OF PRODUCT 72- <br /> MEASURED 'WATER IN TANK <br /> S1,0 DEPTH OF TANK TOP FROM GROUND LEVEL <br /> DEPTH OF GROUND WATER r HEIGHT OF LIQUID LEVEL IN TEST STAND OR STAND PIPE <br /> AGE OF TANK AND LINES /2Y2.5 <br /> RESULTS OF TEST: CERTIFIED TIGHT: YES NO-,,r--. IF NO EXPLAIN IN REMARKS BELOW <br /> LEAK RATE PER HOUR: <br /> REMARKS BY OPERATOR <br /> ENViRC�,°+t. t a AL HEALIM <br /> NAME OF OPERATOR ,� <br /> S I G14ATURE OF OPER11Tp4s � <br /> DATE <br />