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Crisp Tank Testing & Construction Company <br /> Phone (209) 931-1828 licensed <br /> Past Office Box 30487 Insured <br /> Stocklon, California 95213 <br /> *TEST REPORT* LICENSE #92-1248 <br /> LEONARD E. CRISP <br /> OWNER OF SITE: o <br /> ADDRESS: (J CITY: ,:ZIP r ' <br /> OWNER OF TANK(S) ; P11)Uj <br /> ADDRESS: I �( �)�r�l CITY: ZIPo �c . <br /> OPERATOR AT LOCATION: s <br /> ADDRESS: A) 9-9 _CITY: L ,a zip . <br /> COUNTY: GjUj_6_. TANK #:_ AGE: YRS . GALS . <br /> METAL: FIBERGLASS : SINGLE WALLED: DOUBLE WALLED: <br /> DIESEL: UNLEADED PREMIUM UNLEADED: . REGULAR LEADED: <br /> WASTE OIL: KEROSENE: AVIATION GAS : JET FUEL: WATER: <br /> SUCTION: SUBMERSIBLE:. OVERSPILL CONTAINER--YES NOX. <br /> SHEAR VALVE--YESXNO IN LINE LEAK DETECTOR--YESXNO <br /> VAPOR RECOVERY SYSTEM--YES4NO IF YES, PHASE 1 :: PHASE 2 : �<. <br /> TANK FILLED--DATE:_ -',3 -9j ! TIME: <br /> TANK TESTED--DATE: START:( FINISH: Or�� <br /> LENGTH OF TEST::--HOURS . MINS. <br /> TANK BOTTOM TO GRADE: " . TANK TOP TO GRADE : 4911 . DIAMETER:_%" . <br /> TEST LEVEL ABOVE GRADE" . WATER IN TANK' . <br /> DEPTH FOR TAKING SAHPLE: It . TEMPERATURE PROBE DEPTH:" . <br /> TEST LEVEL TO TANK BOTTOM:11lLu It . GROUND WATER ABOVE TANK - . <br /> PSI : NET TEST PRESSURE: * [AFI SPEC . GRAV . : r � * TEMP : r) 0 ] <br /> COEFFICIENT of <br /> CERTIFIED TIGHT- YF,S NO [API SPEC. GRAV. @ 50° F : Q, * EXP - .00— <br /> LEAK <br /> XPt_DOLEAK RATE PER HOUR.! + * __ 6213 _* <br /> DATE OF REPORT: SIGNATURE OF TESTER :b emu <br /> (REV. 4/91 ) <br />