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cRisp4�rANK ores <br /> 2004 Piccoli #9 TIN <br /> { Stockton, Ca 95205 (209)931-1628 <br /> TEST REPORT <br /> OWNER OF SITE <br /> . ADDRESS ITY STATE '(/ ZIP <br /> OWNER OF TANKS <br /> ADDRESS r - s L>l TY �} �•�� ( _STATE ' _ZIP <br /> OPERATOR AT LOCATION - ► f .LCI <br /> ADgRESSL 5- -S` lLu 7 I CITYl STATE( _ZIP <br /> NAME OF COUNTY t • i <br /> TANK vE' ON PLOT FLAN. AGE OF TANK <br /> DESCRIPTION OF TANK: <br /> CAPACITY ,DIAMETER C ''` <br /> , METAL FIBERGLASS <br /> TYPE OF SYSTEM: SUCTION, <br /> ' SUBMERSIBLE OTHER <br /> VAPOR RECOVERY SYSTEM? ; TYPE <br /> PRODUCT BEING TESTED • MEASURED GRAVITY <br /> COEFFICIENT 32, TEMPERATURE OFPRODUCTi, AIR �� _�• <br /> y EEb�yy <br /> STORAGE <br /> ILLED'_ DATE_aa �' TIME <br /> TESTED - DATEZy _,S START FINISH %USCF <br /> LENGTH OF TEST <br /> MEASURED WATER IN TANK - HEIGHT OF LIQUID LEVEL�j/ +` <br /> DEPTH OF GROUND WATER .L "� PSI AT TANK BOTTOM <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES_ ; N0 IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + , � � or - <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR L,ec) <br /> C' SIGNATURE OF OPERATOf " <br /> DATE <br /> j <br />