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Crisp Tank Te!$ng & Constructifln Compan - <br /> Y <br /> none (209) 931-1826 <br /> oel 0MCO Box 30487 ' <br /> 10CM0n,CaIROMIa 95213 LEONARD E. CRISP Urpm o <br /> _.. ..,.< <br /> Iraurad <br /> a IJ <br /> AUG 0 8 in <br /> 1\v1", " rNTAL HEALTH <br /> ONNER of SITE: a ,�, PLkMIT/SERVICES <br /> ADDRESS: <br /> l - CITY :�- f. L_� <br /> OWNER OF TANK(S) , ZII <br /> ��� <br /> ADDRESS: C1�,o0 • S II I V ) C fll f� - <br /> CITY <br /> OPERATOR AT LOCATIO N%- <br /> ADDRESS: 4 e U n V` <br /> 1 1 CITY : �-11 <br /> CO )UNTYe � �� /1 TANK dk: `�, —7,IP C � �— <br /> M6TALf FIDERGLASSs J DOUBLE <br /> YRS . <br /> SINGLE WA[.l.rU: •AI.S . <br /> DIESELI UNLEADED: UOUDLr WALLED: <br /> WASTE OI f '-- lREN1UH UNLrAUrU; -- <br /> KEROSENE: • 0 Rr(, 1,AR LEADED: <br /> SiIICTIONf� AVIA'T'ION GAS : —' <br /> SUBMERSIBLE: JET FUEL: WATER : <br /> SAEAR VALVE--YES_-NO OVERSPILL CONTAINrR-_yrS NO -- <br /> VAPOR RECOVERY SYSTEMS INN�INE .LrAIC Ur'1'rCI'OR-- — <br /> Y rS_-N0 <br /> 7F YrS, rnnsr, l :_ PIIASr 2 : <br /> TNJK FILLED—DATE, <br /> T1NK TESTED--DATE: -1 ,G. I'lllr : <br /> - --.-.— <br /> STA I?T:. FIN1S11:_. I �! <br /> LINGTtI OF TE51's�lIOURS . <br /> M]N^, . <br /> TANK BOTTOFI TO GRADE J�" J� <br /> YANK TOP TO GRAUr:` (_3' <br /> , <br /> TEST LEVEL ABOVE GRADE J� D1J1lir'1'ER , <br /> ' WJ1'CrR IN 't'ANK_� <br /> DEPTH FOR CAKING SAMPLEAV ,' . '1'EFIPF.RA'I'UItR PROBE <br /> TEST LEVEL TO TANK BOTTOM�" <br /> PS [ f . GROUND WA'T'ER ABOVE 'l'nNF,� <br /> I NET TEST P SSURF AI, <br /> CERTIFIED TIGIIT--yE n TF..F11, <br /> O_• [ nl'I SI'rC. GRAV . @ 6W FCorr t EE f <br /> LE1K RATE PER IIOURf + rXPf ` �-���LC <br /> DAVE OF REPORT: _ <br /> 'sICNATURr OF <br /> 'I'rS'IBR : - <br /> �C C <br />