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Crisp Tank Testing & Constructio Qmpany <br />Phone (209) 931-1828 95213 ENVIRONMENTAL HEAk6nsed <br />Stockton, California 9 <br />Post office Box 3odaPER MIT/SERV ICES Insured <br />� <br />*TEST REPORT* <br />OWNER OF SITE: ("Ak// (Ik/+ ) <br />ADDRESS: . ") J � ca Com,/,/� <br />(.: )1 <br />CITY: <br />OWNER OF TANK(S): L <br />ADDRESS--.-* �'�ITY- <br />OPERATOR AT LOCATION: <br />ADDRESS: sb <br />LEC; IAS E. CRISP <br />% { + <br />zip 17J5�3 1 fir. <br />I�tlJltiI�il i�'l°1_ <br />K� ITY: ..�"i?llCb-)� LTJ ZIP <br />COUNTY: -al-) ;rbA 1) TANK #: i1n_I� ,. AGE: YRS. (:U- GALS. <br />METAL:_ FIBERGLASS :. SINGLE WALLED:(! DOUBLE WALLED:_ <br />DIESEL:_ UNLEADED: V" PREMIUM UNLEADED:—. REGULAR LEADED:_ <br />WASTE OIL:— KEROSENE:_ AVIATION GAS: JET FUEL: <br />WATER: <br />_ <br />SUCTION:__ SUBMERSIBLE: L'•, OVERSPILL CONTAINER --YES NO (" <br />SHEAR VALVE--YESL/NO_IN LINE LEAK DETECTOR --YES ( NO_ <br />VAPOR RECOVERY SYSTEM --YES NO_. IF YES, PHASE 1:L' PHASE 2: <br />TANK FILLED--DATE- <br />TIME: <br />TANK <br />TESTED --DATE: - <br />START: -% )Z,/ ) <br />FINISH: <br />LENGTH OF TEST: r:_HOURS. v-MINS. <br />TANK <br />BOTTOM TO GRADE:L33,. TANK <br />TOP TO GRADE::". <br />DIAMETER::" <br />TEST <br />LEVEL ABOVE GRADE". WATER IN TANK-- " <br />DEPTH <br />FOR TAKING SAMPLE: ". <br />TEMPERATURE PROBE <br />DEPTH::'. <br />TEST <br />LEVEL TO TANK BOTTOM: /6C) ". <br />GROUND WATER ABOVE TANK :^. <br />PSI: -02�- NET 'TEST PRESSURE:.�* [API SPEC. GRAY.TEMP::] <br />J COEFFICIEWO of <br />CERTIFIED TIGHT --YES *XNO—. [API SPEC. GRAV. @ 60' F:�* EXP: .yC)C!(,;k',);k',) <br />LEAK RATE PER HOUR: + <br />DATE OF REPORT: - - 2 <br />(REV. 4/91) <br />SIGNATURE OF TESTER:- <br />