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— II "I 11I11� I 1 :� I irvt, lx COILI I kC i UIJ c().1'.11. MIX 3114117 H <br /> SIIII:KI1111, CA 91213 i.11:[11:)LU <br /> (2119) 11-51- 111211 <br /> IAX (2(19) 4fi!;-3(111(1 <br /> •W. 8: :1: � *'�.�1:;'i��.� 1.��;1�t»til'* >f *:� � LICENSE #92-1248 <br /> OWNIiR ul SI'I'li: J � , G fruc / /) p c N LEONARD E. CRISP <br /> ADDRESS: -/9 o.o. M fj w9 y _ c1T1•: 4 c a lr o <br /> Ca 7m: 95a �U_ <br /> uWNlat <br /> OF TANKS: _ Sa m a.S cl �oY2 <br /> AUURIiSS:..• _ . <br /> _ CITY: <br /> 7.11': <br /> OI'EItA'I'OR AT LU(.A'I'ION:_ .. _._. S� m e �j d y e <br /> ADDRESS: <br /> CITY: <br /> (:OUN'1'1':.ScZhslad q��j TANKr':tWO. AGEV, GALLONS:. 6'e)oo . <br /> Mli'I'A1.(x) FIBERGLASS( ) SINGLE WAI.LISDOc) DOUBLE' WALLIiU( ) <br /> DII SI;L(K) UNLEADED ( ) PI(I;MIl1M IINL. ( ) <br /> SUCTION(x) S(Illhim(sllll'iq ) <br /> SHEAR VALVIi UVIiRSI'll.l. CUh!'I'AlhlliR"YT;S( ) NOM'*YI;S( I NI i-p IN-LINI: LEAK DIA'IiOR"YIiS( <br /> VAPOR Illi(;(1VIiRY SYS'fGM"YICS( ) NO(� <br /> I NO(�y 11' YIiS, PIIASIi I( ) PIIASR 11( ) <br /> WANK FN.t. nnrE:S-aG-4 rlMli: <br /> LENGTH /6ao <br /> LENK TESTI,nTE:q_-,��.-99, <br /> NGTII uFr• TIST:_a.:/,{��. .-. <br /> TANK 1{O'I"I.OAI TO GRADI:......'I'(1 .............. GROUND WATER AIJOVr TANK..... <br /> �J <br /> 111 A A11i'1'IiK.:... . .......... ...... `- ,. <br /> I'lS'1' LEVEL AI!(JVIi GROl1NU__ . 1'SI.............................................:. <br /> 03/ . ... <br /> WATER IN 'TANK................ ¢ hlli'I' '1'IiS'I' I�RIiSSURIi......................... <br /> .. �jr <br /> UIiP'1'11 FOR TAKING SAMP . i, API SPECII'1(% GRAMTY................... .33,5_,-_ <br /> 11 . $�r t'IiMI'Ii1tA't'Dltli........................ 55 <br /> 'ITNIPENtA'TURI: PRUllli UIiP'I'lL... Q <br /> AI'I SPECIFIC GRAVI.1•Y4a 60' 1:...... 5,?._ -- <br /> COEFFICIENT OF I:Xll.....................:.rLf1U a7 <br /> I,IiAK RA'1'li PER/IIR:�_ 0�32.6_ <br /> CIiR'I'IFIED TIGHT: YE <br /> S(1(j IJUI ) <br /> PRODUCT LINE TEST: Sll(,.I•ION(?,) PRESSURE( ) <br /> LHAK RATIi <br /> q ClA0,11°II1") 1'IGII'1': YVS04) NO( ) <br /> SIGNATUIM" OF 'I'ISS'IISR ._ <br /> __ 0 <br /> TCI( r/(�• _. ..._.-------- <br />