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Crisp Tank Testing & Construction Company <br /> Phone (209) 931-1626 licensed <br /> Post Ofllca Box 30467 Insured <br /> SlocMon,California 95213 <br /> *TEST REPORT* <br /> Fick DATE: <br /> OWNER OF SITE: Sin Flak. <br /> ADDRESS: '911S' SO, FO bbeOdo a , CITY : , ZIP: say <br /> OWNER OF TANK(S): In R5L <br /> ADDRESS: S11011� So, E) Ngndo a., CITY : , &ZIP:� <br /> OPERATOR AT LOCATION:_ L 1 a kfl <br /> ADDRESSs�� �n, EI ���(����CITY : ZIP: . <br /> NAME OF COUNTY : <br /> _,-n (), AA III Iad\ AGE OF TANK: <br /> TANK#: CAPACITY : '0)0�9 GALLONS . METAL:&k FIBERGLASS: <br /> SINGLE WALLED:N DOUBLE WALLED: DIESEL: PREM. UNLiEADEDe <br /> UNLEADED: REGULAR LEADED:-iL KEROSENE : WASTE OIL: AVGAS: <br /> VAPOR RECOVERY--YES_�&NO IF YES , PHASE 1 -- l& PHASE 2 :�&. <br /> SYSTEM TYPE--SUCTION: SUBMERSIBLE:-x&- INLINE LEAK DETECTOR--YES�NO <br /> SHEAR VALVE--YES "1X NO OVERSPILL, CONTAINER--YFS NO Y <br /> TANK FILLED--DATE: TIME: <br /> TANK TESTED--DATE: START: FINISH: <br /> LEGNTH OF TEST: HOURS . _MINS. <br /> TANK BOTTOM TO GRADE: 1 <br /> 3 " . TANK TOP TO GRADE: 4Y4 DIAMETER: 9s9S" . <br /> TEST LEVEL ABOVE GRADE: , WATER IN TANK :IAV <br /> " . <br /> DEPTH FOR TAKING SAMPLE :w a TEMPERATURE PROBE DEPTH: <br /> TEST LEVEL TO TANK BOTTOM: " . GROUND WATER ABOVE TANK " . <br /> PSI : .dab . NET TEST PRESSURE:. P6 Y\ <br /> "RESULTS OF TEST** <br /> . CERTIFIED TIGHT--YES_X_NO <br /> LEAK RATE PER HOUR- + , [��LQ _ <br /> nn o <br /> SIGNATURE OF TESTER : uato <br /> JC, �. <br />