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Crisp Tank Tfsting & <br />Construction Company <br />Phone (209) 931-1828 <br />Post Office Box 30487 Licensed <br />Stockton, California 95213 Insured <br />**TEST REPORT** LICENSE #92-1248 <br />LEONARD E. CRISP <br />OWNER OF SITE:, ) C & "'�z <br />ADDRESS: /y�p�J,l/��J CITY: a t24Z ZIP�� <br />OWNER OF TANKS: <l� Q �-- <br />ADDRESS: CITY: / —I—ZIP: <br />OPERATOR AT LOCATION: / �- <br />ADDRESS: �`�QI�I�I_" CITY: ,ZIP: <br />COUNTY TANK # :��� <br />_ .1 AGE: GALLONS <br />METAL(/FIBERGLASS( ) <br />DIESEL( ) UNLEADED( ) <br />WASTE OIL( ) KEROSENE( ) <br />SUCTION( ) SUBMERSIBLE( <br />SHEAR VALVE--YESW NO( ) <br />VAPOR RECOVERY SYSTEM--YES(.C) <br />TANK FILL DATE: TIME: <br />SINGLE WALLED(l) DOUBLE WALLED( ) <br />PREMIUM UNLEADED( ) REGULAR LEADED( ) <br />AVIATION GAS( ) JET FUEL( ) WATER( ) <br />OVERSPILL CONTAINER --YES NO( ) <br />IN-LINE LEAK DETECTOR --YES NO( ) <br />NO( ) *IF YES, PHASE 1�'j PHASE 2,V) <br />TANK TEST DATE: / -9 START: END: %VLENCTH OF TEST: <br />TANK BOTTOM TO GRADE.... 1•51 y <br />TEST LEVEL TO TANK BOTTOM / ' <br />TANK TOP TO GRADE ....... <br />GROUND WATER ABOVE TANK.. <br />14 10, <br />DIAMETER ............... 9.1� <br />PSI..................... <br />O <br />TEST LEVEL ABOVE GROUND. �, <br />NET TEST PRESSURE....... <br />. <br />WATER IN TANK.......... <br />API SPEC GRAV............ <br />i� <br />DEPTH FOR TAKING SAMPLE. <br />TEMP .................... <br />,2 <br />TEMPERATURE PROBE DEPTH._API <br />SPEC GRAY C 60' F....� <br />COEFICIENT OF EXP........, <br />CERTIFIED TIGHT--YES(X) NO( ) <br />LEAK RATE PER/HR:+ <br />PRODUCT LINE TEST --PASS( ) FAIL( ) <br />SUCTION( ) PRESSURE( ) <br />CERTIFIED TIGHT --YES( ) NO( ) LEAK RATE PER/HR:+ /- <br />DATE: �y /� SIGNATURE OF TESTERS <br />COMMENTS: <br />REV 3/92 <br />