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---•------! -- --���_. � ^.%.i�....... •�:�. 1-..1:•�'. ��j�� <br /> CRISP MIX TFSTIMA `.. ' <br /> P. 0, BOX 30497 <br /> STOMON, 1-.A 95213 <br /> 1209) 931.1823 <br /> 177:5 r I1rIc�r..'r . <br /> rnCl ��GI� ,.f�Lk�lI� � <br /> OWN,'.",I ^ o F t'r r_. n '1 �,; t1 1��I f �7 � � .(r _[. <br /> ADDRrss1Q[) � 1 ckc k:&nL�.,c1'1-v , _�� ZIP <br /> OWNER OF <br /> ADDRESS CITY ZIP <br /> OPERATOR AT 1,0('AT101`4� <br /> nUr,nrss ; 1 '() ,Cl'rY �j CALIF. 7irqs',w .. <br /> NAME OF CUUN'I'Y S(A n `�1� r1 A 1 0 <br /> TANI:# ON I'LOT PLAN. 11(39 of TANK--14 YRS. CA PAC ITYJ40MGALLONS. <br /> UI ESEL , ' PREMIUM IJNJ,EADED , UNLEADED , REGULAR—X—, <br /> KrROSEN9 , O'I'lI1i2 <br /> rtE'1-AL CI1JrRGt.,AssLl"�� VAPOR RECOVERY SYSTEM: YES�X-.N0 <br /> TYPE OF 5YS't'EM: SUC'I'IUN�, SuI)M9RSI13LE , OTHER • <br /> MEASURED API SP1;CIFIC GRAVITY 51 IIRUUUC'C TEMPERATURE <br /> API 51"ECIFIC GRAVITY @600 F ,5-g,a <br /> COEFFICJ.ENT OF EXPANSION <br /> TANI: r 1 f,l.,i?I) - DA'I'I;�� �Q , 1111lit; <br /> TANK 'rrS'rrn 1JA'1'9 ' — ' START �� • , FINISH <br /> LENVTii OF TrST <br /> '1.'ANK I;O'i"rOM TO G[:AnE /,3f�! TANK '1-011 '1-0 GRADE `'?g <br /> DIAMETER TEST LEVEL A13OVE GRADE /9. WATER IN TANK,,, • <br /> DEPTII FOR TAKING SAMPLE - ". 'TEMP. PROBE DEP'C11,`�. <br /> '1'ES'C 1_.EVE1, '1'U 'TANK 130'1"1-oM GROUNDWATER ABOVE TANK=.v�J <br /> PRODUCT PRrSSURE Per 1 " 119IGIIT , 0(, PSI . <br /> **RCsui.,rs or TrST** <br /> C1;RTIrIEU 'l'IGII'C: YES ' <br /> LEAK RA'Z'E PER HOUR! + � _ <br /> SiGNA'I'UR1; c)1- Oi'i i?11'I'OR --- NAME <br />