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•. ,",,, 'Crisp Tank Teslng & ConstructAn Company <br /> ✓ <br /> Phone (209) 931-1828 llcpns�d <br /> 0 Post Office Box 30487 Insured <br /> Stocidon, California 95213 <br /> **TEST REPORT** <br /> OWNER OF SITE sPra H 5 �/jx 0 <br /> ADDRESS: S12� CITY: ) ZIP" f • S /(> <br /> OWNER OF TANKS: <br /> ADDRESS: CITY : <br /> OPERATOR AT LOCATION: <br /> ADDRESS: CITY: , ZIP : _ <br /> COUNTY: S a n .SQZG jao TANK #: AGE: GALLONS : <br /> METAL(y) FIBERGLASS( ) SINGLE WALLED(' DOUBLE WALLED( ) <br /> DIESEL( ) UNLEADED( ) PREMIUM UNLEADED(u) _.( ) <br /> r <br /> WASTE OIL( ) KEROSENE( ) AVIATION GAS( ) JET FUEL( ) WATER ( ) <br /> SUCTION( ) SUBMERSIBLE( OVERSPILL CON'T'AINER--YES( ) NO( ) <br /> SHEARVVALVE--YES(Q NO( ) IN-LINE LEAK DETEC'T'OR--YES('/') NO( ) <br /> VAPOR RECOVERY SYSTEM--YES(x) NO( ) *IF YES , PHASE 1 (;✓.) PHASE. ( ) <br /> TANK FILL DATE: O - TIME: I g0 (0 <br /> TANK TEST DATES /' START: OU END: �) LENGTH OF 'T'ES'T': <br /> TANK BOTTOM TO GRADE. . . . 1 47 TEST LEVEL TO 'TANK T3OTTOM <br /> TANK TOP TO GRADE. . . . . . . t GROUND WATER ABOVE TANK . . <br /> DIAMETER. . . . . . . . . . . . . . . 9 3 PSI . . . . . . . . . . . . . . . . . . . . .tC� ��> <br /> TEST LEVEL ABOVE GROUND. NET TEST PRESSURE. . . . . . . . , (, <br /> WATER IN TANK. . . . . . . . . . . API SPEC GRAV . . . . . . . . . . . . <br /> • DEPTH FOR TAKING SAMPLE. TEMP . . . . . . . . . . . . . . . . . . . . . <br /> TEMPERATURE PROBE DEPTH. API SPEC GRAV @ 60 ' F . . . . O <br /> • COEFICIENT OF EXP . . . . . . . . sj v <br /> �t---- <br /> CERTIFIED TIGHT--YESO NO( ) LEAK RA'Z'E PER/IIR : + <br /> PRODUCT LINE TEST--PASS(-) FAIL( ) SUCTION( ) PRESSURE('/) <br /> CERTIFIED TIGHT- YES(>t) NO( ) LEAK RATE PER/NR: + <br /> COMMENTS:_-_ h I7 ' / <br /> , T�cl 5�.� <br /> SATE: "' 3 SIGNATURE OF TESTER:, <br /> V -3/92 <br />