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CRISP TANK TESTING <br />140 W. ALDER <br />STOCKTON, CA 95204 <br />Test Rei)ort <br />Underground Storage Tan] <br />HORNER SYSTEM <br />OWNER OF SITE LQk.612 <br />AuURESS OF OWNERI?p 6'Ox 30 CITY �� �fo„i STATE Cx; Z I P <br />OWNER OF TANK yBi2eEo !� /�A�2✓ /,�T <br />ADDRESS OF OWNERG�, e�oX y/3O CITY S; c�x�,�/ STATE G°f} 21 P �%S_20cY <br />NAME OF OPERATOR AT <br />LOCATION, S0T��,y ro,a <br />ADDRESS OF LOCATION <br />w��C I TY Sic cfc.J STATE G'�} Z! P G'6 <br />NAME OF COUNTY:S <br />TANK # / ON PLOT PLAN LOCATION. STORAGE SYSTEM FILLED; DATE TIME /.,241S <br />DATE OF TEST /,/ -_2o ,?4 TIME OF DAY: START O goo FINISH /3 ,�eyz <br />LENGTH OF TEST,5;�lg AIR TEMPERATURE <br />DISCRIPTION OF TANK -CAPACITY DIAMETER METAL X FIBERGLASS <br />TYPE OF SYSTEM- SUCTION_.,�_SUBMERSIBLE OTHER <br />TYPE OF VAPOR RECOVERY SYSTEM <br />TYPE OF PRODUCT BEING TESTED �3,fs�� MEASRURED GRAVITY COEFFICIENT, pcc 3K5 <br />TEMPERATURE OF PRODUCT 6 /° <br />MEASURED WATER IN TANK <br />DEPTH OF GROUND WATER(, jo <br />AGE OF TANK AND L I NES OA/kA1DUJn/ <br />DEPTH OF TANK TOP FROM GROUND LEVEL 441 <br />HEIGHT OF LIQUID LEVEL IN TEST STAND OR STAND PIPE__a „ <br />RESULTS OF TEST: CERTIFIED TI�HT:-"YES_,� NO <br />LEAK RATE PER HOUR: + <br />REMARKS BY OPERATOR <br />. IF NO EXPLAIN IN REMARKS BELOW <br />JAN <br />ENVIRC� v! _NTAL HL-""ALTH <br />I �c <br />NAME OF OPERATOR <br />SIGNATURE OF OPERATOR <br />