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Crisp Tank Testing & Construction Company <br /> Phone (209) 931-1828 Licensed <br /> Post Office Box 30487 LICENSE #9 Insured <br /> Stockton, California 95213 <br /> LEONARD F, . <br /> **TEST REPORT** <br /> OWNER OF SI'Z'E: <br /> t <br /> ADDRESS: <br /> �.&,i .� CITY: /�CZC '/, c .I � ZIP 1,•CG1 <br /> OWNER OF TANKS: <br /> ADDRESS: CITY : ZIP: <br /> OPERATOR AT LOCATION: je&Wrill <br /> ADDRESS ; �/� ' 99 CITY: _. r�r, �%r ,1 ,0ZIP . c / <br /> COUNTY: TANK #: AGE : GALLONS : Crf <br /> G. <br /> METAL( () FIBERGLASS( ) SINGLE WALLEDOO DOUBLE WALLED( ) <br /> DIESEL( ) UNLEADED( Y) PREMIUM UNLEADED( ) ( ) <br /> WASTE OIL( ) KEROSENE( ) AVIATION GAS( ) JET FUEL( ) WATER( } <br /> SUCTION( ) SUBMERSIBLE(' () OVERSPILL CONTAINER--YES( ) NO(yj <br /> SHEAR VALVE--YES K) NO( ) IN-LINE LEAK DETECTOR--YES(.N�) NO( ) <br /> VAPOR RECOVERY SYSTEM--YES(X) NO( ) *IF YES , PHASE 1 ()() PHASE 2 ()() <br /> TANK FILL DATE : TIME: <br /> TANK TEST DATE: C�/ -�� STAR'C: C_j END: %/ LENf�TH OF TEST: fry <br /> TANK BOTTOM TO GRADE. . . . �'� ' TEST LEVEL TO TANK BOTTOi`1 1f��Q f✓ <br /> TANK TOP TO GRADE. . . . . . . > „ GROUND WATER ABOVE TANK . . 1�)" <br /> DIAMETER. . . . . . . . . . . . . . . pal j, PSI 161; <br /> TEST LEVEL ABOVE GROUND . NE`' ` EST PRESSURE . . . . . . . . of <br /> WATER IN TANK. . . . . . . . . . . i' API SPEC GRAY . . . . . . . . . . . . s 7 <br /> DEPTH FOR TAKING SAMPLE . 9b"' TEMP . . . . . . . . . . . . . . . . . . . . . <br /> TEMPERATURE PROBE DEPTH. n API SPEC GRAV @ 60 " F . . . . `-.1 <br /> COEFICIENT OF EXP. . . . . . . . I r <br /> CERTIFIED TIGHT---YES(X) NO( ) LEAK RATE PER/HR:+ <br /> I <br /> PRODUCT LINE TEST-PASS ( ) FAIL( ) SUCTION( ) PRESSURE( } <br /> CERTIFIED TIGHT--YES( ) NO( ) LEAK RATE PER/HR: + /- <br /> DATE911- SIGNATURE OF TESTF?�3 <br /> COMMENTS: <br /> REV 3/02 <br />