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• Crisp Tank Te � / <br /> sten ConstruC on Company <br /> Phone (209) 931-1828 <br /> Pont Office Box 30487 Lice�sed <br /> Stockton, California 45213 4�Fn1 -3 p �'� �� d <br /> � � ! ! LICENSE #�92-1�'�•`�e <br /> **TEST REPORT** LEONARD E. CRISP <br /> OWNER OF SITE: <br /> ILL <br /> ADDRESS: rZIP <br /> OWNER OF TANKS: <br /> ADDRESS: CITY; <br /> ZIP: <br /> OPERATOR AT LOCATION: <br /> ADDRESS: CITY: <br /> • r ZIP: <br /> COUNT TANK #:_1 AGE: <br /> GALLONS. > <br /> METALW) FIBERGLASS( ) SINGLE WALLED() DOUBLE WALLED( ) <br /> DIESEL(VQ UNLEADED( ) PREMIUM UNLEADED( ) <br /> WASTE OIL( ) KEROSENE( ) AVIATION GAS( ) JET FUEL( ) WATER( ( ) ) <br /> SUCTION(Y-) SUBMERSIBLE( ) OVERSPILL CONTAINER--YES( ) NO(V) <br /> SHEARVVA-LVE -YES( ) NO( tlill IN--LINE LEAK DETECTOR--YES( ) NO(�j <br /> VAPOR RECOVERY SYSTEM--YES( ) NO(V() *IF YES, PHASE I ( ) PHASE 2 ( ) <br /> TANK FILL DATE: TIME: <br /> TANK TEST DATE:143/ START: Q (� END*I & <br /> LENGTH OF TESTr_.:�)jl/ } <br /> TANK BOTTOM TO GRADE.' . . . � _ 7" <br /> TEST LEVEL TO TANK BOTTOM <br /> TANK TOP TO GRADE. �— <br /> . . . , . .' � GROUND WATER ABOVE TANK . . <br /> DIAMETER. . . . . . 04 <br /> . . . . . . . . . .—�(L�LrO PSI . . . . . . . . . . . . . . . . . <br /> TEST LEVEL ABOVE GROUND. <br /> NET TEST PRESSURE, . . . . , . , <br /> WATER IN TANK. . . . . . . . . . .= <br /> API SPEC GRAV. . . . . <br /> _ .` ? , F- <br /> DEPTH FOR TAKING SAMPLE. LYS'' . . . . . . . <br /> TEMPTEMPERATURE PROBE DE <br /> PTH. `� . . . . . . . . * . , . . . . . . . . -� `� } <br /> 5 ,. API SPEC GRAV @ 60 , F. . , <br /> COEFICIENT OF EXP . , • . , , , <br /> CERTIFIED TIGHT--YES <br /> ) NO( ) LEAK RATE PER/HR:+ <br /> PRODUCT LINE TEST--PASS( ) FAIL( ) SUCTION( ) PRESSURE( ) <br /> CERTIFIED TIGHT--YES( ) NO( ) LEAK RATE PER/HR; •+ <br /> COMMENTS: --f' <br /> DATE: < AL)SIGNATURE OF TESTER: i` {.. <br /> REV 3/92 <br />