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ry <br /> ' eL <br /> CRISP TANK TESTIMM�"14 'j <br /> P . O. BOX 30487 <br /> . Stockton, California <br /> (209) 931-1828 JAN 10 1990 <br /> ENVIRONMENTAL HEALTH <br /> TEST REPORT PERMIT <br /> OWNER OF SITE e - <br /> ADDRESS CITY STAT&]ZIPS, 3� <br /> OWNER OF MKS - <br /> ADDRESS ('- CITY STAT&ZIP�3/ <br /> OPERATOR AT LOCATION <br /> ADDRESS CITY STATE�Z1P y <br /> NAME OF COUNT <br /> TANK II OIJ LOT PLA AGE OF TANK _. <br /> DESCRIPTION OF TANK: <br /> CAPACITY Y-/ D jDIAMETER C :!..�, METAL FIBERGLASS_ <br /> TYPE OF SYSTEM: SUCTION : SUBMERSIBLES: OTHER <br /> VAPOR RECOVERY SYSTEM? ; TYPE ' <br /> PRODUCT BEING TESTED MEASURED GRAVITY <br /> API SPECIFIC GRAVITY 60°F` P,lIODUCT TEMP. I , <br /> SyS EM � -- _ �2 COE,hhh��i 7 <br /> �\ STORAGE FIL�Eu _ DATE, <br /> TESTED - DATE / a5_$y, STARLZC,�� , FINISH J� /•rj <br /> LENGTH OF TESTA, . <br /> MEASURED WATER IN TANK$_, / <br /> HEIGHT OF LIQUID LEVEL / �5 <br /> DEPTH OF GROUND WATER -� J_f � PSI AT TANK BOTTOM y D � , -- <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES ; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: , + ; or <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR <br /> Leof)aqrl.. <br /> SIGNATURE OF OPERATOR <br /> /----- <br /> 1 <br /> I <br /> ►1 <br /> ' i <br />