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CRISPP. 0. BOX 30447 <br /> StOCKTO:t, Cd 95213 <br /> uCENSE X921248 <br /> 1209) 931.1823 LEONARD E. CRISP <br /> 'El s r REPORT <br /> OWN,'" O F s 1'r. r <br /> ADDRESS 1�� � , IACK GI R1, ("I'ry LzIP�s <br /> OWNER OF TANK(s) Sqtn - _ Q,r� QkouE <br /> ADDRESS CITY , ZIP <br /> OPERATOR AT I,OCATIouli- f-n Unl-f es end ea <br /> AUunrsS v �, N1C,1T►� j C1.'1'vLljnd _, CALIF. 7,iP �. <br /> NAME OF COUNTY�n <br /> TANK-if ON r'1-,O'1' PCsAN. AGE OF 'TANIi'14 YRS. CAPACITY,�(JALLONS• <br /> DI ESEL PRUIlUrr UNLEADED , UNLEADED , REGULAR__ , <br /> 1'ER05E.NE <br /> ME'1'11I, f I imimLASS VAPOR RECOv.ERY SYSTEMS YES NO_4 <br /> 'ryPE OF SYSTM— SUCTION SUBMERSIBLE OTIIER Onghc, All <br /> MEASURED API Sl'I;C.1.F.IC GRAVITY-,; S. PRODUCT TEMPERATURE coO <br /> A11I SPECIFIC GRAVITY @60 ' <br /> COErFIC1 EN'T Or EXPANSION <br /> TANK <br /> TANK 'rl s't'rl) - DATE sT.Art'r FINisH . <br /> LENGTH OF TE5'1', h�lA�s <br /> 'r.'ANIi HOTTOtt TO GI:AI?E . TANK TOP TO GRADE <br /> DIAME'1'rR l <br /> . 'r'Es'r LEVEL A13ovE GRADE :�j,� . WATER IN TANK_ <br /> DEM-11 FOR 'TAKING SAMPLE �! . 'TEMP. PROBE ,DEPTH • <br /> '1'ES'l' w-1-vEL, TO 'YANK noT,I'OM GROUNDWATER ABOVE TANK <br /> VHOIJUCT PP.r•,SSURE per I " IIEIGtI'I' , ,'1PSI . 3, a cffi <br /> "RLSUL'1'S OF 'Z'ES'T" t <br /> CEn'TIFIED 'l'IGiFT: YrsxNO ' <br /> LEAK HATE PER HOUR : + <br /> SIGNATURE OF 01'Er,A'rOn_— - NAME f_,p S <br />