Laserfiche WebLink
J r. <br /> #i <br /> Crisp Tankj9stingi , & Construction Company <br /> Phone (209) 931-1828 <br /> Post mil" 110110 On 19 91 Licensed <br /> Slocklon.Calltomla 95213 Insured <br /> f�!JIRONMEN—w�L HEALTH. <br /> PERPti ISVERV!Ces LICENSE #92.1248 <br /> *TEST REPORT* <br /> LEONA'* E, CRISP <br /> . OWNER OF SITE: 0/~ 0TE <br /> ADDRESS: c� Z <br /> ( ► ZIP: <br /> OWNER OF TANK(S), <br /> ADDRESS: OS�� IL �. CITY :� ZIP: — <br /> `. OPERATOR AT LOCATION: L ( � <br /> ADDRESS: ` — iCITY: <br /> 1 ,�tlZIP: . <br /> NAME OF COUNTY: (� <br /> AGE OF TANK: <br /> TANK#: CAPACITY: GALLONS . METAL: FIBERGLASS: <br /> SINGLE WALLED:X_ DOUBLE 'WALLED: DIESEL: PREM. UNLEADED: <br /> UNLEADED:—X— REGULAR LEADED: KEROSENE : WASTE OIL: AVGAS: <br /> VAPOR RECOVERY--YES__X_NO IF YES, PHASE isPHASE 2 : , <br /> A <br /> SYSTEM TYPE- —SUCTION: SUBMERSIBLE:_X_, INLINE LEAK DETECTOR--YES [+F0 <br /> SHEAR VALVE--YES—,Y_NO OVERSPILL CONTAINER--YES\NO <br /> TANK FILLED——DATE:A-�6r 9b— TIME: <br /> TANK TESTED--DATE: START: j. <br /> FINISH: Q <br /> LEGNTH OF TEST* <br /> HOURS. 1 MINS. <br /> r.. <br /> OM TO GRADE: <br /> t . TANK BOTTOM �''" . TANK TOP TO GRADE:} " . DIAMETER :„ <br /> TEST LEVEL ABOVE GRADE: WATER IN TANK: , <br /> ria DEPTH FOR TAKING SAMPLE: r " • TEMPERATURE PROBE DEPTH: 1 " <br /> TEST LEVEL TO TANK BOTTOM: . GROUND WATER ABOVE TANK: `+ , <br /> NET TEST PRESSURE: ,03 <br /> "RESULTS OF TEST** <br /> CERTIFIED TIGHT--YES NO <br /> LEAK RATE PER HOUR: <br /> SIGNATURE OF TESTERz--7,) <br /> �s <br /> ,� <br />