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CRISP TANK <br /> ' P.'(] . 60X 301187 ' <br /> Stockton , CRlifornia <br /> (209) 931-1828 <br /> 7 CS'r RLPORT <br /> UWidER or S1TE It ADDRESS TtL f 1_ f� `� c� <br /> UWr1CR OF TANKS <br /> /CITE— STATEZIP ; <br /> ADDRESS CITY r �L—STATk]6�__Zjp��_S OPERATORAT LOCAT IOtJ J <br /> ADDRESS ) � { <br /> 7 C1TY <br /> NAME OF COUNT <br /> CTT Y _.STATQd zlF <br /> 9 <br /> TANK #.� '-�" ON PLOT PLAN. AGE OF TANK <br /> DESCRIPTION OF TANK: <br /> CAPACITY f —L ,DIAMETER <br /> TYPE OF SYSTEM: SUCTION �g S, UI3 Rf� SIBLEAL FIBERGLASS , <br /> VAPOR RECOVERY SYSTEM? A; a OTHER <br /> PRODUCT BEING TEST CD � � TYPE • <br /> MCASUREU GRAVITY <br /> API SPECIETC GRAVITY <br /> yy p .ODL�CT • TEMP. <br /> STORAGE d C�j <br /> STORAGECOE <br /> �ILL _ L7ATE � . . <br /> 6 , T1ME <br /> TESTED - DATE / �1 _ � - r� r <br /> START`L��U , FINISH <br /> LENGTH OF TES'L - <br /> MEASURED WATER 114 TANK <br /> - HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER PSI AT TANK BOTTOhI C? <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES NO ' <br /> LEAK RATE PER HOUR: + IF NO EXPLAIN IN REMAITKS, <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR ( e ;PGL-r( <br /> SIGNATME OF OPERATO <br /> DATE - <br /> , <br />