Laserfiche WebLink
ILII. BOX 30401 ` 1-ICCII!iCll Y <br /> !;IIIl:K11111, CA 9!;213 (tl!illltCl) <br /> (709) 931- 1;1211 <br /> VAX (2119) 465-311116 <br /> LICENSE #92-1248 <br /> OWNER OF SI'I'E:_JS,..G IY uchlo j C v LEONARD E. CRISP <br /> ADDIM:;S:_./ 9 yoo N �1// y ` 3- t:ll'Y: Aco m pv ca, 7.11,: 9,3"aa0 - <br /> OWNER OF 'I'ANI:S:. _ .SaWe above <br /> ADDRESS:_.... _ .. CITY: ZIP: <br /> OPERATOR AT LOCATION:..__.--sa)- e, as a bO.Ye. <br /> AUUI(IiSS:_ _ CITY: ZIP: <br /> coultrY:. aJ7LT a�Vl� _ . TANK":011e, Arlt: ? (;AI.I,ONs:-&40 <br /> METAMY) I'MERGLASS( ) SINGLE WALIXD(o DoilllI,E. WAI.I.I;D( ) <br /> IIIIiSEL(� UNLEADED ( } PItliMllINI UNL ( ) <br /> SUCI'ION06 SMINIENSIBI.M ) OVIiRSPII.L (:ON'I'AINI?Il"YIiS( 1 NOIR) <br /> SIIEAlt VAI.VIi"YIiS( ) NII(` IN-I.INI,* I.IiAK 111i1'1:t;l'Olt"YIiS( ) NO(�K) <br /> VAPOR RECOVERY SYS'1'EM"YIsS( ) NIIOC) 11' YfS, PIIA'iI: I( ) PIIASIi ll( ) <br /> TANK 111.1. -rin1R: A 0 0 <br /> TANK THST nATI.:9_- EPH): 00- --. <br /> LENGTH OF /I. . <br /> 'TANK ItOTTOM TO GRAUE..l.3 -94 'ITST LEVIG. TO TANK II01'TON1150. .... ' <br /> TANK TOP TO GRAUI...........03Q.v[___..._" GROUND WATIM ABOVIi <br /> )1Ahili'I'liR.............................-'__(S_ •• PSI....................... <br /> ............................., 031- .. <br /> TEST LEVEL ABOVE, (iROIINll.__l5. Nli'I: TEST PRIiSSllllli.........................Y,-615._ <br /> WA'TEIt IN 'TANK...................._f ___' API SPECIFIC GRAVITY.................. <br /> DEPT11 FOR TAKING SAMPLE... TEMPHRA'I'URI'l........................ <br /> 'I'1ih[PHRATURE PROBIT Uf:P'I'll.. l " AN SI>ECIFIC GRAVI'TYw GO' 1 ....._3a-5_._-- <br /> COEFFICI TNT OF HIM)......................9W.1�5�/- <br /> IMAK RATE <br /> CIsR'1'llllili 'I'IGII'I': YES(x) NO( ) <br /> PRODIRA, LINHI TEST: Sl1CTION(`('�) PRES81ilm( ) <br /> LHIAK RATE ITAMIR: f_ -�- / .._. .-..__- <br /> CIiR'I'll'IIiD '1'IGII'I' USK) NO( ) <br /> 95 si(MAI'URR OI' <br /> COMMENTS:_. __...---------._.___.__. <br /> y <br /> t <br />