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4first hour , QWNEA_Of SITE: <br /> CRISP TANK TESTING last hour ;;' <br /> 2004 Piccoli Rd. #9 <br /> Stockton, cA' 95206 j HORNET S STING METHOD ADDRESS: <br /> tis '' <br /> rO SHEET I-T:Y-S.TATE-ZIP: / <br /> CHART CALIBRATIONS"E�A)pi / /f rjS< )7 <br /> ! t OWNER OF TANKS: ' <br /> ' TANK# 044-TEST LEVEL PRODUCT [+ '>,;�% ',1; CAPACITY X00 first hr&oS` #ITV3_ •000I? <br /> last hr.,-or + = aoo ° ADDRESS: <br /> MEASURED GRAVITY,3)).gPROOUCT TEMPT AIR�11Q COEFFICIEN_Ta.aEMP CAL.00042935` X MOO <br /> r orLEVEL LEVEL GAIN+ LEVEL M , TEMP : N+ X(B TEMP: FINAL TIME CITY-STATE-ZIP <br /> START END LOSS- X A RESULT START END LOSS- X(3) RESULT RESULT <br /> X _ X + r 3 5 <br /> ,0009 ,9, - ,O !bJ�o �j ( _., • =,p s D D ` GRADE TO TANk BOTTOM:!/0 <br /> (� X X = QrrU DIAMETER OF 'TANK <br /> � . <br /> 74 �S - / DSD �� - . 00 � �r( ( _, Q , , 0 r � J LENGTH OF FILL PIPE : <br /> GROUND WATER DEPTH : 201 <br /> ' S X X <br /> 'mo a _ . 00Y&C, 3 _ 073L 06904 / Y 30 HIGHTH OF LIQU Q LEVEL <br /> 30 WHILE TESTING :),16 <br /> DOD^, — D J o , f� , 066 3 ,0 , R) / 6/ 1 VAPOR RECOVERY SYSTEM: <br /> S ( ) YES NO <br /> h TYPE <br /> { . <br /> 0607 0 3 0 1 6 ,/ e m Oq 5ao SYSTEM TYPE: <br /> X _ - = X = t /5�0 pTH RUBM (R E ' ( )SUCT19N <br /> S� - rTpO 00 5 ` . d 00 00, 6 IS iS TANK TYPE : , (xj METAL <br /> X On � C) - = X DU ODF� /a` O ( ) FIBERGLASS <br /> COLOR CODE OF PRODUCT : <br /> X30 ( ) CLEAR ( ) RED <br /> 70 w<y - `P X " 000 R0 � 8 l3' - SPI/ () , cioZR � X00 �� � 0004� 6 1:rI ( ) ORANGE <br /> AGE .OF : ' - <br /> TANK LOCATION <br /> L/if C�C�;f�o. LEAK RATE PER HOUR + - .biqq ) AGE OF LINES: _;> <br /> f / STORAGE SYSTEM FILLED: <br /> ADDRESSr�'v7A ufa .r.:a`T ASS (✓J FAIL ( INCONCLUSIVE <br /> DAT <br /> CITY—Z4,6 STATE C a OPERATOR vim' a✓ TESTING FLUID IF DIFFERENT <br /> ' THAN STORED MATERIAL: <br /> j DATE d ./ 0 9St SIGNATURE <br />