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CIF"'591SP TANK TESTING <br /> P . O . BOX 30487 <br /> . Stockton , California <br /> (209 ) 931-1828 �u`,I �• <br /> F'EFMII/SERVICESLTH <br /> TGST RLf'ORT <br /> /- L <br /> OWNER OF SITE PL.�P `� / /l7/ r �l"/f'f'.`� i1 <br /> ADDRESSO. �•� x ��r5� CISTATE2IPt <br /> OWNER Or ANKS_ 7 <br /> ADDRESSL;(J ) �- CITY�y - nc STAT zipli�J/ <br /> OPERATOR AT LOCATION 7 <br /> ADDRESS CITY STATEQL)ZIPy <br /> NAME OF COUNTY <br /> TANK 11 OIJ VLOT PLAJ. AGE OF TANK . <br /> DESCRIPTION OF TANK: <br /> CAPACITY / D p p ,DIAMETER, METAL FI13ERGLASS_ <br /> TYPE OF SYSTEM: SUCTION SUIMERSIDLE_><,: OTHER <br /> VAPOR RECOVERY SYSTEM? �' , TYPE <br /> PRODUCT BEING TESIED- MEASURED GRAVITY <br /> API SPECIFIC GRAVITY 600F,.-V BI�ODUCT TEMP.1,-1, C0E,(jbh �77 <br /> SIORAGE SSYySEMT : <br /> F1LL U _ DATE/ T!ME j 7 n� <br /> TESTED - DATE ld-L ?j-X�.) , START �ns2/ , FINISH <br /> LENGTH OF TEST_ 2, b <br /> MEASURED WATER IN TANK �• HEIGHT OF LIQUID LEVEL _ <br /> DEPTH OF GROUND WATER �. PSI AT TANK BOTTOM _, <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES ; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RALE PER HOUR: , + ; or <br /> REMARKS BY OPERAIOR <br /> NAME OF OPERATOR_L.cOna.r. ' <br /> SIGNATURE OF OPERATOR <br /> DATE z d - — 3 /-----i----- <br />