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CRISPTANK wrESANG <br /> 2004 PiccoG #9 <br /> Y f <br /> Stockton, Ca 95205 (209)931-1828 <br /> TEST REPORT <br /> OWNER OF SITE <br /> ADDRESS Ne/Ob 1. CITY STATEtA_ZIP rjZZ,U <br /> OWNER OF TANKS 1,4 11 tEl I <br /> ADDRESS I�! CITY P 6 STATEJLZIP 5Z? <br /> OPERATOR AT LOCATIONUlf <br /> ADDRESSlqyDQi(( ( lyL—T�1 C Y f1Ln0 STATE '�ZI 522-D <br /> NAME OF COUNTY vL UQ L/ A 1) <br /> TANK U -t.W 0 ON PLT PLAN. AGE OF TANK� <br /> DESCRIPTION OF TANK: �� <br /> CAPACITY ,DIAMETER, METAL � FIBERGLASS_ <br /> TYPE OF SYSTEM: SUCTION \L : SUBMERSIBLE : OTHER <br /> VAPOR RECOVERY SYSTEM? k/0 ; TYPE <br /> PRODUCT BEING TES ED � [LP MEASURED GRAVITY <br /> COEFFICIENT EM3�, TEMPERATURE OF PRODUCT, AIR <br /> STORAGE FILLED _ DATE — & — �o , TIME U <br /> TESTED - DATE - - , START-767(S , FINISH IU 15 <br /> LENGTH OF TEST �(Lr5 M'1 A x i fi s <br /> MEASURED WATER IIJ TANK HEIGHT OF LIQUID LEVEL 6 <br /> DEPTH OF GROUND WATER, PSI AT TANK BOTTOM � .O <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES X ; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + 3( qZ ; or - <br /> REMARKS BY OPERATOR <br /> e <br /> NAME OF OPERATOR p r <br /> SIGNATURE OF OPERATO <br /> DATEh - � S - <br /> «A Y <br />