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I <br /> Crisp Tank Testing & Construction company <br /> Phone (209) 931-1828 �b Licensed <br /> Post Off Ice Box 30487 insured <br /> Stockton, California 98213 <br /> (1,PR 17 1991 <br /> *TEST Rgp <br /> ENVIRONNIENICES�TI1 LICENSE #92-1248 <br /> sP <br /> PERMIT ISERV LEONARD E. <br /> OWNER OF SITE: -r,,kLU'eq /A)'q ze_ 6 <br /> ADDRESS: C? , c CITY : r , ZIP - <br /> OWNER OF TANK( S) : I Lit <br /> ("', <br /> ADDRESS: , i� 1 eQk' CITY : C� ( ZIP . <br /> OPERATOR AT LOCATION: Sr)t�__JrIV r-721)d t_/Oie�_ <br /> ADDRESS:_SO _qj —CITY : <br /> , ZIP . <br /> COUNTY: GJ/,(j�} TANK #: AGE : YRS . GALS . <br /> METAL:_X_ FIBERGLA:�S: . SINGLE WALLED: DOUBLE WALLED: <br /> DIESEL: UNLEADED: PREMIUM UNLEADED: . REGULAR LEADED:.X-. <br /> WASTE OIL: KEPOSENE : AVIATION GAS: JET FUEL: WATER: <br /> SUCTION: SUBMERSIBLE: OVERSPILL CONTAINER--YES NOX. <br /> SHEAR VALVE--YES NO IN LINE LEAK DETECTOR--YESXNO <br /> VAPOR RECOVERY SYSTEM--YES'�_NO IF YES, PHASE 1 :X PHASE 2 :-X. <br /> TANK FILLED--DATE:_04—o j—GTIME: <br /> TANK TESTED--DATE: C - -- C1 STAR'P :LqoFINISH- <br /> LENGTH OF TEST:_HOURS . MINS. <br /> TANK BOTTOM TO GRADE: " . TANK TOP TO GRADE:" . DIAMETER:_& " . <br /> TEST LEVEL ABOVE GRADE" . WATER IN TANK" . <br /> DEPTH FOR TAKING SAMPLE:—L_" . TEMPERATURE PROBE DEPTH: " . <br /> TEST LEVEL TO TANK BOTTOM: GROUND WATER ABOVE TANK :--9—" . <br /> PSI : CQL NET TESI PRESSURE :/1. /0 * [API SPEC. GRAV . TEMP : 60 <br /> COEFFICIENT of <br /> CERTIFIED TIGHT--YESNO [ API SPEC. GRAV . @ 60° F: , * EXP: -120DOd67 <br /> LEAK RATE PER HOUR ; + . * — - <br /> DATE OF REPORT: ��� <br /> �Q� 1—� J' SIGNA'T'URE OF TESTER : <br /> (REV. 4/91 ) <br />