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CRISP TANK TESTNG <br /> 2004 PiCCOLi #9 ' UntSe:rg"round,YStoragc Tank <br /> -1 HORNER S`!ST£H <br /> STOCK70N, CA 95205 <br /> APR 0 <br /> ENVIRO'•V�ENTAL HEALTH <br /> +CWN E R OF 5 1 7 E /FO� FERIJIIT/SERVICES <br /> AUURESS OF OWNER 1,3,1L) CM�,L/1Tc,•J STATE�Z <br /> OwN R OF TANY. G -A)/;4 CED !� .TS <br /> ADDRESS OF OWNER l aI✓ 4s/,/�.t141kJ C I T v ST rc c� Td�cJ S TATE e,4 Z <br /> NAME OF OPERATOR AT LOCATION C�E.DA"P <br /> ADDRESS OF LOCATION /2 �11 �UCKE��riD.•_CITYlr Anr&g/4p STATE ��Q -Z1P <br /> NAME OF COUNTY S -N�./ r n/ <br /> TANK r�_ON PLOT PLAN LOCATION. STORAGE SYSTEM FILLED: DATE OSI TJ ME Q� <br /> DATE OF TEST TIME OF DAY: START /}� FINISH. <br /> LENGTH OF TEST i4,/15 AIR TEMPERATURE <br /> D I SCR 1 PT I ON OF TANK-CAPACITY D I AMETER rJ3�i METAL FIBERGLASS _ <br /> TYPE OF SYSTEM- SUCTION g SUBMERSIBLE OTHER <br /> TYPE OF VAPOR RECOVERY SYSTEM ,l/[ <br /> TYPE OF PRODUCT BEING TESTED D/,C6E4. MEASRURED GRAVITY 3.3, COEFF I C I ENT,cac XS <br /> TEMPERATURE OF PRODUCT �� a <br /> MEASURED 4:ATER IN TANK DEPTH OF TANK TOP FROM GROUND LEVEL <br /> DEPTH OF GROUND WATERHEIGHT OF LIQUID LEVEL 1N TEST STAND OR STAND PIPE j /,, <br /> f,�N/�Npw <br /> AGE OF TANK AND ' L I NES <br /> RESULTS OF TEST: CERTIFIED TIGHT: YES ��' NO IF NO EXPLAIN 1N REMARKS BELOW <br /> LEAK RATE PER HOUR: <br /> REMARKS BY OPERATOR <br /> r <br /> NAME OF OPERATOR CX/5/9 <br /> SIGNATURE OF 01'CRATOP <br /> /•a_ n.i /"n d L o v.v TY XZ5,6 DATE <br />