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Crisp Tank TeAng & onstrncignom an <br /> � y <br /> Phone (209) 931-1828 '1'-'?2 <br /> ,. Licensed <br /> Post Office Box 30487 J U N 15 i'?2 Insured <br /> Stockton, California 95213 ENVIRONMENTAL. HEALMENSE f92_1248 <br /> **TEsRE( tTdlSER-V10E5 LEONARD E. CRISP <br /> OWNER OF SITE: J"��' L i <br /> ADDRESS; /� �� �. I CITY :4, �lv�,f - ZIP <br /> OWNER OF TANKS: C - � >, ' - <br /> ADDRESS: CITY: ZIP : <br /> OPERATOR AT LOCATION: L_ ' -a� <br /> ADDRESS: CITY: � dJ/�, , ZIP: v'r; 0 ' <br /> COUNTY• L/t TANK #: AGE: y'z('i cJ GALLONS: <br /> METAL O FIBERGLASS( ) SINGLE WALLED( ) DOUBLE WALLED(/<) <br /> DIESEL( ) UNLEADEDO PREMIUM UNLEADED( ) REGULAR LEADED( ) <br /> WASTE OIL( ) KEROSENE( ) AVIATION GAS( ) JF,r FUEL( ) WATER( ) <br /> SUCTION( ) SUBMERSIBLE(X) OVERSPILL CONTAINER--YES( '�O NO( ) <br /> SHEAR VALVE--YES(x) NO( ) TN--LINE LEAK DETEC'T'OR--YES(/() NO( ) <br /> VAPOR RECOVERY SYSTEM--YES(X) NO( ) *IF YES , PHASE 1 ( V PHASE 2 ( /\o <br /> TANK FILL DATE: 3-�) PIZTIME: <br /> TANK TEST DATE: - -�r L START: -END: �j(,; LENGTH OF TEST : <br /> TANK BOTTOM TO GRADE. . . . I ')� " TEST LEVEL TO TANK BOTTOM <br /> TANK TOP TO GRADE. . . . . . . �� GROUND WATER ABOVE TANK . . <br /> DIAMETER. . . . . . . . . . . . . . . ��'� PSI . . . . . . . . . . . . . . . . . . . . . u2_0 <br /> TEST LEVEL ABOVE GROUND. Z� NET TEST PRESSURE . . . . . . . . 4. <br /> WATER IN TANK. . . . . . . . . . H- API SPFC GRAV . . . . . . . . . . . '5'7, 7 <br /> DEPTH FOR TAKING SAMPLE . 47. j TEMP . . . . . . . . . . . . . . . . . . . . . J <br /> TEMPERATURE PROBE DEPTH. 141 API SPEC GRAV @ 60 ' F . . . 5"T6 <br /> COEFICIENT OF EXP . . . . . . . .6(.1061 715 <br /> CERTIFIED TIGHT---YES( ( ) NO( ) LEAK RATE PER/HR:+ /- •'� <br /> PRODUCT LINE TEST--PASS( ) FAIL( ) SUCTION( ) PRESSURE( ) <br /> CERTIFIED TIGHT--YES( ) NO( ) LEAK RATE PER/HR: + /- <br /> ) <br /> DATE: '4-�- �7� SIGNATURE OF TESTS <br /> COMMENTS : <br /> RFV 3/92 <br /> f <br />