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CRISP TANK TESTING DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br />P. O: Ox 3"87 <br />UGCKTON, CA 95213 MZY CHEK) <br />1209) 931 -*28 <br />A. Tank Bot. to Grade <br />0 <br />B. Tank Top to Grade <br />Send Report to: <br />GRADE <br />C. Tank Diameter <br />^j <br />Client <br />es <br />D Test Level above grade <br />Address <br />G <br />E. Depth of water in tank <br />late <br />Phone <br />F. Depth for taking sample <br />'71 <br />--Attn: <br />H <br />G. Temp. Probe depth (connector) <br />A <br />H H. Test level to Tank Bot. <br />CERTIFICATION This is to cenity mat this tank syster, was tested <br />I. Groundwater above tank bottom = <br />on date shown. Those indicated •"Tignt" meet the cniena estaotisnea <br />by the Nat3ona6 Fis Protection ASSMIatton Pamphlet 329. <br />C <br />J. Product Pressure per 1" height <br />PSI <br />Tank No. <br />WATER <br />Test Pressure Formula <br />Tight <br />DEPTH <br />E <br />x , <, <br />Leakage Indicated + 0R <br />, <br />x '036 <br />H tNET <br />TEST <br />PRESSURE <br />Technician <br />Date Tested <br />