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CRISP TANK TESTING <br /> P. O . BOX 30487 <br /> • Stvrkton , California <br /> ( 09) 931-1828 s <br /> • ' 4 <br /> TEST REPORT <br /> OWNER OF SITE ' C e_ ' Q <br /> ADDRESS QQ CITY STAT&ZIP� / <br /> OWNER OF T NKS [ cfir <br /> ADDRESS ICITY STATZIP / <br /> OPERATOR AT LOCATION f <br /> ADDRESS / CITE e4A=a_ _STATEZlpj <br /> NAME OF COUNTY Iq,�� <br /> TANK it _ f 01 BLOT PLAN. AGE OF TANK . <br /> DESCRIPTION OF TANK- <br /> CAPACITY DIAMETER_ <br /> r , METAL_,N&IBERGLASS <br /> TYPE OF SYSTEM; SUCTION SUBMERSIBLE_ : OTHER <br /> VAPOR RECOVERY SYSTEM?_Ql° S ; TYPE <br /> PRODUCT BEING TESTED (� /�„ ea �l MEASURED (CAVITY <br /> API SPECIEIC GRAVITY 8 60°F �gHODLICT TEMP.�� COE <br /> PRO: <br /> �p_��U35 <br /> STORAGE PRO:- DATEIO L2� -R9 <br /> TESTED - DATE f&-� .-a -8!jv START / � /:`5 , FINISH_!-� <br /> LENGTH OF TEST- ha <br /> MEASURED WATER IN TANK- 4-)- HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER — / PSI AT TANK BOTTOM <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES_ X ; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + , or - `7' <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR <br /> SIGNATURE OF OPERATOR � <br /> DATE <br /> I <br /> u <br />