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CRISP- TANK TE9TING <br /> 2004 Piccoli #9 <br /> Stockton, Ca 95205 (209)931-1828 ^ <br /> TEST REPORT <br /> OWNER OF SITE / I (�C�CQ�(1 �[ - L�,l� 0[), A <br /> ADDRESS 3� LJ` afcdt- CIT")I��/F. lb STATE( ZIP�'J� <br /> OWNER OF TANKS�'� 0C%fp�b T� �,� , .J 0/ <br /> ADDRESS )35 {I llnd�rtC CITY- ) /)d. Jfe STATED ZIP9536Z <br /> OPERATOR .AT LOCATION <br /> ADDRESS C TY C 7L v) STATEt4ZIPLLf, <br /> NAME OF COUNTY 31 K jra�l C <br /> TANK !1 +W O ON 'LOT PLAN. AGE OF TANKK`� <br /> DESCRIPTION OF TANK: <br /> CAPACITY IU1O6O DIAMETERMETAL FIBERGLASS_ <br /> TYPE OF SYSTEM: SUCTION X : SUBMERSIBLE : OTHER <br /> VAPOR RECOVERY SYSTEM? k/0 ; TYPE <br /> PRODUCT BEING TESTED /7/ L MEASURED GRAVITY 3 2 <br /> COEFFICIENT TEMPERATURE OF PRODUCT `72 ' , AIR <br /> STORAGE FILLEDEEMM:- -DATE 7-/1- �� <br /> _ ,- TIME <br /> TESTED - DATE -J , START (,ClD , FINISH LG , <br /> LENGTH OF TEST /(OCcrS ('i till L1ccfe� <br /> MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER&lwZD' PSI AT TANK BOTTOM 4,U'3 <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES C ; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: +, (x)580 ; or - <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR (;nrl rpt_ i A <br /> SIGNATURE OF OPERATOR <br /> DATE % - 1-1 -y, <br /> ) <br />