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CRISP TANK TESTING <br /> 2004 Piccoli #9 <br /> Stockton, Ca 95205 (209)931-1828 <br /> Yrs'r WORT LICENSE #92-1248 <br /> 1 LEONARD E. CRISP <br /> OWNER OF SITE 61 G'1 <br /> ADDRESS PU__(3�r�j� CITY {• STATECCpg53 7 <br /> OWNER OF JANKS <br /> ADDRESS <br /> U• C� `"i a-5 CIT STATECLZIP-q��3�' <br /> OPERATOR AT LOCATION <br /> ADDRESS <br /> " -h CITY STATE(�ZIP�J�3�1CP <br /> NAME OF COUNTY <br /> TANK F_ OIJ OT PLAN. AGE OF TANK <br /> DESCRIPTION OF TANK: <br /> CAPACITYZ) ,DIAMETER , METAL FIBERGLASS <br /> TYPE OF SYSTEM: SUCTION : SUBMERSIBLE,>< OTHER <br /> VAPOR RECOVERY SYSTEM? ; TYPE <br /> PRODUCT BEING TESTED ea%, _lan MEASURED GRAVITY <br /> API SPECIEIC GRAVITY "M 60°F PRODUCT TEMP. �-7-- <br /> SY EEMM s--- -- _ �(9 COE <br /> STORAGE FILIEN:_ UATE <br /> _ `/ tI''� , TIME '>D <br /> TESTED - DATE 9 STAR jZ - , FINISH <br /> LENGTH OF TEST p( ' <br /> MEASURED WATER IN TANK { HEIGHT OF LIQUID LEVEL r, ' <br /> DEPTH OF GROUND WAIER . °;? LPSI AT TANK BOTTOM � p � J <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES ; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + or <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR Q <br /> SIGNATURE OF OPERATOR <br /> DATE <br />