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IRIS tnr;;(rEsrrrjs <br />P. 0. 0OX 30487 <br />STOMON, ;d 9;213 <br />1209) 931.1828 <br />TEST' REPORT' <br />OWNER OF SITE <br />LICENSE #92-1248 <br />LEONARD E. CRISP <br />ADDRESS _{n iy'�-�rA S4,CI'I'Y"� lbck6n <br />OWNER OF TANK(S) <br />ADDRES <br />2.2�td3 <br />�V <br />OPERATOR AT LOCATION ,IAkI' <br />CITY _ 71P <br />ADDRESS4U]_'St, (I:i ,,_CJTY , CALIF. 7IP�� <br />NAME OF COUN'1'Y_5/A r) Awl in <br />TANK$MWON PLOT PLAN. AGE OF TANK�O—YRS. CAPACITY 6-6() <br />DIESF,L-)L, PRFMIUN UNLEADED_, UNLEADED_, REGULAR_, <br />KEROSENE , OTHER <br />ME'I'ALX_FIBERGLASS_ VAPOR RECOVERY SYSTEM: YES—NO, <br />TYPE OF SYS'L'EM: SUCTION, SUBMERSIBLE_, OTHER__ <br />MEASURED API SPECIFIC GRAVITY. PRODUCT TEMPERATURE Z&c <br />API SPECIFIC GRAVITY @60' F -&d. <br />COEFFICIENT OF EXPANSION , 9 Uq <br />TANK FILLED - DATE -a-�' TIME <br />TANK TESTED -- DATE - Q STAR FINISH_ <br />LENGTH OF TESTA <br />TANK BOTTOM TO GRADE_:Sq�_ . TANK TOP TO GRADEILI <br />'. <br />DIAME'T'ER . TEST LEVEL ABOVE GRADE 4t3"'. WATER IN TANK,,. <br />DEPTH FOR TAKING SAMPLE &� . 'TEMP. PROBE DEPTH 4L.V. <br />TEST LEVEL TO TANK BOTTOM_L3t. GROUNDWATER ABOVE TANK <br />PRODUCT PRESSURE per I" HEIGHT,(d9PSI. 4,60a <br />**RESULTS OF TEST** <br />CERTIFIED TIGHT: YES_�LNO_ <br />LEAK RATE PER HOUR: + <br />SIGNATURE OF OPERATOR4&x-w--f-4rNAME �nt7�r <br />i <br />