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risp Tank Teling vonstrucAn Company <br />Phone (209) 931-11828 <br />Licensed <br />Post Office Box 30467 Insured <br />StocMon, California 95213 <br />**TEST REPORT** LICENSE it 9 2 -1 4 <br />OWNER OF SITE:LEONARD E. UMP <br />ADDRESS: CITY Z I P <br />OWNER OF TANKS: <br />ADDRESS: CITY: ZIP: <br />OPERATOR AT LOCATION: at= 2 as abbJ U <br />ADDRESS: CITY: ZIP: <br />COUNTY: in •TANK AGE. GALLONS: <br />v <br />METAL(A FIBERGLASS( SINGLE WALLED(Y-) DOUBLE WALLED( <br />DIESEL( UNLEADED(V) PREMIUM UNLEADED( <br />WASTE OIL( KEROSENE( AVIATION GAS( JET FUEL( WATER( <br />SUCTION( ) SUBMERSIBLE(D4) OVERSPILL CONTAINER --YES( NO(V�, <br />SHEARVVALVE--YES('A NO( ) IN-LINE LEAK DETECTOR--YES(V,) NO( ) <br />VAPOR RECOVERY SYSTEM--YES(V) NO( ) *IF YES, PHASE 1(^,O PIIAsE 2(V� <br />TANK FILL DATE: 12J7_2J(1-_iIME: 10M <br />TANK TEST DATE: CIATART: (-i o END -LENGTH OF TEST: <br />TANK BOTTOM TO GRADE....__j,_--�- TEST LEVEL TO TANK BOTTOM_4_L4iCjL <br />TANK TOP TO GRADE......: GROUND WATER ABOVE TANK.. <br />DIAMETER ............. <br />PSI..................... <br />TEST LEVEL ABOVE GROUND.Zi NET TEST PRESSURE........ <br />WATER IN TANK........... API SPEC GRAY......... <br />DEPTH FOR TAKING SAMPLE. TEMP ..................... <br />TEMPERATURE PROBE DEPTH. API SPEC GRAY @ 60' F.... <br />• COEFICIENT OF EXP........ <br />'`CERTIFIED TIGHT --YES( NO( LEAK RATE PER/IIR-+X)j__j_j <br />PRODUOT LINE TEST­PASS(j4 FAIL( SUCTION( PRESSURE(V) <br />CERTIFIED TIGHT--YES(V4 NO( LEAK RATE PER/IIR-+ <br />COMMENTS: <br />DATES SIGNATURE OF TESTER <br />