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6 e <br /> Crisp Tanis Te ting & Construction Company <br /> �' Y <br /> Phone (209) 931-1 S28 APR 0 1 1x92 Licensed <br /> Post Office Box 30487 FNVIR(-NMENTAT N£ ALTH LICENSE #92-1248 Insured <br /> Sfocldon, Callbrnla 95213 P F01111'/":its,\v t c� <br /> **.TEST REPORT** LEONARD E. CRISP <br /> OWNER OF SITE: <br /> ADDRESS:,_(Olhl air) ` . CITY: , ZIP rj <br /> OWNER OF TANKS:ADDRESS : CITY:CITY: ZIP : <br /> OPERATOR AT LOCATION: <- a� <br /> ADDRESS: CITY: ZIP: <br /> COUNTY: TANK #: AGE : GALLONS : L� <br /> METAL() FIBERGLASS( ) SINGLE WALLED() DOUBLE WALLED( } <br /> DIESEL( ) UNLEADED( ) PREMIUM UNLEADED( } REGULAR LEADED( } <br /> WASTE OIL( ) KEROSENE( ) AVIATION GAS( ) JET FUEL( ) WATER( ) <br /> SUCTION(`) SUBMERSIBLE( ) OVERSPILL CONTAINER--YES( } NO(� ) <br /> SHEAR VALVE--YES( ,} NO( ) IN-LINE LEAK DETECTOR--YES( } NO(P <br /> VAPOR RECOVERY SYSTEM--YES(' ) NO( ) *IF YES, PHASE 1 (� ) PHASE 2 (�) <br /> TANK FILL DATE: 12' - TIME- �(OOQ <br /> TANK TEST DATE: VL-k�`START:. C� 30 END: lQ)Q -_LENGTH OF TEST: <br /> TANK BOTTOM TO GRADE. . . . TEST LEVEL TO TANK BOTTOM ` <br /> TANK TOP TO GRADE. . , . . . . , GROUND WATER ABOVE TANK . , ,,(2' 4 <br /> DIAMETER. . . . . . . . . . . . . . . . . 0 2b <br /> PSI . <br /> TEST LEVEL ABOVEGROUND. NET TEST PRESSURE . . . . . . . ., <br /> WATER IN TANK. . . . . . . . . . ` API SPFC GRAV . . . . . . . . . . . . <br /> DEPTH FOR TAKING SAMPLE . TEMP , , , , , , , , , , , , , , , , „ , , ; ` <br /> TEMPERATURE PROBE DEPTH. '� API SPEC GRAV @ 60 ” F . . . . 59 -b <br /> COEFICIENT OF EXP. . . . : . . .( <br /> CERTIFIED TIGHT--YES(` ) NO( ) LEAK RATE PER/HR: -� <br /> PRODUCT LINE TEST--PASS( } FAIL( ) SUCTION( } PRESSURE( ) <br /> CERTIFIED TIGHT- YES(lk) NO( ) LEAK RATE PER/HR: + <br /> DATE: _ �2', '� 4 SIGNATURE OF TESTER <br /> COMMENTS: <br /> REV 3/92 <br />