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7.Ih,t.� r,•7• ., <br /> ' ,Crisp Tank Testing & Construction Company , <br /> Phone (209) 931-1828 licensed <br /> Post OdICe Box 30487 Insured <br /> Stocidon,California 95213 <br /> **TEST( REPORT*}* <br /> OWNER OF SITE: Fra Vl FUo C+ <br /> ADDRESS: S7? Y kJ6rYYlrtLh 1, RA CITY: ZIP (, <br /> OWNER OF TANKS: — <br /> ADDRESS: CITY: _► ZIP : <br /> OPERATOR AT LOCATION: N q a 6 0 <br /> ADDRESS: CITY: ► ZIP: __— <br /> COUNTY: , [? n j _)AOrir" TANK #: AGE. GALLONS: <br /> METAL(x) FIBERGLASS( ) SINGLE WALLED(X.) DOUBLE WALLED( ) <br /> DIESEL( ) UNLEADED( ) PREMIUM UNLEADED( ) Sl h 'l <br /> WASTE OIL( ) KEROSENE( ) AVIATION GAS( ) JET FUEL( ) WATER( ) <br /> SUCTION( ) SUBMERSIBLE( OVERSPILL CON'T'AINER--YES(/) NO( ) <br /> SHEARVVALVE--YES(') NO( ) IN-LINE LEAK DETECTOR--yrs(" ) Nn( ) <br /> VAPOR RECOVERY SYSTEM--YES(W NO( ) *IF YES, PHASE 1 (t! ) P11ASE 2 ( ) <br /> TANK FILL DATE: -7 2 TIME: 150 (-.) <br /> TANK TEST DATE:'? -.d/-9?-START: D __END: LENGTH OF TEST':.,) <br /> TANK BOTTOM TO GRADE. . . . 1 9-7 TEST LEVEL TO TANK BOTTOM_ <br /> TANK TOP TO GRADE. . . . . . . r) GROUND WATER ABOVE TANK . . <br /> DIAMETER PSI . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . _ <br /> TEST LEVEL ABOVE GROUND. l -3 NET TEST PRESSURE . . . . . . .. . <br /> WATERIN TANK. . . . . . . . . . . ®" API SPEC GRAV. . . . . . . . . . . . <br /> DEPTH FOR TAKING SAMPLE. 04 TEMP. . . . . . . . . . . . . . . . . . . . . <br /> TEMPERATURE PROBE DEPTH. S G API SPEC GRAV C 60 ' F. . . . <br /> • COEFICIEN'T' OF EXP. . . . . . . . <br /> CERTIFIED TIGHT--YESO NO( ) LEAK RATE PER/11R:+ <br /> PRODUCT LINE TEST--PASS(>C) FAIL( ) SUCTION( ) PRESSURE(/) <br /> CERTIFIED TIGHT--YES(/,) NO( ) LEAK RATE PER/11R: + /_ 741- <br /> _ <br /> COMMENTS: a h h _� ('f lz ` r� , ), t S ��•�l���1' --- <br /> vs� <br /> DATE:�'^a o'7 3 SIGNATURE OF TESTER: <br /> cV •3/92 ' <br />