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CRISP *10ANK Tr=swrIIVG <br /> 2004 Piccoli #9 <br /> (209)931-1828 <br /> Stockton, Ca 95205 <br /> TEST REPORT <br /> OWNER OF SITE C11 YI tV a �-P V- C r1 t- &) J � _• <br /> ADDRESS_ 4/;R U lu �i � CITYM a q;b26 a STATEL_ZIP 9.5 3 2( <br /> OWNER OF TANK�I (�J a f� .v � S A <br /> ADDRESS �f 2p SC rn �'f e CITY as fecA STATE_L-L_ZIP Z <br /> OPERATOR AT LOCATION v-, <br /> ADDRESS V p cv vo Sp ,-,,; }p _ CITY ] a„ f p�� STATE( ZIP45- C <br /> NAME OF COUNTY S j d Cid f� <br /> TANK 11 O h f7 ON 0 PLAN. <br /> DESCRIPTION OF TANK: <br /> CAPACITY `fid r) ,DIAMETER , METAL F IBERGLASS_.,AGE <br /> TYPE OF SYSTEM: SUCTION SUBMERSIBLES : W'THER <br /> VAPOR RECOVERY SYSTEM> ; TYPE <br /> PRODUCT BEING TESTED MEASURED GRAVITY <br /> COEFFICIENT SEMS MP RATURE OF PRODUCT ,/, , AIR . <br /> STORAGE FILLED - DATE Z7� 9 , TIME <br /> TESTED - DATE - , STARTQ �9 D FINISH . l Q 0 0 <br /> LENGTH OF TEST <br /> MEASURED WATER IN TANK . HEIGHT OF LIQUID LEVEL ✓ S // _ <br /> DEPTH OF GROUND WATER . PSI AT TANK BOTTOM_. <br /> RESULTS OF TEST! <br /> CERTIFIED TIGHT? YES ; NO . IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + , or <br /> REMARKS BY OPERATOR <br /> / a <br /> NAME OF OPERATOR !tel a <br /> SIGNATURE Or OPERATOR <br /> DATE i¢ <br /> �t: <br />