Laserfiche WebLink
CRISP TANK TESTING & CONTRUC:ION CO . <br /> P.U. BOX 30407 LICENSED <br /> STOCKTON, CA 95213 INSURED <br /> (209) 931- 1020 e <br /> FAX (209) 465-3806 LICENSE #92-1248 <br /> r * *n*r*,*TEST}(REPORT* * ** * <br /> EPORT* * ** * LEONARD E. CRISP <br /> OWNER OF SITE ._r_ _ <br /> ADDRESSAZL_\A_ L (Q( 1TY:- t� --, _i�L ZIP: of 3�__ <br /> OWNER OF TANKS:---------afL1---------------------------- <br /> ADDRESS:,-------------- C[TY:------ --------• --- ZIP:-------- <br /> OPERATOR AT LOCATION:---_---__5,mQ1--------------------------- <br /> ADDRESS:--__—_--_—__—_ CIi'Y:_ _—_--, _-- ZIP:---------- <br /> COUNTY:2 Qk ,Ul,__ TANK$t:_f_— AGF:----- GALLONS:_(o,00_o_____ <br /> MF.TAI.(4 FIBERGLASS( ) SINGLE. WALLF.DN4 DOUBLE WALLED( ) <br /> DIESEL( ) UNLEADED PREMIUM UNI.. ( ) —_ _ <br /> SUCTION( ) SUBMERSIBLW) OVERSPILL. CONTAINER"YF.SFz) NO( ) <br /> SHEAR VALVF"YFSM NO( ) IN-LINF. LEAK DETECTOR"YFSM0 NO( ) <br /> VAPOR RECOVERY SYSTEM*'YES( ) NO( ) 1FYF_S, PHASE IN) PHASE II L) <br /> TANK FILL DATE: �9 - TIMF.:33DD _ <br /> TANK TEST DAi'E: Z START:-D-107-0END: 6100 <br /> LENGTH OF TEST:�::51F-a— <br /> TANK BOTTOM TO GRADE..... 35 TEST LEVET. TO TANK BOTTOM...._A -- <br /> TANK <br /> TANK TOP TO GRADE............" GROUND WATER ABOVE TANK......" <br /> DIAMETER. <br /> ............................ _ Psi.................................................... <br /> TEST LEVEL ABOVE GROUND_ _" NET TEST PRESSURE.......................tL <br /> WATER IN TANK....................— API SPECIFIC GRAVITY............. <br /> DEPTH FOR TAKING SAMPLE... 5 " TEMPERATURE........................... <br /> TEMPERATURE PROBE DEPTH.... API SPECIFIC GRAVITYP 60' F......— •� <br /> COEFFICIENT OF EXP............... ......(�CiJ�(l�`C <br /> LEAK RATE. PER/HR /- <br /> CERTIFIED TIGHT: YES( NO( ) <br /> PRODUCT LINE TEST: SUCTION( ) PRESSURE( <br /> LEAK RATE PER/IIR: ._�__/- _ <br /> CERTIFIED TIGHT: YFSW NO( ) <br /> DATE: SIGNATURE OF TESTER: <br /> �*�� <br /> &y V4 <br />