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°Crisp' Tank Testin <br /> 9 & Construcon Company <br /> Phone (209) 931-1828 1 <br /> x <br /> 3 <br /> 048 <br /> 7 <br /> BfocMon, Callfornla 95213 <br /> Licensed <br /> OWNER OF SITE: **TEST REPORT** LICENSE #92-124ged <br /> ADDRESS: LEONAPD E. CRISP <br /> OWNER OF TANKS: CI <br /> ADDRESS: _Z I P_� <br /> OPERATOR AT LOCATION: CITY; <br /> ADDRESS: ZIP: <br /> COUNT : CITY: <br /> TANK #;- xd-LAGE: ZIP: <br /> METAL(() FIBERGLASS( ) -- GALLONS: -- <br /> DIESEL(V) UNLEADED( ) SINGLE WALLED(V) <br /> PREMIUM UNLEADED( ) DOUBLE WALLED( ) <br /> WASTE OIL( ) KEROSENE( ) AVIATION GAS( ) FUEL <br /> SUCTION(�Q SUBMERSIBLE( ( ) <br /> SHEARVVALVE-- ) JET OVERSPILL CONTAINER-(YES( ) NO(M <br /> --YES( WATER( <br /> YES( ) <br /> ) NO(V) IN-LINE LEAK DETECTOR <br /> ) NO(N) <br /> VAPOR RECOVERY SYSTEM ) NO(� <br /> *IF YES, PHASE 1 ( ) PHASE <br /> ECTOR <br /> TANK FILL DATE: 2( ) <br /> TIME: <br /> TANK TEST DATE: <br /> 944/_�START• <br /> TANK BOTTOM TO GRADE. . , , / Q4_!Q�END• G LENGTH OF TEST:.,:_� <br /> TANK TOP TO GRADE. . . . . . , ` TEST LEVEL TO TANK BOTTOM J <br /> DIAMETER. . . . . . . . . , GROUND WATER ABOVE TANK . ._—_ <br /> TEST LEVEL ABOVE GROUND. PSI . . . . . . • • <br /> WATER XN TANK. . . . . . . . . , , NET TEST PRESSURE. . . . . . . , <br /> DEPTH FOR TAKINGSAMPLE.�L API SPEC GRAV. . . . . , , , , <br /> 5 ' . .� <br /> TEMPERATURE PROBE DEPTH. TEMP. . . . . . . . . . . . . . . . . . . <br /> API SPEC GRAV @ 60 ' F. . . ,� <br /> CERTIFIED TIGHT--YES ) NO( ) COEFICIENT OF EXP. . . . . . , <br /> LEAK RATE PER/HR: + J , <br /> PRODUCT LINE TEST-- —/- ' U� J <br /> PASS( ) FAIL( ) SUCTION( ) ) <br /> CERTIFIED TIGHT--ygg( ) NO( ) PRESSURE( <br /> COMMENTS: LEAK RATE PER/HR: + <br /> DATE:' - v .- <br /> SIGNATURE OF TESTER <br /> RAY 392 ��n i <br /> r <br />