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CRISP TANXTE,"JING p <br /> P. 0. BOX 30497 O <br /> STOC TON, A 9x52!3 <br /> 1209) 931.1823 MAY 2 5 1994 <br /> ENVIRONMENTAL HEALTH <br /> PERMITISERVIC;68 <br /> TEST PrPOPT <br /> OWN2'. OF SI IT i, _ <br /> ADDRESS Y <br /> 0 f r 7'] <br /> CIT , ZIP <br /> OWNEP, OF TANK(S). �Sr M C, <br /> ADDP.ESS CITY ' _ ZIP <br /> OPERA'T'OR AT LOCATiora <br /> ADDRESS. (r ,r-� �_ CITY CALIF . ZIP___�o• <br /> NAME OF COUNTS <br /> TANK# ,r) ON PLOT PLAN. AG1 OF TANK"` YRS. CAPACITY GALLONS. <br /> DIESEL PREMIUM UNLEADED UNLEADED` REGULAR <br /> KEROSENE OT!!ER <br /> METALFIT3ERGLASS VAPOR RECOVERY SYSTEMIC <br /> TYPE OF SYSTEM: SUCTION SUBMERSIBLE , OTHER <br /> MEASURED API SPECIFIC GRAVITY 5 _r PRODUCT TEFIPERATURE _. <br /> API SPECIFIC GRAVITY @60' F . <br /> COEFFICIENT OF EXPANSION (�C�Q G7 �• <br /> 'T'ANK FILLED - PITTE' ,,14,>010 <br /> TANK TESTED - DATE _c START • . FINISH 5 �f <br /> LENGTH OF TEST <br /> TANK ROTTom TO GRAPE a 4� . TANK TOP 'T'O GRADES. <br /> DIAME'T'ER 'PEST LEVEL A13OVE GRADE WATER IN TANK-4— <br /> DEPTH <br /> ANK_ 4-DEPTH FOR TAKING SAMPLE <br /> TEMP. PROBE DEPTH <br /> TES'P LEVEL TO TANK 130TTOMZ5_j". GRO.UNDWIATER ABOVE TANK <br /> PRODUCT PRESSURE per I " TIT;IGTIT^D�L -PSI .�r, !' <br /> "RESULTS RESULTS OF TEST** <br /> CERTIFIED TIGHT- YES,&_N0 <br /> LEAK RATE, PER HOUR : + - <br /> SIGNATURE OF OT'FRATOR`- NAME 0 kl af� <br /> DATE <br />