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Crisp Tank Tebling onstructton Company <br /> p Y <br /> Phone (209) 931.1828 rr�1 <br /> rPost Office Box 30487 ,�1 <br /> Stocldon, California 95213 �jCENSE 92124 cured <br /> **TEST REPORT** LEONARD E. CRISP <br /> OWNER OF SITE: <br /> ADDRESS: CI ZIP 9 <br /> OWNER OF TANKS:_ M12 <br /> ADDRESS: CITY: ZIP: <br /> OPERATOR AT LOCATION: Sq -w , <br /> ADDRESS: CITY: ZIP: <br /> COUNTY: ANK #: J7 / AGE : GALLONS :_ n) <br /> METAL( FIBERGLASS( ) SINGLE WALLED(V) DOUBLE WALLED( ) <br /> DIESEL(YC) UNLEADED( ) PREMIUM UNLEADED( ) ( ) <br /> WASTE OIL( ) KEROSENE( ) AVIATION GAS( ) JET FUEL( ) WATER( ) <br /> SUCTION( SUBMERSIBLE( ) OVERSPILL CONTAINER--YES( ) NO( k) <br /> SHEARvVALVE--YES( ) NO(�o IN-LINE LEAK DETECTOR--YES( ) NO( <br /> VAPOR RECOVERY SYSTEM--YES( ) NO(V ) *IF YES , PHASE 1 ( ) PHASE 2 ( ) <br /> TANK FILL DATE: TIME: <br /> TANK TEST DATE: 0115ZC/ STAN: OEM END:_LENGTH OF TEST: j2{,iy <br /> TANK BOTTOM TO GRADE. . . . TEST LEVEL TO TANK BOTTOM ) <br /> TANK TOP TO GRADE. . . . . . . GROUND WATER ABOVE TANK . . <br /> DIAMETER. . . . . . . . . . . . . . . . 5 <br /> PSI . . . . . . . . . . . . . . . . . . . . . . � <br /> TEST LEVEL ABOVE GROUND !, NET TEST PRESSURE. . . . . . . . <br /> WATER IN TANK. . . . . . . . . . . -6)' API SPEC GRAV. . . . . . . . . . . . �' J <br /> DEPTH FOR TAKING SAMPLE. F%p.5 TEMP . . . . . . . . . . . . . . . . . . . . . <br /> TEMPERATURE PROBE DEPTH. 41 <br /> API SPEC GRAV C 60' F . . . . <br /> COEFICIENT OF EXP. . . . . . . . &� J�{ <br /> CERTIFIED TIGHT--YES V,) NO( ) LEAK RATE PER/HR:+ <br /> PRODUCT LINE TEST--PASS( ) FAIL( ) SUCTION( ) PRESSURE( ) <br /> CERTIFIED TIGHT--YES( ) NO( ) LEAK RATE PER/HR: + <br /> COMMENTS: <br /> D <br /> DATE: /O ^(0^ SIGNATURE OFTESTER C QCT 91993 <br /> REV 3/92 '—" <br /> ENVIR !MENTAL HEALTH <br /> ' 2 - PERMIT/SERVICES <br />