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V D <br /> Crisp Tank Tebling & Construction C Plwl X91 <br /> EALTH <br /> Phone (209) 931.1828 PERM llf&k (� CES <br /> Post Office Box 30487 Insured <br /> Stocldon, Callfornla 95213 <br /> *TEST REPORT* LICENSE #92-124:: <br /> �9� vG� A��✓ 00 *TEST <br /> E. CRISP <br /> OWNER OF SITE: i I is �, /� r <br /> ADDRESS:ic� 1 1 CITY:_I jl\1 1 l ' <br /> OWNER OF TANK(S) : 2�_ t <br /> ADDRESS: }1C, TY: aZI P`f�-�l) <br /> OPERATOR AT LOCATION: }� <br /> ADDRESS: C CITY : 1' \ ZIP � <br /> . `^ llJ <br /> COUNT 1 `z y\L\ll 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 NO <br /> SHEAR VALVE--YES_NO_ IN LINE LEAK DETECTOR--YES NO <br /> VAPOR RECOVERY SYSTEM--YES_NO_ IF YES, PHASE 1 :_ PHASE 2 : <br /> TANK FILLED--DATE: TIME: nboom` <br /> TANK TESTED--DATE. ' �l START:1 E I� . FINISH:& . <br /> LENGTH OF TEST: ('9 HOURS. MINS. <br /> TANK BOTTOM TO GRADEJ�-� . TANK TOP TO GRADEZ811 . DIAMETECIall : <br /> TEST LEVEL ABOVE GRAD)�� . WATER IN TANK " . <br /> .DEPTH FOR TAKING SAMPLE2�a" . TEMPERATURE PROBE DEPTH 4/()" . <br /> TEST LEVEL TO TANK BOTTOM:[" . GROUND WATER ABOVE TANKd " . <br /> PSI : • n ourNET TEST PRESSURE API SPEC. GRAV . E-a.� TEMP: -7 (0 ] <br /> CERTIFIED TIGHT--YE NO COEFFICIENT of <br /> [API SPEC. GRAV . @ 60F * EXP: <br /> LEAK RATE PER HOUR: + <br /> DATE OF REPORT: SIGNATURE OF TESTER 0 <br /> EV. 4/.91 ) <br />