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Cris p Tank Testing & construclion Com any <br /> Phone (209) 931-1828 Licensed <br /> y Post office sox 30487 LICENSE #92-124$ Insured <br /> Stockton, California 95213 <br /> **TEST I I�ORT�**� LEONARD E. CRISP <br /> OWNER OF SITE: <br /> ADDRESS: 7eCITY : � ll� � ,�ZIP <br /> OWNER OF TANKS: — ! — <br /> ADDRESS: CITY : �: ZIP: <br /> OPERATOR AT LOCATION:— _�..�/�Z)f�2itz <br /> ADDRESS: CITY : ZIP : <br /> COUNTY: TANK #: _AGE : GALLONS: C7 <br /> METAL(X) FIBERGLASS( ) SINGLE WALLED( ) DOUBLE WALLED( ) <br /> DIESEL( ) UNLEADED(\/) PREMIUM UNLEADED) ( ) <br /> WASTE OIL( ) KEROSENE( ) AVIATION GAS( } JET FUEL( } WATER( <br /> SUCTION( ) SUBMERSIBLEO () OVERSPILL CONTAINER--YEWX) NO ) Z <br /> SHEAR VALVE--YES( ) NO( ) IN-LINE LEAK DETECTOR--YES(X) NO( ) <br /> VAPOR RECOVERY SYSTEM--YES(X) NO( } *IF YES , PHASE 1. (\� PHASE 206 . <br /> TANK FILL DATE:4"20-'72TIME: 1 <br /> TANK TE5'i' DATE: -202- START: ()CI-00 END: 1 )()0 LENGTH OF TESTS <br /> 1 rr u <br /> TANK BOTTOM TO GRADE. . . .JI 'GEST LEVEL TO TANK BOTTOhtI <br /> TANK TOP TO GRADE. . . . . . . .)nr GROUND WATER ABOVE TANK. .- <br /> r <br /> DIAMETER. . . . . . . . . . . . . . . PSI . . . . . . . . . . . . . . . . . . . . . ..02 t <br /> �� � rr <br /> TEST LEVEL ABOVE GROUND � $ <br /> r NET TEST PRESSURE. . . . . . . .4. <br /> Lb <br /> WATER IN TANK . . . . . . . . . . .. { " API SPEC GRAV. . . . . . . . . . . ... <br /> r <br /> DEPTH FOR TAKING SAMPLE,�` .�I I TEMP . . . . . . . . . . . . . . . . . . . . ... <br /> TEMPERATURE PROBE DEPTH . I r API SPEC CRAV C 601 F . . . . <br /> �4c7 �- <br /> COEFICIFN'r OF EXP : 0006k/ <br /> CERTIFIED TIGHT--YES(�) NO( ) LEAK RATE PER/HR: + <br /> PRODUCT LINE TEST--PASS( } FAIL( ) SUC'T'ION( ) PRESSURE( ) <br /> CERTIFIED TIGHT;-YES( } NO( } LEAK RATE PER/HR: + /- <br /> DATEt ' -2I-92 SIGNATURE OF TESTER : <br /> COMMENTS: s <br /> REV 3/92 <br />