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CRISP MIX TESTING <br />P. a. Bax 30437 <br />siOcxTa:1, ;a 95213 LICENSE #92-1248 <br />1209) 931.1823 LEONARD E. CRISP •' �•+ <br />I'IS i' 111I;11oR'1' <br />�YilOWNi OF sIr7L 1Aa� jI(fJhlW0&S <br />ADDRESS jSj(_) L <br />OWNER OF TANK(S) �YYIf_ nS CAkooc . <br />AUDP.ESS CITY 7IP <br />OPERATOR AT i3OCATION s5(7AV\ �a()CkCi(A;0 L IJIN-ll l ")roll Cd E op.,iL <br />ADDREssISID ltd z I / to <br />f I /)y ,cul'Y ts(j� CALIF. 7,IP <br />NAME OF COUNTY_ <br />'I'ANKik�_ON PLOT PLAN. AGE OF 'TANK YRS. CAPACI'� <br />DI ESEL PREI`1IUM UNLEADED , UNLEADED ,, REGULAR_. , <br />KEROSENE , OTIII R <br />M ETA L -X -F I B E RG LA S S VAPOR RECOVERY SYSTEMS YES4NO <br />TYPE OF SYSTEM: sUC'TION_4► SUtmERSIBUE , OTHER • <br />, <br />MEASURED API SPECIFIC GRAVITY5 7 PRODUCT TEMPERATURE <br />API SPECIFIC GRAVITY @60' Fit5X6. <br />COEFFICIENT OF EXPANSION )q('C <br />TANK FILLEI) - UA'I'E i'LtiE , <br />TANK 7'ES'1'E1.)- 1)ATE ' �1 — START �n'f o •, FINISH <br />LENGTII OF TEST_,=2 1fi1.1k-5 <br />TANK ll0'I"rOM TO GRAI)E_ jqq." TANK TOP TO GRADE <br />DIAMETER . 'TEST LEVEL ABOVE GRADE . WATER IN TANK,. <br />DEP'1.'II FOR TAKING SAMPLE. TEMP. PROBE DEPTH_ <br />if <br />'I'Es,r LEVEL TO TANK BOTTOM 1. GROUNDWATER ABOVE 'TANK <br />PRODUCT PRESSURE per I" HEIGHT PSI. t�' eco � <br />**RESULTS OF TEST** r <br />CERTIFIED 'ricivre YES NO_k ' <br />��'1 �'iiiYi Ilii {i• .,. .�: <br />LEAK RA'Z'E PER HOUR: + , <br />V <br />SIGNATURE OF OPE1'A'1'Ot2_ _ _ NAME_ nag� P,� <br />