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CRISP 1A111% TESTING mow <br /> P. 0. BOX 304d7 <br /> STOC! ON, A 45213 <br /> (204) 431.1825 <br /> �9@9- <br /> '1'151' <br /> oww"1", OF n L�j IE ill' 0.1-1 <br /> 111)URrSS_iOO f�. ._�(_K �l'\f _ KC�. Ca.'1'Y ► _OA _ ziP11• <br /> OWNER OF TANK( S)_ �Ob'lC <br /> ADDRESS CITY , 7IP <br /> OPERATOR AT 1,UCATION1 Lr� j'G- tJ:j I c <br /> &Quu) <br /> ADDRESS a'_ M��n S� • CITY , CALIF. 7,IP25�13(0,. <br /> NAME OF COUN'T'Y Jia ' Lt IVl <br /> TANI'%# <br /> ON F'I.,U'T' PLAN . AGr. OF TANK <br /> _YRS. CAPACITYJbAMGALLONS• <br /> Da rSEt, , PREM.[UPt UNLrADED , -UNLEADED , REGULAR. , <br /> KrROSENr , tl'I'11r11 <br /> ME'T'AL F1 Il ERGI.,ASS VAPOR RECOVERY SYSTEM: YES NO_X <br /> TYPE OF SYS'rrrt: SUC'TIUN_X, suBmERSinu. , OTIIER_ <br /> MEASURED API SI'rCIFIC GRAVITY�� I'RODUC'r 'TEMPERATURE . <br /> API SPECIFIC GRAVI'T'Y (P60 ' F,3,g.q . <br /> COEFFICIENT OF rXPANSION , nbp4li�Qr_. <br /> TA141; r11,T,rU - 1)ATF,,� '1']tIr _ <br /> 'T'Arai; 'rr:,s'1'ru - DATE S'T'ART FINi511 ��QG, <br /> LENG'rn OF TrS'I' <br /> '1.'ANK 130T TO{l TO GRADE /.37 : 'TANK TOP TO GRADE �3 . <br /> DIAMETER " TEST LEVEL ABOVE GRA 1) <br /> WATER IN TANK. ;. <br /> DE1.3111 FOR TAKING SAMPLE . TEMP. PROBE DEPTH <br /> TES'T LrvEa, 'ro 'YANK BUT'ToM_LfLL�. GROUNDWATER ABOVE TANK: <br /> PRODUCT PRESSURE per I " IIEIGII'I'_, 1 v s I . <br /> "RESULTS OF TrS'r** <br /> CERTIFIED 'ric;wr: YrS_)� NU , ` 1 <br /> LEAK RATE PER HOUR : + <br /> ;i <br /> SIGNATURE OF OPERATOR NAME s <br />