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CRISP .FANK TESTING & CONTRUCTION CO. <br /> PAI. BOX 304117 1-1U 1SE0 <br /> SIIICKltIN, CA 95213 IN5111IED <br /> (209) 931- 111'20 <br /> FAX (209) 465-311116 <br /> OWNER OF SSITE: 7r(,dC(ciCl <br /> _G(pl__ . <br /> AI)DRESS:-_1—"-0Q-.._ /4wy_ L./�y.___ CI'T'YAO—Av.po- __ CA zIP:.nn5c�2ja <br /> 01PNER Or TANKS:-_ _-- __ _ Sany- .. aS .. we... _. <br /> ADURIiSS:-,•--_ ._...--.---..-----__....----_._.. CITY:____. <br /> OPERATOR AT LOCATION:___ . .._ �YF ---C(� _( Y�D✓�/_.- -- _. __ _ <br /> ADDRESS: ...- --.-.- --- (:I'I'Y:__ _._ .. _ _ ZIP: <br /> 1 - <br /> (:Ol1N'I'Y 'TANKO.-�..U-KA(;Ii: UK�). GALLONS:._L0,_000._ _ <br /> MI I'A1.00 FIBERGLASS( ) SINGLE WALLIIIAM DOUBLE WALLIIN ) <br /> DIESEIAN-) UNLEADED ( ) PRr.MI11M 1JNI.. <br /> SUCT10NOd SUBM1:RSIBLE( ) OVI"RSPILI. CON'I'AINIiR"YIi5( ) NOIR <br /> SHEAR VALVE"YRS( ) NO(>O IN-LINF LEAK DET'ECT'OR"YEM ) NOW <br /> VAPOR RECOVI-ItY SYS'TEM**yI-'-s( ) NO(X) IF YES, PHASE. I( ) PHASE II( ) <br /> TANK FILL DA'I H --a-qS I.INJ13: <br /> 'TANK TEST unTr::.�—�-9 - STAR'T:_DB3e�- _.._ <br /> L iNG'Tn OF TEST:cf/oa^._-- q <br /> TANK BOT'T'OM TO GRAIJIi.....13�_" TEIS'T LIiV 1 TO 'TANK BOTTOM....._-' <br /> TANK TOP TO GRAM ............ _" GROUND WATER ABOVE TANK..... <br /> ulnME•rEli.:................. ......... 5 --' PSI..................................,.......,.::...... <br /> 'I'IST LEVEL ABOVE GROUND-_1 __ NET TEST' PRESSURE....................... 25_ <br /> 1VATtiR IN TANK.................... _' API SPIiCIFIC GRAVITY................. 33 _ <br /> DEPTH FOR TAKING SAMPLE.. _•_,2_" TEMPEsRATl1RE................................ <br /> __ <br /> T'EMPIiRAT'[IRh PRODS UIiP'1'IL... API SPE <br /> CIFIG' GRAVITYP fi0' F...... <br /> COI.FFICIEN'T 01' EXP......................e_�0�0�0sp <br /> LHAKRATEPIiR/IIR:+____/ <br /> CERTIFIIiD TIGHT: YEW NO( ) <br /> PRODUCT 1,11,117 EST: SUCTIONN PRIiSSl1RE( ) <br /> LI?AK RATE PIsll/IIR: <br /> CI?RTIFIE ) TIGHT: YI:SvU NO( ) <br /> ?? 0 <br /> SIGNATURE OF TESTI- :._. <br /> COMMF.NTS:----------._._------------------ <br /> ---._ ... - - ------ ----V------ <br /> iZe��/tit UCENSE #92-1248 <br /> LEONARD E. CRISP <br />