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CR(0 TAX TESTING <br />P. 0, BOX 30487 <br />STOCRIO3, :A 95213 <br />1209) 9311925 <br />'rrS T RI PORT <br />OWNER OF S1'C.r_. <br />LICENSE #92-1248 <br />LEONARD E. CRISP <br />ADDRESS IQj10 <br />l,,i 8azfAn <br />6c—, CI'l.'Y , <br />7,IP A <br />_(A <br />OWNER OF <br />TANK(S) <br />ADDRESS <br />CITY <br />ZIP <br />OPERA'T'OR <br />AT LOCATION �ilU1 <br />.�n(�(�r11r� l I)FAi'�-AI <br />ADDREss jSjD{ <br />a[_Zt_//1.)j-,/-1i)1 <br />,cIIVY , <br />CALIF. ZIP,? EI . <br />NAME OF <br />COUN'T'Y \�Ir)GI;;LIIr <br />, <br />TANK#_,3_ON F11,01' PLAN. AGE of 'TANK YRS. CAPACITY /l?.M/j(3ALLONS, <br />w ESEL_,X_, • PREM.CUM UNLEADED, <br />KEROSENE , OTHER <br />ME'TAL__X_FI13ERG1,ASS VAPOR RECOVERY SYSTEM= YES—NO-X <br />TYPE OF SYS'T'EM: SUCTION_X, SUINIERsiBLE , OTHER <br />MEASURED API SPECIFIC GRAVITY PRODUCT PRODUCT TEMPERATURE. <br />API SPECIFIC GRAVITY @60' <br />COEFFICIENT OF EXPANSION - bllbtMdd () <br />, UNLEADED , REGULAR,. , <br />TANK FI 1,LED - UA'1'E ,`� - -.� `]U • ' `I'ItIE /�(�(� <br />TANK TESTED - DATE START (w", („ , FINISH_ / U fir' 3 •. <br />LENGTH OF 'TEST ' ' ��C", <br />TANK TOOT -roti To GRADE /q -q 'TANK TOP '1'0 GRADE <br />DIAMETER L' ". TEST LEVEL ABOVE GRADE . WATER IN TANK. <br />DEP'TII FOR TAKING SAMPLE) 'TEMP. PROBE DEPTH•. <br />TEST LEVEL TO TANK BOT'T'OM GROUNDWATER 'ABOVE TANK, r :f <br />PRODUCT PRESSURE per 1" HEIGHT psi. 10-W <br />**RESULTS OF TEST** rt <br />CER'T'IFIED 'TIG11T: YES <br />_)LNU <br />LEAK RATE PER 11OUR: <br />SIGNATURE OF (_)1'EP,A'I'vR NAME �I <br />