Laserfiche WebLink
Crisp Tank TIsting & construction Company <br />p Y <br />Phone (209) 931-1828 licensed <br />,Post Office Box 30487 Insured <br />Stockton, California 95213 <br />OWNER OF SITE:, <br />ADDRESS <br />OWNER OF TANKS: <br />EST REPORT* * LICENSE #92-1248 <br />7z7LEONARD E. CRISP <br />ZIP9� <br />ADDRESS: <br />BOTTOM <br />CITY: <br />v ZIP: <br />OPERATOR AT LOCAT�QN:_0!, <br />TANK <br />_ <br />ADDRESS: <br />% C <br />C IrrT��Y : <br />, ZIP: <br />COUNTY: <br />ANK <br />#: .C� <br />AGE: GALLONS: <br />METAL) <br />FI ERGLASS( ) <br />SINGLE <br />WALLED �) DOUBLE W L D( ) <br />DIESEL( ) <br />UNLEADED( ) <br />PREMIUM <br />UNLEADED( )��� <br />WASTE OIL( <br />) KEROSENE( ) <br />AVIATION <br />GAS( ) JET FUEL( ) WATER( ) <br />SUCTION( ) <br />SUBMERSIBLES) <br />OVERSPILL <br />CONTAINER --YES( NO( ) <br />SHEAR VALVE <br />--YES( NO( ) <br />IN-LINE <br />LEAK DETECTOR--YES(v NO( ) <br />VAPOR RECOVERY SYSTEM --YES(() NO( ) *IF YES, PHASE 1X) PHASE 2(<) <br />TANK FILL DATE: TIME: <br />TANK TEST DATE: -,2% START: <br />END: ")'/&(_j LENGTH OF TEST: <br />TANK <br />BOTTOM <br />TO GRADE.... <br />Z -,<e% •• <br />TEST LEVEL TO <br />TANK <br />BOTTOM <br />TANK <br />TOP TO <br />GRADE...... <br />GROUND WATER <br />ABOVE <br />TANK. <br />DIAMETER ............... <br />PSI..................... <br />O.Z <br />TEST LEVEL ABOVE GROUND. <br />NET <br />TEST PRESSURE ........ <br />WATER IN TANK.......... ._ <br />API <br />SPEC GRAV............ <br />DEPTH FOR TAKING SAMPLE. <br />TEMP <br />............. .. <br />TEMPERATURE PROBE DEPTH. _ <br />API <br />SPEC GRAV C� 60' F. <br />....� <br />COEFICIENT <br />OF EXP........, <br />3 <br />CERTIFIED TIGHT --YES( NO( ) <br />LEAK <br />RATE PER/HR:+ <br />PRODUCT LINE TEST --PASS( ) FAIL( ) SUCTION( ) PRESSURE( ) <br />CERTIFIED TIGHT -=YES( ) NO( ) LEAK RATE PER/HR:+ <br />DATE: `Z% �i� SIGNATURE OF TESTEF( <br />COMMENTS: <br />REV 3/92 <br />