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CIRISP AKIK TES IhlC <br /> 2004 Piccoli *9 <br /> ' (209)931-1828 <br /> Stockton, Ca 95205 <br /> TEST REPORT <br /> ` OWNER OF SITE <br /> f a ADDRESS CI Y) h pc,p STATEZIP_9�55. <br /> 414 1 <br /> I , rOWNER OF TANKS I Ci <br /> ` ADDRESS CITY 1/q T j, ,a STATE�ZIP G 3� <br /> OPERATOR AT LOCATION, i� - <br /> �G�r �. I r-07 D e PO <br /> ADDRESS NC CITY J/j r STATEj�JLZIP-j <br /> NAME OF COUNTY SA N <br /> .'j TANK ON PLOT PLAN. AGE OF TANK n1 �°GcJ <br /> j ; ( + .DESCRIPTION OF TANK: <br /> CAPACITY ,DIAMETER �� <br /> t � , METAL FIBERGLASS <br /> ?TYPE OF SYSTEM: SUCTION_: SUBMERSIBLE OTHER . <br /> F { VAPOR RECOVERY SYSTEM?_ 1 ; TYPE <br /> PRODUCT BEING TESTED Cl y e 5 e-4- -3e GRAVITY �3e <br /> COEFFICIENT ``, TEMPERATURE OF PRODUCT, AIR <br /> ,STORAGEILLED'- DATE - D TIME . <br /> TESTED - DATE - /- !S& START UVOO FINISH J/UU <br /> LENGTH OF TEST c� hpL�rs <br /> MEASURED WATER IN TANK <br /> . HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER /.5"'' . PSI AT TANK BOTTOM <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES _; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + or - <br /> 1' REMARKS BY OPERATOR <br /> NAME OF OPERATOR 6A rVl,, ,A. <br /> Cl 'SIGNATURE OF OPERATOR <br /> +4 DATE - 025-8& '. <br /> t y _ <br />