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Crisp Tank Testing & Construction company <br /> Phone (209) 931-1828 Llcensed <br /> Post Office Box 30487 Insured <br /> Stockton, Californla 95213 <br /> *TEST REPORT* <br /> OWNER OF SITE.- <br /> ADDRESS: <br /> ITE:ADDRESS: l' CITY : � 1 ZIPr o0 <br /> OWNER OF TANK(S) : <br /> ADDRESS: Cd_dd�3 R CITY: L , ZIP . <br /> � <br /> OPERATOR AT LOCATION: 5' <br /> �p_nla r�Q f BUAI A Cjf� <br /> ADDRE5S: �$ J� CITY: ►�ZlP=L <br /> COUNTY: � . %,,, TANK #;,/.-S AGI, : WYRS. n� p GALS . <br /> METAL: FIBERGLASS: SINGLE WALLED: DOUBLE WALLED: <br /> . DIESEL:. UNLEADED: PREMIUM UNLEADED: REGULAR LEADED: <br /> WASTE OIL: KEROSENE: AVIA'T'ION GAS: JET FUEL: WA'T'ER : <br /> SUCTION 5U$MERUTBLE: OVERSPILL CONTAINER--YES NOYX. ` <br /> SHEAR VALVE-�YES�_NO%. IN LINE LEAK DETECTOR--YES NO�. <br /> VAPOR RECOVERY SYSTEM--YES NOYA. IF YES, PHASE 1 : PHASE 2 : <br /> TANK FILLED--DATE:. q- -91 TIME: <br /> TANK TESTED---DATE: ��-q ^�. STARTS OB3D FINISH:ECA... <br /> LENGTH OF TEST:_a_HOURS. _MINS. <br /> lea a9 q3 <br /> TANK BOTTOM TO GRADE:7=1 . TANK TOP TO GRADE:" DIAME'T'ER::" . <br /> TEST LEVEL ABOVE GRADE'g " . WATER IN TANK" . <br /> 75,5 <br /> DEPTH FOR TAKING SAMPLE: TEMPERATURE PROBE DEPTFI: 3 " , <br /> TEST LEVEL TO TANK BOTTOM: GROUND WATER ABOVE TANK :_l_0 ",- <br /> . a3,� <br /> PSI :�L NET TEST` PRESSURE: * [API SPEC . GRAV . : 33. * TEMP : <br /> 4, COEFFICIENT of <br /> CERTIFIED TIGHT--YES_X_NO [API SPEC . GRAV . 0 60" F: * aEXP: .000�.S9($ <br /> LEAK. RATE PER HOUR: <br /> 03 �Kp; �Q04r�3a 7 <br /> BATE OF REPORT: �Djqcjj SIGNATURE OF TESTER : t <br /> (REV. 4/91 ) <br />