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w <br /> CrispTan Teen & Cartruct In Company <br /> Phone (209) 931.4828 <br /> Post OMCO Bax <br /> -+��rt'��. �• Y.• E 3043 <br /> Licensed <br /> InsuredSiocktonCriifomia 9523 <br /> LICENSE -ir92-1248 <br /> ." <br /> **TEST REPORT** <br /> OWNER 'OF SITES 1 LEONARD E. CRISP <br /> r ? <br /> ADDRESS! CITY: <br /> OWNER OF TANKS: — LLZIP � r ; <br /> ` '. •ADDRESSa . <br /> CITY: <br /> - OPERATOR AT LOCATION: `' — --�---- <br /> — ADDRESS: CITY: ' <br /> COUNTYa (l�_ U I b TANK #:_ AGE: <br /> GALLONS: <br /> METAL(V} FIBERGLASS( ) SINGLE WALLED(W DOUBLE WALLED <br /> DIESEL � � ) <br /> ( } UNLEADED() PREMIUM UNLEADED( ) <br /> WASTE OIL( ) KEROSENE( ) AVIATION GAS( ) JET FUEL( WATER( ( ) <br /> ) <br /> SUCTION( ) SUBMERSIBLE <br /> V,) OVERSPILL CONTAINER---YES( ) NO�vv�) <br /> . SHEARVVALVE--YES(Y/) NO( ) IN—LINE LEAK DETECTOR---YES{k/.) <br /> VAPOR RECOVERY SYSTEM--YES( <br /> NO ) *IF YES, PHASE 1V) PHASE 2 ' <br /> , <br /> TANK FILL DATE: TIME: <br /> ,; TANK TEST DATE s4START: r <br /> END: LENGTH OF 'PEST: J_� <br /> TANK BOTTOM TO GRADE. . . . <br /> L1 ._.. <br /> . <br /> . <br /> . <br /> . <br /> TANK TOP TO GRADE. . * . . . . TEST LEVEL TO TANI' BOTTOM--L .. <br /> ` GROUND WATER ABOVE TANK. .DIAMETER. . . . . . . . . . . PSI . . . <br /> t::TEST LEVEL ABOVE GROUND. . . . . ._ . . . . . . . . . . . . . <br /> NET TEST PRESSURE. . . . . . . . <br /> - ( <br /> WATER`, IN TANK. . . . . . . , <br /> API SPEC GRAY, . . , , . . . , , . . <br /> a,.'•:". , ?;DEPTH FOR TAKING SAMPLE. Cl <br /> TEMP —`~�-�--� <br /> . . . . . . . . . . . . . . . . . . . . . <br /> '.TEMPERATURE PROBE DEPTH. <br /> ' API SPEC GRAV @ 60 ' F. . . . 17' <br /> COEF'ICIENT OF EXP. . . . . . . .,. Z 4 <br /> CERTIFIED TIGHT--YES( } NO( ) LEAK RATE PER/HR: + <br />'x PRODUCT LINE TEST--PASS(. } FAIL( ) SUCTION( ) p <br /> CERTIFIED TIGHT--YES( PRESSURE( ) <br /> } NO( ) LEAK RATE PER/HR:* f_ <br />,.r • ':..,,:,; COMMENTS a <br /> DATE <br /> SIGNATURE OF TESTER: <br /> • REV ,3/92 <br />