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CRISP TANK '�'� <br /> 2004 Piccoli #9 <br /> Stockton, Ca 95205 (209)931-1828 <br /> TEST REPORT <br /> EE OWNER OF SITE <br /> ' ADDRESS -- <br /> ��) CITY <br /> SS_j,�7C'k�n �STATEZIP ,S-2�1,� <br /> f OWNER OF TANKS 9 <br /> t A[}DRES5 - IVc� a <br /> { CITY STATEEZIPS�/� <br /> I. I ; OPERATOR AT LOCATION �' , ' <br /> ADDRESS t <br /> 12CITY S focK{�,�,; STATE ZIP <br /> NAME OF COUNTY ' - a <br /> �4 N , <br /> TANK # ON 'LOT PLAN. AGE OF TANK <br /> DESCRIPTION OF TANK; <br /> CAPACITY <br /> DIAMETER `r <br /> METAL FIBERGLASS <br /> TYPE OF SYSTEM: . <br /> . SUCTION SUBMERSIBLE X : OTHER <br /> VAPOR RECOVERY SYSTEM?-\ <br /> PRODUCT BEING TESTED �TYPE <br /> MEASURED GRAVITY <br /> L i�r. . C <br /> i COEFFICIENT TEMPERATURE OF PRODUCT , AIR _+ <br /> V/ <br /> . STORAGE SSyySTEE : <br /> FILLE - DATE -1)9-ffs --- <br /> TIME <br /> TESTED - DATE START 0�' o , FINISH ,fes_` <br /> LENGTH OF TEST b <br /> MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER PSI AT TANK BOTTOM L�`•r/ <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 /> t <br /> NAME OF OPERAT <br /> C/ SIGNATURE PF 0 OR <br /> DATE <br />