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� –7 -. <br /> }; Crisp Tank Testing & <br /> g Construction Company <br /> Phono (709) 431-1626 <br /> Poll 0MC9 Box 30467 Licensed <br /> Sfocldon,California 95213 Insured <br /> LICENSE #924248 <br /> *TEST REPORT* Fcr '� Ei s � P <br /> DATE;_ 1 <br /> .. OWNER OF SITE: (,� �� <br /> a11, _ <br /> ADDRESS: � �lJf4CITY : <br /> OWNER OF TANKS}; <br /> lle <br /> ADDRESS: C + CITY . A�al► ZIP: <br /> OPERATOR AT LOCATION: c <br /> ADDRESS: � Il dry f��C �� CITY : p <br /> ►6,Z I P: IcJ� <br /> -. NAME OF COUNTY: �_ AGE OF TANK: <br /> TANK#. Iv!C ) ACITY: <br /> GALLONS . METAL: FIBERGLASS: <br /> SINGLE WALLED: DOUBLE WALLED: DIESEL: PREM. UNLEADED: <br /> UNLEADED: REGULAR LEADED: KEROSENE : WASTE OIL: AVGAS: <br /> VAPOR RECOVERY--YESNO IF YES, PHASE I :,�& <br /> PHASE 2 : <br /> SYSTEM TYPE--SUCTION: SUBMERSIBLE: INLINE LEAK DETECTOR--YES <br /> _tNp <br /> SHEAR VALVE--YES NO OVERSPILL CONTAINER--YES NO <br /> TANK FILLED--DATE: a } TIME: <br /> x. ^� <br /> TANK TESTED--DATE: p( START: Q r, ^, FINISH: Q ` <br /> LEGNTH OF TEST: HOURS . —a—/ —MINS. <br /> . TANK BOTTOM TO GRADE: TANK TOPTO GRADE: ` ++ � <br /> n: DIAMETER: " . <br /> TEST LEVEL ABOVE GRADE: WATER IN TANK : . <br /> DEPTH FOR TAKING SAMPLE: S +r <br /> TEMPERATURE PROBE DEPTH:10, <br /> S � <br /> TEST LEVEL TO TANK BOTTOM:+ GROUND WATER ABOVE TANK: . <br /> // 7++ <br /> PSI : , Io NET TEST PRESSURE : <br /> **RESULTS OF TEST** <br /> CERTIFIED TIGHT---YES NO <br /> LEAK RATE PER HOUR: + <br /> SIGNATURE OF TESTE_ <br />