Laserfiche WebLink
zing. <br /> CRISP __` ,1��°"�'� '..a:+w.wares,r:��av�e�44kaP:.7�fN_X�R�i�Ru1�►�i+t'�sateF}. <br /> CRISP "C''ANK TE-:sTljM(3 <br /> 2004 Piccoli #9 <br /> Stockton, Ca 95205 (209)931-1828 <br /> TEST REPORT <br /> OWNER OF SITE <br /> ADDRESS ) ,' CITY �'/ f • ; STATEL&ZIP5,24 <br /> OWNER OF TANKS y <br /> ADDRESS- CITY .;r1 STATEn � ZIFC ' .1 <br /> c r` 5 C <br /> OPERATOR AT LOCATI N <br /> ADDRESS (,l CITY ,� STATE�ZIR . "L <br /> NAME OF COUNTY C i <br /> TANK # ()h f ON PLO PLAN. AGE OF TANK ? ' <br /> DESCRIPTION OF TANK: <br /> CAPACITY_ ' , ,DIAMETER ; , METAL X( FIBERGLASS <br /> TYPE OF SYSTEM: SUCTION_; SUBMERSIBLE OTHER <br /> VAPOR RECOVERY SYSTEM?� ; TYPE <br /> PRODUCT BEING TESTED-,._ r MEASURED GRAVITY ,5-`/, T <br /> COEFFICIENT 5/,U TEMPERA RE OF PRODUCT .` , AIR ` <br /> STORAGE FILLEDDATE_ :7,;?7 TIME <br /> TESTED - DATE STARTS—( , FINISH <br /> LENGTH OF TEST r� <br /> MEASURED WATER IN TANK__. HEIGHT OF LIQUID LEVEL__ <br /> DEPTH OF GROUND WATER PSI AT TANK BOTTOM z� <br /> RESULTS OF TEST: , <br /> CERTIFIED TIGHT? - YES X NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + - or - <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR�/0- <br /> SIGNATURE OF OPERATOFj f� ' <br /> DATE / h <br />