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CRISP TANK TESTING Test Report <br /> 140' W. ALDER <br /> STOCKTON, CA 95204 Underground Storage Tank <br /> HORNER SYSTEM <br /> OWNER OF SITE / <br /> ADDRESS OF OWNER P0 /3bX (,- / CITY Z 6Q{ i STATE L a Z IP <br /> OWNER OF TANK /�, J% c 5 <br /> ADDRESS OF OWNER P G 23 U 166 CITY STATE <br /> NAME OF OPERATOR AT LOCATION /�I& f pjJ <br /> ADDRESS OF LOCATION /J gITY Z- a �(� STATE ( ZIPC, <br /> NAME OF COUNTY Sr) ,,-7 <br /> TANK # �- N PLOT PLAN LOCATION. STORAGE SYSTEM FILLED: DATE - TIME plj2 <br /> DATE OF TEST -,� �- TIME OF DAY: START /) FINISH jJ <br /> LENGTH OF TEST AIR TEMPERATURE ( c <br /> DISCR IPTION OF TANK-CAPACITY ;e DQ DIAMETER /p METAL x FIBERGLASS <br /> TYPE OF SYSTEM- SUCTION SUBMERSIBLE�OTHER <br /> TYPE OF VAPOR RECOVERY SYSTEM <br /> TYPE OF PRODUCT BEING TESTED E'.S C/ MEASRURED GRAVITY 3 / COEFFICIENT, 'QO <br /> TEMPERATURE OF PRODUCT �2 G <br /> MEASURED NATER IN TANK C DEPTH OF TANK TOP FROM GROUND LEVEL uj l <br /> DEPTH OF GROUND WATER Q GL ,�C HEIGHT OF LIQUID LEVEL IN TEST STAND OR STAND PIPE . <br /> AGE OF TANK AND LINES `LQ� <br /> RESULTS OF TEST: CERTIFIED TIGHT: YESjNO_. IF NO EXPLAIN IN REMARKS BELOW <br /> LEAK RATE PER HOUR: + <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR (�6/� �� C rj'S <br /> SIGNATURE OF OPERATO <br /> i <br /> DATE —, - <br />