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=Crisp Tank Testin <br /> g & Co nstruc#on Company <br /> Phone (209) 931-1828 <br /> Posf Office Box 30487 <br /> Slocldon, C01110MIO 95213 Licensed <br /> LICENSE #92-124r 5Ofed <br /> OWNER OF SITE: — **TEST REPORT** LEONARD E. CRISP <br /> ADDRESS: <br /> OWNER OF TANKS: C Yi2l t24n <br /> ADDRESS: <br /> OPERATOR AT LOCATION: CITY: <br /> . ZIP:_ <br /> ADDRESS: <br /> COUNTY. CITY: <br /> TANK # 1// ZIP: <br /> AGE: <br /> _�GALLONS: <br /> METAL(V) FIBERGLASS( ) SINGLE WALLED <br /> DIESEL( ) UNLEADED(V) (� DOUBLE WALLED( <br /> PREMIUM UNLEADED( ) ) <br /> WASTE OIL( ) KEROSENE( ) AVIATION GAS( ) JET FUEL ( ) <br /> SUCTION( ) SUBMERSIBLE ( ) WATER( ) <br /> OVERSPILL CONTAINER--YES( ) NO(V) <br /> SHEAR✓VALVE--YES(VQ NO( ) IN-LINE LEAK DETECTOR--YES(K) NO( ) <br /> VAPOR RECOVERY SYSTEM--YES(K) NO( ) *IF YES, PHASE 1 (b() PHASE 2 ( ) <br /> TANK FILL DATE:. TIME: <br /> TANK TEST DATE:A//j9 --- <br /> START: 0?00 END: L100 LENGTH OF TEST:)-,?I' <br /> TANK BOTTOM TO GRADE. . . . <br /> TEST LEVEL TO TANK BOTTOM_ <br /> TANK TOP TO GRADE. . . . . . , f3 GROUND WATER ABOVE TANK . <br /> DIAMETER. . . . . . . . . . . . . . . . <br /> {� <br /> ' TEST LEVEL ABOVE GROUND.- / <br /> �3 PSI . . . . . . . . . . . . . . . . . . . . <br /> WATER IN TANK. . . . . . . . . . . NET TEST PRESSURE. . . . . . . , <br /> {� API SPEC GRAY. . . . . . . . . . . . <br /> DEPTH FOR TAKING SAMPLE. ` <br /> TEMP. . . . . . . . . . . 625 <br /> TEMPERATURE PROBE DEPTH. API SPEC GRAV @ 60 ' F . . . . :57 / <br /> COEFICIENT OF EXP. . . . . . . . .. U. <br /> CERTIFIED TIGHT--YES V) NO( ) LEAK RATE PER/HR:+.O i ' /_ <br /> PRODUCT LINE TEST--PASS(]O FAIL( ) SUCTION( ) PRESSURE(\ <br /> CERTIFIED TIGHT--YES(X) NO( ) LEAK RATE PER/HR:+ <br /> COMMENTS: / <br /> DATE: , U -ro ^ Q SIGNATURE OF TESTER • ' <br /> REV 3/92 <br /> w <br />