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10 0 • <br />r Crisp Tank Testing & Construction Company <br />Phone (209) 931-1828 licensed <br />Post Offlce Box 30487 Insured <br />SfocMon, California 95213 <br />*'I'ES'C REPORT* <br />OWNER OF SITE:M�- <br />LICEN,S)E #92-1248 <br />LEONARD E. CRISP <br />DATE:ROLP'A. <br />C1 <br />t <br />ADDRESS: )jq U10E, CITY: , ZIP -q <br />OWNER OF TANK(S): 'TV RellkAa_ <br />ADDRESS:3uaS alk D2"k0f, CITY: ZIP:96z_06l. <br />OPERATOR AT LOCATION: 1) JU)dGl,.1'lt &LIS, <br />ADDRESS: 330Q t6 nf- CITY: ,m4ZIP:�1S�• <br />NAME OF COUNTY: �j�'J1_Q1,1 j AGE OF TANK* <br />TANK#CAPACITY: �(�QGALLONS. ME'I'AL:_.X_ FIBERGLASS: <br />SINGLE WALLED: _X D(.'UBLE WALLED:_ DIESEL: PREM. UNLEADEDc <br />UNLEADED: REGULAR LEADED: KEROSENE: WASTE OIL: AVGAS: <br />VAPOR RECOVERY --YES ._NO—>(—. IF YES, PHASE 1: PHASE 2: <br />SYSTEM TYPE- -SUCTI01,;:X SUBMERSIBLE: . INtINE LEAK DETECTOR --YES NO_y�, <br />SHEAR VALVE --YES NO_,X_. OVERSPILL CON'T'AINER --YES NO_&__. <br />TANK FILLED --DATE: Q -Q - TIME: <br />TANK TESTED --DATE : QQ—Q 977q I START: C) p q0 FINISH: CE 34 <br />LEGNTTI OF TEST:Q__IIOURS. _MINS. <br />TANK,BOTTOM TO GRAVE:�'TANK TOP TO GRADE:". DIAMETER: ". <br />TEST LEVEL ABOVE GRADE: _�f�". WATER IN TANK:_". <br />DEPTH FOR TAKING SAMPLE:_" . TEMPERATURE PROBE DEPTt���� <br />TEST LEVEL TO TANK BOTTOM:14C" . GRO�yU-ND WA'T'ER ABOVE TANK:_" . <br />PSI: i(7 : NET TEST PRESSURE . 71c-fezttJ witkalitsj 21 X991 <br />"RESULTS OF TEST* * <br />CERTIFIED TIGHT--YF`_X_NO <br />LEAK RATE PER (TOUR-. + <br />SIGNATURE OF TESTER: <br />E--N"VIROtiMENTAL HEALTH <br />PERMIT/SETNICES <br />0, 6 �l a e C_ �'w't'4' <br />