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`� ,Crisp Tank Testing & Construction Company <br /> y <br /> ' Phone (209)931-1828 l.lrpnsad <br /> Post Office Box 30487 Insured <br /> Stocidon,California 95213 <br /> **TESTI REPORT** <br /> OWNER OF SITE: Fria. �, 1� TU 1 1 )) 0 1- <br /> ADDRESS: IuGr�n-tlIh e R�CITY:lc) `! _ZIP1� >-;_ <br /> OWNER OF TANKS: <br /> ADDRESS: CITY: 7IP: <br /> OPERATOR AT LOCATION: <br /> ADDRESS: CITY: , 7IP: —_ <br /> COUNTY: a n .�'� n42at'F1 TANK #: t' AGE: 7) GALLONS: <br /> METAL(X) FIBERGLASS( ) SINGLE WALLED(X) DOUBLE WALLED( ) <br /> DIESEL( ) UNLEADED( ) PREMIUM UNLEADED( ) vJ1 ){i; 41- :'J'_ I ( ) <br /> WASTE OIL( ) KEROSENE( ) AVIATION GAS( ) JET FUEL( ) WATER( ) <br /> SUCTION( ) SUBMERSIBLE( OVERSPILL CONTAINER--YES(' /) NO( ) <br /> SHEARVVALVE--YES(') NO( ) IN-LINE LEAK DETEC'TOR--YESC /) NO( ) <br /> VAPOR RECOVERY SYSTEM--YES(W NO( ) *IF YES, PHASE 1 (V ) PIIASE ?. ( ) <br /> TANK FILL DATE: -7–d0 9 TIME: 15-(IC) <br /> TANK TEST DATE: ? -d/-9T START: D END: )) G LENGTH OF TEST: , <br /> TANK BOTTOM TO GRADE. . . . l y '� TEST LEVEL TO TANK BOT'T'OM <br /> TANK TOP TO GRADE. . . . . . . GROUND WATER ABOVE 'TANK . . <br /> DIAMETER. .. . . . . . . . . . . . . . . PSI . . . . . . . . . . . . . . . . . . . . . , - --- <br /> TEST LEVEL ABOVE GROUND. / .� NET TEST PRESSURE. . . . . . . . <br /> WATER IN TANK. . . . . . . . . . . API SPEC GRAV. . . . . . . . . . . <br /> DEPTH FOR TAKING SAMPLE. 09 TEMP . . . . . . . . . . . . . . . . . . . . . <br /> TEMPERATURE PROBE DEPTH. r G API SPEC GRAV @ 60 ' F. . . . <br /> COEFICIEN'T OF EXP. . . . . . . . . <br /> CERTIFIED TIGHT--YES( ) NO( ) LEAK RATE PER/IIR:+ <br /> PRODUCT LINE TEST--PASS(>C) FAIL( ) SUCTION( ) PRESSURE(Y..) <br /> CERTIFIED TIGHT--YES( I_NO( ) LEAK RA'Z'E PfER//HR: + <br /> COMMENTS s a h <br /> .DATE:– -Za a� 3 SIGNATURE OF TESTER:;'' <br /> REV ' 3/92 V <br />