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' CRISANK TES'i%IVG <br /> 2004 Piccoli #9 <br /> (209)931-1828 <br /> Stockton, Ca 95205 <br /> 1 EST REPORT <br /> OWNER OF SITE-bLdt l na f Lw &JIttLG-/)1_S <br /> ADDRESS O, jy /-55f CITY rr� ( f, n STAT ZIP/JZQ,. <br /> OWNER OF TANKS`&L/-4 ka-YILy <br /> ADDRESS -0 0. `Moy /55l CITY MQCyv') STATE Z IPjj5LL. <br /> OPERATOR AT LOCATION., Z Ert C2, <br /> ADDRESS '2LY-)q '.. 7Y1cvIL p6.Y� ke- • CITY --J& k-//m STATE M ZIP ZO . <br /> NAME OF COUNTY--� ft. 7QQ!Qaul' <br /> TANK I) ()Al/L- ON-"PLOT PLAN. AGE OF TANK(L,U dLt0&j - <br /> DESCRIPTION OF TANK: <br /> CAPACITY �50 0 DIAMETER "7 , METAL_Z FIBERGLASS_ <br /> TYPE OF SYSTEM: SUCTION-X SUBMERSIBLE OTHER <br /> VAPOR RECOVERY SYSTEM? f ; TYPE <br /> PRODUCT BEING TESTED (lii , MEASURED GRAVITY !jj <br /> COEFFICIENT _MSr EMPERCA)TtURE OF PRODUCT_ , AIR <br /> STORAGE FILLED - DATE , TIME /�lllb <br /> TESTED - DATE 7- 13' , START 1 '3 Z6 , FINISH /-526 <br /> LENGTW OF TEST Z ifnfj(r'� -H f41 til11{dS . <br /> MEASURED WATER IN TANK -)- . HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER -2() ' . PSI AT TANK BOTTOM Q 3 <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES_; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER, HOUR: + or <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR V Il\Y� 1 <br /> SIGNATURE OF OPERAT <br /> DATE <br /> AUG <br /> 1 <br /> EtA%ROME'.�TAL HEALTH <br /> PERMIT/SER�ICtS <br />