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Crisp Tank TeM ing & Construct cin Company <br /> Phone (209) 931-1828 Licensed <br /> Post Office Box 30487 Insured <br /> Stockton, California 95213 LICENSE #92-1248 <br /> **.TEST REPORT*,* LEONARD E. CRISP <br /> OWNER OF SITE: + � <br /> ADDRESS::���n ��Ir`�1X1 �t . - CITY: t- UNVAUL CA ZIP9610b <br /> 10 <br /> OWNER OF TANKS: -- S atui -J <br /> ADDRESS: CITY: ► ZIP : <br /> OPERATOR AT LOCATION: S "` <br /> ADDRESS: CITY: ZIP: <br /> COUNTY I 1kn TANK # AGE: -GALLONS: kO,,c(c( __ <br /> METAL(*) FIBERGLASS( ) SINGLE WALLED(k) 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(�) <br /> VAPOR RECOVERY SYSTEM--YES( ) NO(X) *IF YES, PHASE 1 ( } PHASE 2( ) <br /> TANK FILL DATE: TIME: IaCO <br /> TANK TEST DATE: - I - START: InD -END: �LENGTH OF TEST: <br /> TANK BOTTOM TO GRADE. . . . } TEST LEVEL TO TANK BOTTOM5" <br /> TANK TOP TO GRADE. . . . . . . GROUND WATER ABOVE TANK . . <br /> DIAMETER. . . . . . . . . . . . . . . I ' PSI . . . . . . . . . . . . . . . . . . . . . . O3I <br /> TEST LEVEL ABOVE GROUND. IfpNET TEST PRESSURE . . . . . . . . <br /> WATER IN TANK . . . . . . . . . . �ytr API SPEC GRAV . . . . . . . . . . . .�_ <br /> DEPTH FOR TAKING SAMPLE . .C� i`_ TEMP . . . . . . . . . . . . . . . . . . . . . 50 <br /> TEMPERATURE PROBE DEPTH . 45 , API SPEC GRAY C 60 ' F . . . . 3)20 <br /> COEFICIENT OF EXP . . . . . . . ..G[7p �j 5 <br /> CERTIFIED TIGHT--YES(' ) NO( ) LEAK RATE PER/HR: + /-.0 d4b <br /> 111111 <br /> RQDUCT LINE TEST---PASS( ) FAIL( ) SUCTION( } PRESSURE( <br /> CERTIFIED TIGHT--YES( ) NO( } LEAK RATE PER/HR:+ / <br /> DATE: ISL" �Q$'G SIGNATURE OF TESTE <br /> COMMENTS: <br /> REV 3/92 <br />