Laserfiche WebLink
Crisp Tank Testing & Construction Company <br /> p Y <br /> Phone (209) 931-1829 _ <br /> Post Office Box 30487 lt�io I Licensed <br /> Stocidon, C01110mia 95213 �J Insured <br /> JAN 0 4t LICENSE #92-1248 <br /> *TE REPORT* LEONARD E. CRISP <br /> Fi VIRON,MENTAL HEALTH <br /> PERMII/SERVICES <br /> DATE:� `t `!� <br /> OWNER OF SITE: �+�r r : <br /> ADDRESS: � �; . �'� { !_ �- CITY : a 41 C - <br /> :ZIP:�r�`' <br /> OWNER OF TANK(S)O'! Eld, <br /> ADDRESS: tr) -) fl CITY : - <br /> �ZIP: <br /> OPERATOR AT LOCATION: E�- <br /> ADDRESS:ALILIALCITY : I C' <br /> NAME OF COUNTY: Q AGE OF TANK: <br /> i <br /> TANK#:-(2.6, CAPACITY:_ o,w o GALLONS . METAL:X FIBERGLASS: <br /> SINGLE WALLED: DOUBLE WALLED: DIESEL:--Y- PREM. UNLEADED: <br /> UNLEADED: REGULAR LEADED: KEROSENE : WASTE OIL: <br /> AVGAS: <br /> VAPOR RECOVERY--YES NO_. IF YES, PHASE 1 : PHASE 2 : <br /> . <br /> SYSTEM TYPE--SUCTION:SUBMERSIBLE: <br /> • INT,INE LEAK DETECTOR--YES N0 <br /> SHEAR VALVE--YES NO OVERSPILL CONTAINER--YES NO_,&, <br /> TANK FILLED--DATE: TIME : <br /> TANK TESTED--DATE: START: <br /> �1� „• FINISH: <br /> LEGNTH OF TEST:.-HOURS . _ MINS . <br /> TANK BOTTOM TO GRADE TANK TOP TO GRADE: „ <br /> ” . DIAMETER : , <br /> TEST LEVEL ABOVE GRADE:JL-. - WATER IN TANK . <br /> DEPTH FOR TAKING SAMPLE: 'KO TEMPERATURE PROBE DEPTH: . <br /> TEST LEVEL TO TANK BOTTOM: GROUND WATER ABOVE TANK <br /> PSI : -. NET TEST PRESSURE: <br /> **RESULTS OF TEST** <br /> CERTIFIED TIGHT--YES_X_NO <br /> LEAK RATE PER HOUR: + _ <br /> 3/ ii <br /> SIGNATURE OF TESTER : <br />