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CRIS1* TANK TEStr1 <br /> 2004 PiccoG #9 ,V <br /> Stockton, Ca 95205 (209)931-1828 <br /> c � TEST REPORT <br /> OWNER OF SITE �>� (AtL tk-t <br /> ADDRESS U O � CITY Pf� �t n� <br /> OWNER OF TANKS Y 1-- -�----STATE/t ZIP�v <br /> ADDRESS ���n�' <br /> CITY & Ln�STATE_�4 ZI s Z b <br /> OPERATOR AT'LOCATION <br /> ADDRESS I�i4U0 (/ / C Y G rti STATE04 ZIP052Z0 <br /> NAME OF COUNTY <br /> itatt v) <br /> TANK p ' h _ON PL PLAN. AGE OF TANK <br /> DESCRIPTION OF TANK: <br /> 1. <br /> CAPACITY —t'51)6 DIAMETER METAL METAL X FIBERGLASS_ <br /> TYPE OF SYSTEM: SUCTION }( ; SUBMERSIBLE OTHER <br /> VAPOR RECOVERY SYSTEM? I TYPE <br /> PRODUCT BEING TESTED [ tail w M"^CurlFn ron�,ITY <br /> COEFFICIENT 53, 5 TEMPERATURE OF PRODUCT �I ' <br /> STORAGE SSYySTEEMM , AIR <br /> FILLED - DATE ' 25 , TIME 170_ <br /> TESTED - DATE 4( , START7((`g( , FINISH Jj 2j L, <br /> LENGTH OF TEST <br /> MEASURED WATER IN TANK_, HEIGHT OF LIQUID LEVEL I50 <br /> DEPTH OF GROUND WATER L� ' PSI AT TANK BOTTOM <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES X ; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + �F� or - <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR = , \ t �, (S <br /> SIGNATURE OF OPERATO a <br /> DATE — '�� <br />