Laserfiche WebLink
CRISP TANK TESTING <br /> 2004 Piccoh #9 <br /> Stockton, Ca 95205 (209)931-1828 <br /> TEST REPORT <br /> OWNER OF SITE S (l kl iL <br /> ADDRESS / <br /> OWNER OF TANKS <br /> CITY STATL�A_ZI 5 G <br /> ADDRESS L �1 <br /> OPERATOR OCATION CITY STAT4 ZI� <br /> ADDRESS D ClT STATEek ZI�2 <br /> NAME OF COUNTY /� r� <br /> TANK ii 1tiu.Y" ON PLOT PLAN. AGE OF TANK <br /> DESCRIPTION OF TANK: S. <br /> CAPACITY JL 0i <br /> ,DIAMETER__j6 , METALY FIBERGLASS_ <br /> TYPE OF SYSTEM: SUCTION 1C ; SUBMERSIBLE <br /> VAPOR RECOVERY SYSTE : OTHER <br /> PRODUCT BEING TESTED TYPE <br /> COEFFICIENT MEASURED GRAVITY . <br /> TEMPERATURE OF PRODUCT0 AIR__ <br /> STORAGE FISTED:- DATE__j <br /> TESTED - DATE _ _ ' TIME hs U U <br /> LENGTH OF TEST yrs START Q 5(-� FINISH_ 15 <br /> MEASURED WATER IN TANK _, HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER U' . PSI AT TANK BOTTOMy= <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES ; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + (x 2657- <br /> or; _ <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR <br /> SIGNATURE OF OPERATO <br /> DATE <br /> �r <br /> y'.1• <br /> 3 <br /> r <br />