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Y <br /> CRISP ' TAPJK TESTING <br /> 2004 Piccoh #9 <br /> Stockton, Ca 95205 (209)931-1828 <br /> TEST REPORT <br /> OWNER OF SITE <br /> ADDRESS /gg6n Aj. (- CITY �(i(I tY1� [� Y) STAT�ZIFgS�LZ <br /> OWNER OF TANKS 5J,6_ Lit <br /> ADDRESS U LU CITY (� i ry�STATE�A--ZI 5ZM <br /> OPERATOR AT LOCATIOS <br /> N ) <br /> ADDRESS �t! ITY STATE�A ZIFj!kZ4 <br /> NAME OF COUNTY j <br /> TANK ll. ON PLOT PLAN. AGE OF TANK /_5 . <br /> DESCRIPTION OF TANK: <br /> CAPACITY OCA DIAMETER96, METAL_ _ <br /> u FIBERGLASS <br /> TYPE OF SYSTEM: SUCTIONy SUBMERSIBLE : OTHER <br /> VAPOR RECOVERY SYSTEM. ,u TYPE <br /> PRODUCT BEING TESTED MEASURED GRAVITY <br /> COEFFICIENT EEMM TEMPERATURE OF PRODUCT 7U � , AIR <br /> STORAGE FILLED - DATE 'X� <br /> _ , TIME G�( . <br /> TESTED - DATE Z- , START-1/ FINISH ZLD O <br /> LENGTH OF TEST '64 <br /> MEASURED WATER I14 TANK HEIGHT OF LIQUID LEVEL /5o <br /> DEPTH OF GROUND WATER Z PSI AT TANK BOTTOM, <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES ; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + ; or <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR ImC- Alk "C ✓ S <br /> SIGNATURE OF OPERATOR L <br /> DATE <br /> i <br />