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Crisp Tank Testing & Construction Company <br /> Phone (209) 931.1828 licensed <br /> Post Office Box 30487 Licensed <br /> Stockton, California 95213 <br /> LICENSE #92-7248 <br /> *TEST REPORT* LEONARD E. CRISP <br /> DATE: Ec, c Lj <br /> OWNER OF SITE: J� L2x_'LY6 <br /> ADDRESS: KA <br /> CITY : <br /> OWNER OF TANK(S): S <br /> ADDRESS: E. 2 CITY: � - '�� � <br /> ,12LZIP:2 <br /> OPERATOR //AT /rLOCATION: <br /> i } <br /> ADDRESS:_�2�buf �'J 116 I.L�Lv�l,_CITY: � ZIP:��jc�� <br /> NAME OF COUNTY: AGE OF TANK: <br /> TANK#:vkAE�, CAPACITY : - GALLONS . METAL:'X_ FIBERGLASS: <br /> SINGLE WALLED:X DOUBLE WALLED: DIESEL: PREM. UNLEADED: <br /> UNLEADED: REGULAR LEADED: KEROSENE: WASTE OIL: AVGAS: <br /> VAPOR RECOVERY---YES NO_,X_. IF YES, PHASE I : PHASE 2 : <br /> SYSTEM TYPE--SUCTION:-&—SUBMERSIBLE: . INLINE LEAK DETECTOR---YES N0X� <br /> SHEAR VALVE--YES NO_>L. OVERSPILL CONTAINER--YES NO Y <br /> TANK FILLED--DATE: TIME: <br /> TANK TESTED--DATE: START: FINISH: <br /> LEGNTH OF TEST: HOURS. MINS . <br /> TANK BOTTOM TO GRADE: " , TANK TOP TO GRADE : " . <br /> DIAMETER : <br /> TEST LEVEL ABOVE GRADE:_ " , WATER IN TANK: <br /> DEPTH FOR TAKING SAMPLE: TEMPERATURE PROBE DEPTH: , <br /> TEST LEVEL TO TANK BOTTOM:l2& _ 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 /> SIGNATURE OF TESTER: <br />