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Crisp Tank Testing & Construction Company <br /> Phone (204) 931-1528 Licensed <br /> Post Office Box 30487 Insured <br /> Stocidon, California 95213 <br /> *TEST REPORT* LICENSE #92-1248 <br /> LEONA,'D E. CRISP <br /> OWNER OF SITE: <br /> ADDRESS:-3L) _ ITY: :� 'PAZIP91 [� <br /> OWNER OF TANKS) : <br /> ADDRESS: CITY:s� ' 1I r -CA► ZIP�� <br /> OPERATOR AT LOCATION: ' <br /> ADDRESS: CITY:. , P31 . <br /> COUNTY: TANK #:� AGE: YRS. GALS. <br /> METAL:, FIBERGLAS:: SINGLE WALLED: DOUBLE WALLED: <br /> DIESEL: UNLEADED: PREMIUM UNLEADED::. REGULAR LEADED: <br /> WASTE OIL: KEROSENE: AVIATION GAS: JET FUEL: WATER: <br /> SUCTION: SUBMERSIBLE:-X-. OVERSPILL CONTAINER---YES NO_X_. . <br /> SHEAR VALVE--YES4NO IN LINE LEAK DETECTOR--YES_kNO <br /> VAPOR RECOVERY SYSTEM--YESX_NO IF YES, PHASE 1 :-4 PHASE 2 :x. <br /> TANK FILLED--DATE: _a ��� TIME: <br /> TANK TESTED--DATE:_- j- START: Q (�-, FINISH: 1p . <br /> LENGTH OF TEST: HOURS. MINS, <br /> TANK BOTTOM TO GRADE: " . TANK TOP TO GRADE:_41-- . DIAMETER: 014 <br /> " . <br /> TEST LEVEL ABOVE GRADE" . WATER IN TANK'" . <br /> DEPTH FOR TAKING SAMPLE:-" . TEMPERATURE PROBE DEPTH:" - <br /> TEST LEVEL TO TANK BOTTOM: it . GROUND WATER ABOVE TANK:4Z-11 - <br /> PSI : NET TEST PRESSURE: [API SPEC . GRAV. : * TEMP: -] <br /> CERTIFIED TIGHT--YES COEFFICIENT of[API SPEC. GRAV. @ 60' F: <br /> EXP: . <br /> LEAK RATE PER HOUR: + . * - . act ] * <br /> DATE OF REPORT:AILO1 SIGNATURE OF TESTER : <br />(REV. 4/91 ) <br />