Laserfiche WebLink
Crisp TaInIIC Taping do Consirucli ,gin CATIpany <br /> Phone (209) 931-1828 Licensed <br /> Post OffiCe Box 30487 i.. UNSC #92-1248 Insured <br /> Stocldon, California 95293 LFONAPC E. CRISP <br /> OWNER OF SITE: <br /> ADDRESS:/ <br /> OWNER OF TANKS: <br /> ADDRESS: CtI <br /> OPERATOR AT LOCA'PION: <br /> ADDRESS: — ---C IT -- <br /> COUNT f� TANK 1k:_ �. .JV 1 <br /> � L <br /> METAL(,r) FIBERGLASS( ) SrM:LI•; 31A),1,1;1,(� ) OU Sl Ii rJALLI°.I ( ) <br /> DIESEL( ) UNLEADED( ) PRE;P111iFi UUt,1iAUT:I)( ) L/ �` (� <br /> WASTE OIL( ) KEROSENE( ) AV1ATI ()N (:AF,( ) h'I' FUEL( ) WATFR ( ) <br /> SUCTION( ) SUBMERSIBLE(x) OVER`al' I.T,L CONIAINER-- 1;:9( ) PIC( ) <br /> SHEAR` VALVE--YES( ) NO( ) IN-IJ NF, LEAK UETP:C'1'OR--Y S(k) NO( ) <br /> VAPOR RECOVERY SYSTEM--YES(k) NO( ) * TF YES , PHASE ( ) 1111ASE 2( ) <br /> TANK FILL DATE: 9,y TIME: 4W_IJ__ <br /> TANK TEST DATE: STA RT:��j�/1_ENp :_�I [) I,FNG'PI OF '1'T;5'I': �2�� 4 � <br /> TANK BOTTOM TO GRADE . . . . I,riviil TO TANI Imrr(gI <br /> TANK TOP TO GRADE. . . . . . � l'r7ItII1) NAIKP,, ABO'✓T TANV . • <br /> DIAMETER. . . . . . . . . . . . . . . . 95' I"; r . . . . . . . . . . - . . . . . . . . . . . (7�i <br /> TEST LEVEL ABOVE GROUND. PIFT 'PEST PRESSURE . . . . . . . . . <br /> WATER IN TANK. . . . . . . . . . AFI SPEC (:RAV . . . . . . . . . . ,3 o <br /> DEPTH FOR TAKING SAMPLE . TEI1IP . . . . . . . . . , . . . . . . . . . . <br /> TEMPERATURE PRO13E DEPTH ._,� _— APr .`iT`FY! (:{?AV l ()C I F . . . . <br /> ccu,FJclFFrr <br /> OF ExP . . . . . . . .��'. <br /> CERTIFIED TIGHT--YES(X) NO( ) I-EAK BATF, PEP,/HR:j <br /> PRODUCT LINE TES'P--PASS(/i) FAIL( ) SUC'r'lON( ) PRES URE(k ) <br /> CERTIFIED TIGHT--YES(, ) NO( ) 1.1?AK RA'T'r? PER//rlR : a — <br /> COMMENTS: ��afYl� <br /> DATE:_ SIGNATURE OF 't'ESTF;PLy C >— e <br /> REV 3/92 r <br /> I <br /> . r <br />