Laserfiche WebLink
CRIS 'TANK TESTING <br /> 2004 Piccoli #9 <br /> Stockton, Ca 95205 (209)937-7828 <br /> TEST REPORT <br /> OWNER OF' SITE 1 <br /> ADDRESS I31 1 . • i CITY <br /> _ STATEed-_ZI , <br /> OWNER OF TANKS <br /> ADDRE55C� CITY STATE <br /> ZIP�. <br /> OPERATOR AT LCCAT ION (2Lk i <br /> ADDRESS ic'I I J . . CITY ' STATEIZIPr-'r�, <br /> NAME OF COUNTY f <br /> Al <br /> TANK ON PLOT PLAN. <br /> DESCRIPTION OF TANK: <br /> CAPACITY rg ,DIAMETER `� METAL FIBERGLASS ,AGE , <br /> TYPE OF SYSTEM: SUCTION : SUBMERSIBLE. uTHER <br /> VAPOR RECOVERY SYSTEM? �; TYPE <br /> PRODUCT BEING TESTED MEASURED GRAVITY_. <br /> COEFFICIENT ?, TEMPERATURE OF PRODUCT <br /> STORAGE PILLFD:- DATE - <br /> g, TIME <br /> TESTED - DATE STAR JJ FINISH <br /> LENGTH OF TEST <br /> MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL��[ <br /> DEPTH OF GROUND WATER'. PSI AT TANK BOTTOM ,Q <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 &ed <br /> SIGNATUR OF OPERATOR <br /> lln,,eZ: <br />