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CrispTank Tome & Construcron Company <br />Phone (209) 931-1 $28 l �11Y Icensed <br />Post omce Box 3o487 DEC 2 9 1993 <br />Stocldon, California 95213 ��IGI�L�GITY <br />LICENSE #92-1248 <br />�NVIRONMEN7414Et44 EST REPORT** <br />,TANK1FILL DATE: TIME: <br />TANK TEST DATE:,, i IZA.START:END: I ' 1 LENGTH OF TEST: eJ lj y <br />TANK-BOTTOM,TO GRADE.... 1L4" TEST LEVEL TO TANK BOTTOM j )L) <br />TANK ',TOP TO GRADE....... jg2j) GROUND WATER ABOVE TANK... <br />DIAMfiTfiR................ PSI.................... <br />U <br />TEST- 'LEVEL ABOVE GROUND. (n„ NET TEST PRESSURE........ <br />WATER+IN TANK........... - API SPEC GRAV............ <br />DEPTH FOR TAKING SAMPLE _ TEMP ..................... i <br />TEMPERATURE PROBE DEPTH _ API SPEC GRAV @ 60' F.... �- t <br />i.: <br />FIfiD, TIGHT--YES'O NO( ) <br />OT,+,LINE TEST --PASS( ) <br />F_IED,TIGHT--YES( <br />NTS: y <br />:+' REV 3/92 <br />s< <br />1: <br />FAIL( ) <br />NO( ) <br />COEFICIENT OF EXP........ (Y)L)/1 i (r) <br />LEAK RATE PER/HR:+ /-, (, ;-,'; l <br />SUCTION( ) PRESSURE( ) <br />LEAK RATE PER/HR:+ /- <br />IGNATURE OF TESTER: <br />LEONARp E. CRISP <br />OWNER OF SITE: O(,11M11!$,),rk <br />11AI7(' J <br />ADDRESS: M)b C hCYf)kPfjCITY: <br />L(dil <br />ZIP <br />OWNER OF TANKS: <br />ADDRESS: <br />CITY: <br />ZIP: <br />:OPERATOR AT LOCATION:_ <br />`� �+ (a; (I1 <br />)od J <br />ADDRESS s <br />CITY: <br />ZIP: <br />i <br />COUNTY :��(b� M A IIII i TANK <br />{ j <br />#:_AGE: <br />GALLONS: <br />41, <br />METAL (`� FIBERGLASS( ) <br />SINGLE WALLED( <br />) DOUBLE WALLED( ) <br />y DIESEL( ) UNLEADED( ) <br />PREMIUM UNLEADED( ) ( ) <br />{ WASTE'OILVQ KEROSENE( ) <br />AVIATION GAS( ) <br />JET FUEL( ) WATER( ) <br />1ta��`SUCTION( ) SUBMERSIBLE( <br />) OVERSPILL <br />CONTAINER --YES( ) NO V) <br />r<.'SHEARVVALVE--YES( ) NOV) <br />IN-LINE LEAK <br />DETECTOR --YES( ) NO <br />_VAPOR RECOVERY SYSTEM --YES( <br />) Ndy-) *IF <br />YES, PHASE 1( ) PHASE 2( ) <br />,TANK1FILL DATE: TIME: <br />TANK TEST DATE:,, i IZA.START:END: I ' 1 LENGTH OF TEST: eJ lj y <br />TANK-BOTTOM,TO GRADE.... 1L4" TEST LEVEL TO TANK BOTTOM j )L) <br />TANK ',TOP TO GRADE....... jg2j) GROUND WATER ABOVE TANK... <br />DIAMfiTfiR................ PSI.................... <br />U <br />TEST- 'LEVEL ABOVE GROUND. (n„ NET TEST PRESSURE........ <br />WATER+IN TANK........... - API SPEC GRAV............ <br />DEPTH FOR TAKING SAMPLE _ TEMP ..................... i <br />TEMPERATURE PROBE DEPTH _ API SPEC GRAV @ 60' F.... �- t <br />i.: <br />FIfiD, TIGHT--YES'O NO( ) <br />OT,+,LINE TEST --PASS( ) <br />F_IED,TIGHT--YES( <br />NTS: y <br />:+' REV 3/92 <br />s< <br />1: <br />FAIL( ) <br />NO( ) <br />COEFICIENT OF EXP........ (Y)L)/1 i (r) <br />LEAK RATE PER/HR:+ /-, (, ;-,'; l <br />SUCTION( ) PRESSURE( ) <br />LEAK RATE PER/HR:+ /- <br />IGNATURE OF TESTER: <br />