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CRISWTAPJ K TFsxr- ING <br /> 2004 Piccoli #9 <br /> (209)931-1828 <br /> Stockton, Ca 95205 <br /> ` TEST REPORT <br /> OWNER OF SITE <br /> ADDRESS ? ` ./,r)CuT CITY G,,, , ST ATE�ZIF <br /> OWNER OF TANKS ) <br /> ADDRESS CITY STATE�A..ZIP <br /> OPERATOR AT LOCATION pC <br /> ADDRESS { CITY STATEAZIP . <br /> NAME OF COUNTY-( <br /> TANK ON PLOT PLAN. <br /> DESCRIPTION OF TANK: <br /> CAPACITY 4opo,QLct ,DIAMETER C , METAL FIBERGLASS_ AGE <br /> TYPEOF SYSTEM: 41 SUCTION SUBMERSIBLE W'THER�j(J(I$�f <br /> VAPOR RECOVERY SYSTEM? ; TYPE <br /> PRODUCT BEING TESTED J.. MEASURED GRAVITY <br /> COEFFICIENT rQ&33 TEMPERATURE OF PRODUCT , AIR S. <br /> STORAGE FILEDEM — DATE -`1- > fIME <br /> TESTED - DATE — — , START f,:3 �: , FINISH , <br /> LENGTH OF TEST <br /> MEASURED WATER IN TANK`. HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER PSI AT TANK BOTTOM 4,623 <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 ? L p' <br /> SIGNATUR Or OPERATOR <br /> 5 L DATE <br /> � <br /> AUG 15 1998 <br /> ENVIROMENTAL HEALTH <br /> FER'a"IT/SERVICES <br /> J <br /> f <br />