Laserfiche WebLink
Crisp Tank Testing & Construction Company <br />Phone (209) 931-1828 licensed <br />Post Office Box 30487 Insured <br />Sfocidon, California 95213 <br />*TEST REPORT* <br />OWNER OF SITE: c��i�l� 11, <br />0 <br />LICENSE #92-1248 <br />LEONARD E. CRISP <br />DATE: n / <br />ADDRESS: -5-74 4e6n llnf La CITY: .�ZIP:��. <br />OWNER OF TANK(S); l &x_ n ' <br />ADDRESS: j C. E/yjfCITY: ,� ,ZIP: <br />OPERATOR AT LOCATION: <br />ADDRESS:o� I C. CITY:A'�. <br />ZIP: . <br />NAME OF COUNTY: /� / Q /� 1� AGE OF TANK: <br />TANK#:CAPACITY: <br />GALLONS. METAL:: FIBERGLASS: <br />SINGLE WALLED: DOUBLE WALLED: DIESEL: PREM. UNLEADED: <br />UNLEADED: REGULAR LEADED: KEROSENE: WASTE OIL: AVGAS: <br />VAPOR RECOVERY--YES:NO IF YES, PHASE 1:: PHASE <br />SYSTEM TYPE --SUCTION: SUBMERSIBLE :. INLINE LEAK DETECTOR--YESNO <br />SHEAR VALVE--YESKN.O OVERSPILL CONTAINER--YES:NO <br />TANK FILLED--DATE:4 -6_ �� . TIME: . <br />TANK TESTED--DATE:a 0 - 91 START: 0600 FINISH: <br />LEGNTH OF TEST:�HOURS. _MINS. <br />TANK BOTTOM TO GRADE:". TANK TOP TO GRADE: it. DIAMETER:67 <br />TEST LEVEL ABOVE GRADE,: it. WATER IN TANK: - <br />DEPTH FOR TAKING SAMPLE: QQ,S�". TEMPERATURE PROBE DEPTH: <br />TEST LEVEL TO TANK BOTTOM ". GROUND WATER ABOVE TANK:_". <br />PSI: NET TEST PRESSURE:;%S8. <br />**RESULTS OF TEST** <br />CERTIFIED TIGHT--YES_,X._NO <br />LEAK RATE PER HOUR: +- <br />SIGNATURE OF TESTERr <br />