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CRISP TANJ TESTING & CONTRLIWION CO. <br /> P.O. BOX30401 LICENSED <br /> STOCKTON, CA 95213 INSURED <br /> (209) 931- 1020 <br /> FAX (209) 465-3006 <br /> * ** * *TEST <br /> `,** * *TES(T� REPORT* * ** * <br /> EPORT* * ** * LICENSE #92-124$ <br /> OWNER OF SITE: ILS�llJy _—_�11�____V�IALJ /----___—�/E------ E. CRISP <br /> ADDRESS_L?_0_T4s�_ __J ib__ CITY:_ -fid` ZIP:=L533Y_ <br /> OWNER OF TANKS:---------------- --------------------------- <br /> OPERATOR AT LOCATION:---------.-----. 11 ---.------------=---------- <br /> ADDRESS:------------------- CITY:-------------• --- ZLP:--�—y�------ <br /> COUNTY2 004 U _ TANK#:Zja AGF:----- GALLONS: I_'w__)/4' 000 <br /> METAL N) FIBERGLASS( ) SINGLE WAI.T.F.D(Y) DOUBLE. WALLED( ) <br /> DIESEL( ) UNLEADED ( ) PREMIUM UNL. ( W <br /> SUCTION( ) SUBMERSIBLF.(�U OVERSPILL CONTAINER"YFS60 NO(04 #- <br /> SHEAR VALVF**YESP4) NO( ) IN-LINE LEAKDFTF.CTOR"YES(y) NO( ) <br /> VAPOR RECOVERY SYSTEM**YE.S(w NO( ) LF YE.S, PHASB I(9C) PHASOFDIV �1)� COdl�2UVlY(lLll•� 01� �C <br /> TANK FILL. DATE: TIME:-- <br /> TANK TEST DATE:_5LlLj_45_ START:_0&[Z— F.ND:_.IQ-LZi <br /> LENGTH OF TEST: _;Z ha <br /> TANK BOTTOM TO GRADE....IZI- 1L1" TEST LEVEL TO TANK BOTTOM.... <br /> TANK TOP TO GRADE........... _ GROUND WATER ABOVE TANK.....— _' <br /> 473 <br /> DIAMETF.R.:........................... 11 .. PSI.................................................... <br /> TEST LEVEL ABOVE GROUND._�3q" NET TEST PRESSURE............. <br /> WATER IN TANK....................— API SPECIFIC GRAVITY....... 3 <br /> DEPTH FOR TAKING SAMPLE. TEMPERATURE................................fLq _. <br /> TEMPERATURE PROBE DEPTH.. _ ' API SPECIFIC GRAVITYP 60' F......SIp � <br /> COEFFICIENT OF EXP..,....... /•� <br /> LEAK RATE PER/HR:+ /-.1r2a- <br /> CERTIFIED TIGHT: YES(yl NO( ) <br /> I,RODIICT LINE TEST: SUCTION( ) PRESSURro <br /> LEAK RATE PER/IIR: <br /> CERTIFIED TIGHT: YES((,) NO( ) <br /> /� � £> <br /> DA1'Ea_ =Ja.L SIGNATURE OF TEST :_ `y/ , _ <br /> COMMENTS:_-fa-12 -------------- --- <br /> t/ZeJ,/�� iJ <br />