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CRISP' TANK TESTING fast hour � g � first hour � ITE. <br /> � y <br /> 2004 Picroli Rd. <br /> sto,:c<ton, CA 952DS ;.:bi�$. �NERiASY TESTING METHOD - <br /> S: s `� <br /> Y� '1 4:.� DRES <br /> ENVIRCMENTAL HEALTHFERMIT/SERVICES iWORK SHEET <br /> , <br /> 3Y�; AT�E ZIP; - <br /> CHART CALIBRATIONS (A) <br /> TANK#_3__TEST LEVE a PRODUCTG CAPACITY first hr .p , = DOl1D , OF TANKY <br /> S: ' <br /> last hr _ r <br /> ADDRESS: <br /> MEASURED GRAVITY PRODUCT TEMP AIR 7-5 COEFFICIENT$$; TEMP CAL <br /> T3TLEVEiL LEVEL GRIN+ X LEVEL cMr . _ <br /> STEMP. Oh1lV+ X(B) TEMP: FINAL <br /> TART END LOSS- <br /> X_(A ) RESULT CTART END Ln1zc_ XfE1 PESULT RESULT TINE CITY-STATE-ZIP: <br /> r - = x Gds X <br /> .,151,5'S ,15 377 9 / 0 <br /> 7 GRADE TO TANK BOTTOM.:// <br /> 7` X = X _ DIAMETER OF TANK <br /> 3S 77Q cl' $4D • LENGTH OF FILL PIPE : <br /> X t5 f f . e.r�3 , raj X , 7 GROUND WATER DEPTH <br /> ' 33 `� - �"' •D 'a*L '15-5 �_HIGHTFIC OF 'LIQUID LEVEL <br /> ro1ve_ _ r <br /> S _ = X 3 F X WHILE TESTING . <br /> 2• > .f� 9`{ / D !}ti VAPOR- RECOVERY SYSTEM <br /> X = ( ) YES -.- (�_ NO � <br /> S / -F y . Cir I# ti_ ,. OD 7 t + JD ♦ V �. TYPF <br /> CG SY + -_ _.. <br /> fq �9' •D 113g .,f .:.1 .:- STEM TYFE: <br /> `' X .�� . i c - - X --, > d 3 � ) SU6M£RGE (` SUE N <br /> �yFctjv r TANK TYPE: _ ( ) METAL . <br /> FIBERGLASS <br /> :! COLOR CODE OF-PRODUCT.- <br /> X ., ) CLEAR ) RED <br /> _ ( ). .ORANGE <br /> // AGE .OF N <br /> TANK LOCATION ,�.r LEAK RATE PER HOUR + _ AGE OF LINES: <br /> A:WrSS T 7 G 7 ; ! - ASS ( ) FAIL f l INCONCLUSIVE { ) s STORAGE SYSTEM FILLED: <br /> CITY STATE .� .. � � � <br /> Q�rR�TC3R 1 �� : r DAT • = ` T' rF. <br /> TESTING FLUID IF DIFFERENT <br /> DATE. 6 <br /> SIGNATURE :/t�'�� THAN STORED MATERIAL: <br />