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Crisp Tank Tctin <br /> 9 & Co nstruc#n Company <br /> Phone (209) 931-1828 <br /> Post()tike Box 30487 <br /> SfocWon, Colllornla 95213 Licensed <br /> LICENSE #92-1248 <br /> OWNER OF SITE: **TEST REPORT** <br /> LEONAPD E. CRISP <br /> ADDRESS: <br /> OWNER OF TANKS: CIT . <br /> ZIP <br /> ADDRESS: <br /> OPERATOR AT IT <br /> CITY: <br /> ZIP: <br /> ADDRESS: <br /> COUNT CITY: <br /> TANK #: ZIP: <br /> METAL(V) FIBERGLASS( ) SINGLE WALLED <br /> DIESEL( UNLEADED( ) PREMIUM UNLEADED)DOUBLE WALLED( ) <br /> WASTE OIL( ) KEROSENE( ) AVIATION GAS( ) <br /> SUCTION(Y-) JET FUEL( ) WATER( () ) I <br /> SUBMERSIBLE <br /> ( ) OVERSPILL CONTAINER--YES( ) <br /> SHEARVVALVE--YES( ) NO(Dy NO(PO <br /> LEAK DETECTOR--YES( ) NO( ,�,f <br /> VAPOR RECOVERY SYSTEM--YES( ) NO(K) *IF YES, PHASE 1 ( ) PHASE 2 ( ) <br /> TANK FILL DATE: TIME:_ <br /> TANK TEST DATE: START END: Q <br /> TANK BOTTOM TO GRADE. . . ."_ LENGTH OF TEST: <br /> TEST LEVEL TO TANK BOTTOM <br /> TANK TOP TO GRADE. . . . . . . j3 GROUND WATER ABOVE TANK . . 6L <br /> DIAMETER. . . . . . . . h PSI . . . . . . . . . . <br /> TEST LEVEL ABOVE GROUND._ I(J NET TEST PRESSURE. . . . . . . . 5 <br /> WATER IN TANK. . . . . . . . . .. . . . . . . . . . . API SPEC GRAV. . . . . . . . . . . . <br /> DEPTH FOR TAKING SAMPLE._ OlDk TEMP. . . . . . . . . . . . . . . . . . . . . <br /> TEMPERATURE PROBE DEPTH. S API SPEC GRAV C 60 ' F. . . . <br /> • COEFICIENT OF EXP. . . . . . . . , <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 /> DATE:_ 9,7 SIGNATURE OF TESTER: <br /> REV 3/92 <br />_ r <br />