Laserfiche WebLink
r <br /> CRISP WrANK <br /> TCSTIpj(3 <br /> P .'0 . BOX 30487 <br /> • 5F4rkt:on , Cnlifornia <br /> (209 ) 931-1828 _- - <br /> 7 LST REPORT <br /> owflrR Or SilE <br /> ADDRESS <br /> CITY __ STAT*_ZIF�s <br /> OWNER OF TANKS . - - <br /> ADDRESS (v �: , <br /> CITY STAT _Zlplyry <br /> OPERATOR AT LOCATION cC— ' <br /> ADDRESS Cv'Z �-E'� �S� <br /> ^,• F CITY <br /> NAt° 5TATECA ZIpc.� <br /> 1E OFM:2 <br /> � ' <br /> TANK #-. - UtJ PLOT AN. AGE OF TANK <br /> DESCRIPTION OF TANK: <br /> CAPACITY ,DIAMETER METAL FIBERGLAS. <br /> TYPE OF SYSTEM: SUCTION SUBMERSIBLE; OTHER <br /> VAPOR RECOVERY SYSTEM? ; TYPE • <br /> PRODUCT BEING 1ESTED M A5URED GRAVITY 5� (� <br /> API SPECIETC GRAVITY A 60°F <br /> 9 2'd0DUCT . TEMPrnp <br /> ['� <br /> ST OItAGE PJ�T[N:_ DATE7 <br /> CZ - <br /> TESTED DATE 2,- g- �r 9 , STAR (� , FINI5IN . <br /> LENGTH OF TEST <br /> MEASURED WATER 11.1 TANK <br /> IIE1GIff OF LIQUID LEVEL <br /> DEPTH OF GROUtJD WATER PSI AT TANK BOTTOM 0-2 <br /> RESULTS OF TESF: ` <br /> CERTIFIED TIGHT? - YES (D/ ; NU / <br /> LEAK RATE PER FLOUR: + IF NO EXPLAIN IN REMARKS. <br /> or <br /> REMARKS BY OPERAIUR <br /> x <br /> NAME OF OPKUFO <br /> OR ' <br /> SIGNATME PER ATOR <br /> DATE _-___--.------_ F <br />