Laserfiche WebLink
CRISP <br /> STING <br /> 11 2004 Piccoli #9 <br /> Stockton <br /> : . Ca 95205 (209)931-1828 <br /> TEST REPORT <br /> OWNER OF SITE <br /> s ;ADDRESS ] <br /> CITY_ } �I<{c1Lld STATE-CA ZIP <br /> � <br /> . OWNER OF .TANKS p <br /> ADDRESS CITY y <br /> STATE ZIP` <br /> . I OPERATOR AT LOCATION �' r <br /> ADDRESS�pp (�..) , ,til �. <br /> �r— CITY_a c�� � 40IV STATE C°fI ZIP�e) <br /> ' NAME OF COUNTY <br /> t AC ti <br /> t j TANK ON PLOT PLAN. AGE OF TANK <br /> - DESCRIPTION OF TANK; <br /> r ( CAPACITY <br /> ,DIAMETER- C?/, METAL FIBERGLASS <br /> I ; .. iTYPE OF SYSTEM: SUCTION. SUBMERSIBLE� c OTHER <br /> VAPOR RECOVERY SYSTEM? 5 ; TYPE <br /> PRODUCT BEING TESTED MEASURED GRAVITY <br /> COEFFICIENT <br /> : EMPERA RE OF PRODUCT(°, AIR (� " <br /> STORAGE yySTM �- <br /> ILLD•� DATEa -c , . TIME <br /> TESTED - DATE_ 1 ! - 58 , START �• <br /> • LENGTH OF TEST2.S FINISH r- . <br /> MEASURED WATER IN TANK HEIGHT OF LIQUID LEVE <br /> L� �Q " <br /> DEPTH OF GROUND WATER <br /> PSI AT TANK BOTTOMf - <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES--A-_r NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + ; or - ,r <br /> REMARKS BY OPERATOR <br /> • ; ti NAME OF OPERA <br /> •SIGNATURE R OR <br /> t I:J DATE <br /> ° E , 8,9 /J <br /> • EN p,�l�r'aP��fviq� "'4A�T �/ s� <br /> fVll1 <br /> SER <br /> H <br /> e DICES <br />