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Crisp Tank Testing & Con struc:tln'Com:Rqny <br /> � yp� t�fh � h <br /> lei. '7?�' 0 V Flil `, L <br /> Pitons (204) 9314828 . <br /> Post Office Box 30487 MAY 6 1��� licensed <br /> Stockton, California 45213 <br /> `d��'RC7f!1i1r1EtVTAL �1--ALTH Insured <br /> P FRmIT Q RvICv a <br /> *TEST REPORT* <br /> OWNER OF SITE: �6A a k– pf> <br /> C <br /> ADDRESS: <br /> ( <br /> OWNER OF TANK(S) : C 4 <br /> , <br /> ADDRESS: CITY: IP�' � . <br /> i <br /> OPERATOR AT LOCATION: ' <br /> ADDRESS: CITY : mzIPgs237 . <br /> COUNTY : <br /> �. TANK #: �. AGr, :� YRS' . Q(ZGALS. <br /> METAL:-4 FIBERGLASS: SINGLE WALLED:X DOUBLE WALLED: <br /> DIESEL:-,. UNLEADED: PREMIUM UNLEADED: REGULAR LEADED: <br /> WASTE OIL: KEROSENE: AVIATION GAS:—­ JET FUEL: WATER - <br /> SUCTION:–X- <br /> ATER : <br /> SUCTION: SUBMERSIBLE: OVERSPILL CONTAINER--YES NOX. . <br /> SHEAR VALVE---YES NOX. IN LINE LEAK DETECTO!�---YES NO_X. <br /> VAPOR RECOVERY SYSTEM--YES NO_k. IF YES, PIIASE 1 : PfIASE 2 : <br /> TANK FILLED---DATE: TIME: <br /> TANK TESTED--DATE:- START:jc j—. FINISH: <br /> LENGTH OF TEST: _HOURS. MINS. <br /> TANK 80TTOM TO GRADEt�a" . TANK TOP TO GRADE:" . DIAMETER:-17311 . <br /> TEST LEVEL ABOVE GRADE+' . WATER IN TANK" . <br /> DEPTH FOR TAKING SAMPLE: 4 '+ . TEMPERATURE PROBE DEPTH: , <br /> TEST LEVEL TO 'TANK BO'T'TOM: GROUND WATER ABOVE TANK !lz_ , <br /> PSI :.+7 31 NET TEST PRESSURE:JL3� * [API SPEC . GRAV : : 33, � * TEMP:_] <br /> CERTIFIED TIG[IT---YI:S NO COEFFICIENT of <br /> . [API SPEC. GRAV . @ 60° F: 3 * EXP: .Q�QS (�S <br /> LEAK. RATE PER HOUR: + <br /> . DATE OF REPORT: SIGNATURE OF TE­TER: <br />'(REV. 4/91 ) <br />