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CRISP TANK TESTING <br /> P.O. BOX 30487 ucr 2/11989 <br /> STOCKTON, CALIFORNIA 95213 <br /> (209) 931-1828 E' ,"PONMEN-IAL HEAUH <br /> PERMIT/SERVICES <br /> TEST REPORT/ <br /> OWNER OF SITE <br /> ADDRESS <br /> OWNER OF TANKS zv" Q_, a Q 1 <br /> ADDRESS <br /> OPERATOR AT LOCATION IQXJQI i tn_ _I y1 1 A^ <br /> ADDRESS <br /> NAME OF COUNTY <br /> TANK $ /U ON PLOT PLAN AGE OF TANKS ( <br /> DESCRIPTIONN OOF� TANK: <br /> CAPACITY_,.L 0 DIAMETERMETAL ✓FIBERGLASS <br /> TYPE OF SYSTEM: SUCTION SUBMERSIBLE OTHER <br /> VAPOR RECOVERY SYSTEM? `` ll TYPE <br /> PRODUCT BEING TESTED" 4-ttt�nl � , MEASURED GRAVITY 30 <br /> API SPECIEIC GRAVITY@ 60F v�D PRODUCT TEMP_ <br /> COE •00014 0 <br /> STORAGE SYSTEM: FILLED_9- /dam- TIME / <br /> TESTED DATE --' ss D0 STARTD FINISH 1D4S <br /> LENGTH OF TESTA -- (,L1 .JJ <br /> MEASURED WATER IN TANK � HEIGHT OF LIQUID LEVEL <br /> DEPTH OF UNDERGROUND WATER PSI AT TANK BOTTOM-4- D/ <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 OPERATOI'- <br /> SIGNATURE OF OPERATOR :' <br /> DATE C, <br />