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3 k <br />r , <br />s'risp Tank Testing & Construction Company <br />Phone (209) 931-1826 licensed <br />Pod Office Box 30467 B G Insured <br />SfocMon. California 95213 <br />{ LICENSE #92-1248 <br />*TEST Rgwll <br />� E LEONARD E. CRISP <br />,..,� <br />• <br />DATE: <br />OWNER OF <br />n <br />SITE: L ---r-14 )( <br />oU <br />ADDRESS: c� 1 C, riyl�k`�)n <br />CITY: I' { .l ,LLZIPs�_%J�7b . <br />OWNER OF <br />TANK(S): L��_SLZ <br />ADDRESS: <br />C `, C. /1 }•f /C .SLS/1 <br />CITY: l ,AZIP s <br />OPERATOR <br />AT LOCAITION: <br />ADDRESS: <br />57L) (�7�C(1(\l_II(lf <br />C1CI <br />CITY: (LLZIP:'j 37, . <br />NAME, OF <br />COUNTY:_ (/) O�'��(.fl <br />/1 <br />AGE OF TANK: <br />TANK#:_. CAPACITY: DOO GALLONS. METAL: FIBERGLASS: <br />SINGLE WALLED:_X DOUBLE WALLED: DIESEL: PREM. UNLEADEDiX <br />UNLEADED: REGULAR LEADED: KEROSENE: WASTE OIL: AVGAS: <br />VAPOR RECOVERY--YES-,Y--\,-NO IF YES, PRASE 1: PHASE 2:. <br />SYSTEM TYPE --SUCTION: SUBMERSIBLE: X - INLINE LEAK DETECTOR--YES_LNO <br />SHEAR VALVE--YES,XNO OVERSPILL CONTAINER--YES_,X_NO <br />TANK FILLED --DATE: �)o�' ��-�% TIME: <br />TANK TESTED --DATE: _�o� -I� (� START: <br />LEGNTH OF TEST: HOURS. _MINS. <br />FINISH: <br />•.`.:..`;': TANK BOTTOM TO GRADE:". TANK TOP TO GRADE: DIAMETER:". <br />TEST LEVEL ABOVE GRADE ". WATER IN TANK: <br />lo'. DEPTH DEPTH FOR TAKING SAMPLE: U). TEMPERATURE PROBE DEPTH: <br />TEST LEVEL TO TANK BOTTOM: GROUND WATER ABOVE TANK:" . <br />PSI: , Oa NET TEST PRESSURE:. <br />*ARESULTS OF TEST** <br />CERTIFIED TIGHT--YES/X NO <br />LEAK RATE PER HOUR: + <br />SIGNATURE OF TESTER, <br />