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Crista Tank Test.g & Constructict Company <br />horse (209) 931-1828 llcpnsad <br />nsf OfYICe Box 30487 <br />IoCfdon, Callfoinla 95213 Insuied <br />LICENSE #92-1248 <br />LEONARD E. CRISP <br />04NER OF SIT; EA <br />1� 'Y �� i f� �r— i !�7 <br />ADDRESS:] ' <br />CITY! <br />OWNER OF TANK( PER I I /SERVICES R <br />ADDRESS s C..1Ty : ��o� <br />ct-J,IP <br />OPERATOR AT LOCATION., <br />ADDRESS F 11��� <br />CITY! <br />_ <br />CO )UNT n <br />TANK it:�. AGE: _YRS. i USC 'ALS. <br />METALS _ FIHERCLASS: SINGLE WALLED: DOUBLE W111.LED- <br />DIESELe UNLEADED: PRFMIULL UNLEADED: REGULAR LEADED: <br />WASTE OIL: KEROSENE: AVIA'CION GAS; <br />• JE°L' r:r1EL:�. WATER: <br />Sit1CUM SUIMERSIBLE:OVERSPILL CONTAINER --YES NO : <br />SI$EAR VALVE --YES NO- IN LINE LrAK DE'1'ECTOR--YES.>C NO <br />VAPOR RECOVERY SYSTEM ---YES NO i. <br />IF YES, PHASE I: HIASE 2: <br />T7NK FILLED ---DATE: TIME: <br />TINK TESTED ---DA'T'E: r �� �_�,� <br />. Sl'AR'l':� F.IN.IS11:�{ <br />LINGTEI OF TEST s IIOURS . NS. <br />TA NK BOTTOti TO GRADE: , <br />'L' <br />jj��" 'i'ANK 'T'OI O GR1111E�" . r)114r1E'1'ER��,. <br />TEST LEVEL A13OVE GRADEM ". WATU IN TANK) -. <br />DEPTH FOR TAKING SAMPLE:_„ . TE'N <br />TEST LEVEL TO TANK 13OTTOH IJ to. G <br />PSE: -MI <br />NET TEST PRESSURE* <br />CERTIFIED <br />TIGIIT--YES�f NO . [API S <br />LE 1K RATE <br />PER HOUR: + * <br />ERATURE PRODS lll:P'L'll , <br />OUND WA'T'ER ABOVE TANK -6 ,i , <br />(Atli SPEC. CRAV .TErir, : l _] <br />EC. GRAV.' ` L COEFF I.W v <br />FSO F. , _ EXPt. <br />DA'T'E OF REPORT: \"(-T- SICNATURE Or 'rrQ'L'rr, Z'iz f.� <br />rI) <br />