Laserfiche WebLink
3a/ <br />Cris Tank Te tin <br />Crisp g & Construction Company <br />Phone (209) 931-1828Stoc� , 192 licensed <br />Post Office Box LICENSE #%2-1248 Insured <br />kton, CaliforniaCaliforniarnia 95213 'ENVIRONivy�N�TAL H(AL <br />I rQj,d w+ -! R' OORT** LEONARD E. CRISP <br />OWNER OF SITE: <br />ADDRESS:- 25 Vu`��r. CITY: Shy-, n OA ZIP '��(� <br />9__ <br />OWNER OF TANKS: — Same dS oc. <br />ADDRESS: CITY: ZIP: <br />OPERATOR AT LOCATION: -els <br />ADDRESS:_no2 (ll. c,� ' I�YIP. CITY: Sfbckfpn ,_0_ZIP:95Z0_4- <br />COUNTY: TANK #:AGE: GALLONS: <br />METAL(x) <br />FIBERGLASS( ) <br />DIESEL(x) <br />UNLEADED( ) <br />WASTE OIL(1C) <br />KEROSENE( ) <br />SUCTION( ) <br />SUBMERSIBLE( <br />SHEAR VALVE --YES( <br />) NO()() <br />VAPOR RECOVERY SYSTEM --YES( <br />TANK FILL DATE: TIME: <br />SINGLE WALLED(x) DOUBLE WALLED( ) <br />PREMIUM UNLEADED( ). REGULAR LEADED( ) <br />AVIATION GAS( ) JET FUEL( ) WATER( ) <br />OVERSPILL CONTAINER --YES( ) NO(X) <br />IN-LINE LEAK DETECTOR --YES( ) NO(x) <br />NO(-() *IF YES, PHASE 1( ) PHASE 2( ) <br />TANK TEST DATE:'Z-26-92 START: 14-00 <br />END: /600 LENGTH OF TEST: ?-h(-5,TANK <br />`'BOTTOM TO GRADE... <br />TEST LEVEL TO TANK BOTTOM <br />TANK TOP TO GRADE...... . <br />GROUND WATER ABOVE TANK.. <br />DIAMETER ............... " <br />TEST LEVEL ABOVE GROUND.- 4-P" <br />NET TEST PRESSURE ........ <br />-A-r,0?j <br />WATER IN TANK........... �',� <br />API SPFC GRAV. ..........,�r.� <br />DEPTH FOR TAKING SAMPLE.TEMP <br />.................... <br />""`J' <br />J <br />TEMPERATURE PROBE DEPTH. <br />API SPEC GRAV @ 60' F.... <br />33.9 <br />COEFICIENT OF EXP....; ...,L-004-582, <br />CERTIFIED TIGHT--YES(X) NO( ) <br />LEAK.RATE PER/HR:+ <br />/ :043 <br />PRODUCT LINE TEST --PASS( ) FAIL( ) <br />SUCTION( ) PRESSURE( ) <br />CERTIFIED TIGHT-TYES( ) NO( ) <br />LEAK RATE PER/HR:+ <br />DATE: L'26'�i2- SIGNATURE OF TESTER <br />COMMENTS: <br />REV 3/92 <br />