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Crisp Tank Testing & Construction C <br /> Phone (209) 931-1828 °mpany <br /> Post Office Boz 30487 <br /> Stockton, Callfomla 95213 Licensed <br /> LICENSE #92-124s°red <br /> *TEST REPORT* LEONARD E. CRISP <br /> OWNER OF SITE: _ DATE: 06-'�) CI_fO <br /> ADDRESS : O <br /> CITY: <br /> OWNER OF TANK(S), - <br /> S. ,ZIP: <br /> ADDRESS: <br /> OPERATOR AT LOCATION: r CITY: i <br /> ZIP: <br /> ADDRESS:EqQQ <br /> nNAME OF COUNTY: � CITY: • ZIP;� as <br /> �� <br /> TANK#: TWO . CAPACITY: O n AGE OF TANK: <br /> SINGLE WALLED:: DOUBLE WALLED: GALLONS . METAL: FIBERGLASS: <br /> DIESEL:: PREM. UNLEADED: <br /> UNLEADED: REGULAR LEADED: <br /> KEROSENE : WASTE OIL: <br /> VAPOR RECOVERY--YES N0:. AVGAS: <br /> IF YES, PHASE 1 : <br /> SYSTEM TYPE--SUCTION:SUBhiERSIBLE: PHASE 2 : <br /> SHEAR VALVE--YES_Np:_ <br /> INLINE LEAK DETECTOR--YES <br /> OVERSPILL CONTAINER--YES_NO NOS <br /> TANK FILLED--DATE: S�5 `�U • TIME: <br /> TANK TESTED--DATE: START 'lam <br /> FINISH: /c / <br /> LEGNTH OF TEST: c,2 HOURS . <br /> :MINS. <br /> TANK BOTTOM TO GRADE:_ TANK TOP TO GRADE:: DIAMETER :_ , <br /> TEST LEVEL ABOVE GRADE: ,;I) <br /> " WATER IN TANK :: • <br /> DEPTH FOR TAKING SAMPLE : ,?? TEMPERATURE PROBE DEPTH: q 8 <br /> TEST LEVEL TO TANK BOTTOM: /05-0 <br /> r' <br /> y GROUND WATER ABOVE TANK: . <br /> PSI : " <br /> NET TEST PRESSURE:• <br /> **RESULTS OF TEST** <br /> CERTIFIED TIGHT--YES:NO <br /> LEAK RATE PER HOUR: + <br /> SIGNATURE OF TESTERo� ��L <br />