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TeAting C01-1sirucWn �ompun <br /> hhons (209)931-(828 <br /> .doH QIIk Box 30481 <br /> �l00�0+1. Calilornla 95213 licensed <br /> LICENSE "2-12481nsured <br /> OWNER' OF SITE! - - "'9'Li5'I' RrpUR'I'+ LEONARD E. CRISP <br /> ADDRESS,� N 44Q c19 1 UCkI(U� <br /> OWNER OF TANKSs CI'I'Y : _ ��p �„�__ <br /> G, - y SCiL �7, t I' <br /> AbbRESSe <br /> OhERATOR`- -----------._-"--'---------___---- <br /> AT LOCATION: ` , , - - ------- __7.1 11 <br /> ADDRESS!— - <br /> COUNTYI <br /> h- -_-TANK <br /> ) F - GhLLON5: <br /> METAL(, <br /> X IbGRGLA55( ) <br /> DIESEL(x) UNLEADEb( ) SINr;I,I: WAI,I,r )(A) <br /> ( UOI1ttLi: tJhLLEU( ) <br /> WASTE OIL 1 RrmUl" (1fJt.rADrU( ) <br /> ) KEROSENE( ) AVIATION (, ( ) <br /> SUCTION(7C) SUBMERSIBLE( ) AS( ) 'IF:T FUFL( ) WATFR( <br /> SHEAR~VALVE ovrR5r' II'I, CONTAINER-- ) <br /> VAPOR RECOVERYESYSTEMNo(x) <br /> IN-LrNli 1.1;AI; 14o(X) <br /> YES( ) No(X) <br /> I I' YI;,; , I'IIASr I ( ) PIIASr 7. ( ) <br /> TANK '. <br /> ANK No <br /> DATEt 9•-7-9Z , <br /> TANK TEST DATEt l .lMli : - <br /> TANK BOTTOM To (; v 92 <br /> RADE. . . -3? ._ I?Nlt'-aClOp LIiNG'f'll OF 'Cr5'I': {�Q� <br /> TANK TOO To GRADE. . . . . . . rrrs'r I,rvrl, <br /> DIAMETER. . . . . . . . . . . . . . . 'I'O 'TANK ANII'(1N-1dQ <br /> �3- r;I:nurll, IJA'I'i?R nlJuvr 'rANI; , , -'�- <br /> TEST LEVEL ABOVE GROUND. 9� PSI . . . . . . . . <br /> WATER IN TANK. . . . . . . . . . rIr'r ritr,,suer. ' -� — <br /> DEPTH FOR TAKIN --6- . . . . . . 4 �� <br /> Ar' I f,pp t;RAV . <br /> G SAMPLE. qp <br /> TEMPERATURE PROBE DEP-m. _ I'rfip. . . . . . . 6 <br /> . . . . . . . . . . . <br /> AI't SI`IiC rtrAV I1 f-U ' r . . , , 7—?- <br /> CERTIFIED TIGHT-_YESC0li <br />