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t Crisp Tank Testing & construction Company <br />• s, <br /> Phone (209) 931A828 <br /> � POSt Office Box 30487 Llcons-d <br /> Stockton, California 95213 Insvrnd <br /> **TEST REPORT** <br /> OWNER OF SITE: l-/,'x, ), _0 <br /> ADDRESS:_5') / (AV, Cj � IM P. CITY: <br /> Y'l cv 7IPLL , ' <br /> l(-'-- <br /> OWNER OF TANKS: <br /> ADDRESS: c^ CITY: _ ZIP :__ -- <br /> OPERATOR AT LOCATION: <br /> ADDRESS: CITY: , ZIP :- - <br /> COUNTY: an <br /> ,IP :COUNTYs .n _TANK #:CAGE: GALLONS:_<j� ) <br /> METAL(y) FIBERGLASS( ) SINGLE WALLED(/.) DOUBLE WAILED( ) <br /> DIESEL( ) UNLEADED( ) PREMIUM UNLEADED(V) ( ) <br /> WASTE OIL( ) KEROSENE( ) AVIATION GAS( ) JET FUEL( ) WATER( ) <br /> SUCTION( ) SUBMERSIBLE( OVERSPILL CONTAINER--YFS( ) NO( ) <br /> SHEARVVALVE--YES NO( ) IN-LINE LEAK DETEC'T'OR--YES(',) NO( ) <br /> VAPOR RECOVERY SYSTEM--YES(X) NO( ) *IF YES, PHASE 1 (✓) PHASE, 7 (• ) <br /> TANK FILL DATE: G - TIME: d <br /> TANK TEST DATE: START: U U END: . LENGTH of '['F,'r: <br /> TANK BOTTOM TO GRADE. . . . 1 �7 TEST LEVEL 'IO 'TANK BO'1"('Ot1 <br /> ---- <br /> TANK TOP TO GRADE. . . . . . . � �' GROUND WA'T'ER ABOVE 'TANK . . •�''• <br /> DIAMETER. . • . . . . . . . . . . . _ 9 3 . . . . . . . . . . . . . . . . . . . ----- , <br /> • PSI . . . <br /> TEST LEVEL ABOVE GROUND.__Z 3 NET 'PEST PRESSURE . . . . . . . . <br /> l t <br /> WATER IN TANK. . . . . -19'' <br /> API SPEC GRAV . . . . . . . . . . . . <br /> DEPTH FOR TAKING SAMPLE. DU S TEMP . . . . . . . . . . . <br /> TEMPERATURE PROBE DEPTH._ J G _ API SPEC GRAV @ 60 ' .F . . . . <br /> COEFICIENT OF EXP. . . . . . . . <br /> CERTIFIED TIGHT--YES(7C) NO( ) LEAK RATE PER/NR : + <br /> PRODUCT LINE TEST--PASS(/.) FAIL( ) SUC`T'ION( ) PRESSURE('/) <br /> CERTIFIED TIGHT--YES(k) NO( ) LEAK RA'Z'E PER/llR: + ) <br /> COMMENTS: <br /> DATE: ` � � --13 J" � ,•� -- - <br /> S IGNATURE OF TESTER - )( (1� <br /> REV 3/92 ---- <br />