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CRISP TAN` TESTING & CONTRU I-IOC! CO . <br /> P.O. BOX*30407 LICENSED <br /> STOCKTON, CA 95213 INSURED <br /> (209) 931- 1020 <br /> FAX (209) 465-3006 <br /> * ** * * UCENSE #92-1248 <br /> TEST REPORT * ** * LEONARD E. CRISP <br /> OWNER OF SiTF, ,nV <br /> ADDRFSS: I_ uTY: ZIP:-6b-3562-- <br /> OWNER OF TANKS:----------- 1 <br /> ADDRESS:x-------------- CITY:------------- J1,[��J:(�j� <br /> ffff--- <br /> OPERATOR AT LOCATION:-----------�5Lmxj,_--- ---------- � = �`J <br /> ADDRESS:------------ ---- CITY:------------ p1p <br /> - EPlVIR6NivrtNTAlIiEALTH----- <br /> COIINTY: Ul,.—_ TANK++:_ PERMIT/S R\vE <br /> �, AGF.:--_-- GAI,LONS_.ort z x �--- <br /> MF.TAL(V4 FIBERGLASS( ) SINGLE. WAI.T.F.D(� DOUBLE, WALLED( ) <br /> DIESEL( ) UNLEADED PREMIUM UNI.. ( ) <br /> SUCTION( ) SUBMERSIBLW) OVERSPILL CONTAINER"YF.Sw) NO( ) <br /> SHEAR VALVE"YESM NO( ) IN-LINO LEAK DETECTOR""YESNC) NO( ) <br /> VAPOR RECOVERY SYSTEM""YE.S(L) NO( ) IF YES, PHASE I(" PHASE II '-) <br /> TANK FILL. DATE: TIME.:— _ <br /> TANK TEST DATE: �j�7START:-al DU F.ND:___6UQ <br /> LENGTH OF TEST:—� �— <br /> TANK BOTTOM TO GRADE..... TEST LEVEL TO TANK BOTTOM...._100" <br /> TANK TOP TO GRADE............ GROUND WATER ABOVE TANK.....--44 <br /> DIAMETER.'...........................--- �_., Psi....................................... <br /> .,...:......._iQQ <br /> TEST LEVEL ABOVE GROUND_ NET TEST PRESSURE.......................�L <br /> WATER IN TANK.................... <br /> API SPECIFIC GRAVITY...... _ <br /> DEPTH FOR TAKING SAMPLE...-V,1" TEMPERATURE..................... .. <br /> TEMPERATURE PROBE DEPTH.... API SPECIFIC GRAVITYw 60' F...... <br /> f.OF,FFICIENT OF CXP........... .....2 <br /> LEAK RATE PER/1111:0x&_ <br /> CERTIFIED TIGHT: YES( NO( ) <br /> PRODUCT LINE TEST: SUCTION( ) PRESSURF(7� <br /> LEAK RATE PFR/)IR: <br /> �JJ <br /> CERTIFIED TIGHT: YESW NO( ) <br /> DATE:c3bk195 SIGNATURE OF TESTER: <br /> COMMENTS:_--------------------------- <br /> ��9�{- <br />