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CRISP ]A?','( IFSTING <br /> " <br /> P.-O. DOX 30W <br /> STOCRTON, r.A 95213 <br /> (209) 931.1823 <br /> MAY 2 5 1994 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT/SERVICES <br /> ouN11:1- OF <br /> c /9 r 7,1 P <br /> A 1)DR,F S s 0 / L�: <br /> 0 W N E R OF. TANK S J2 0V <br /> ADDRESS— CI'T'Y ; 71p- <br /> OPERATOR AT <br /> ADDRESSCT'r Y CALIF . ZIP <br /> NAME OF COUNTY <br /> L <br /> TA N K IfON P1,01' PLAN. AG'l: OF TANK"? YRS. CAPACITY/()()c& GALLONS - <br /> l- <br /> DIESEL PREMIUM UNUAI)ED'AL, UNLEADED <br /> KEROSENE o'r[IEP <br /> METAL_ FIBERGLASS VAPOR RECOVERY SYSTEth-X-YES—NO„ <br /> TYPE OF SYSTEH, SUCTION SU13HUSIBLE OTHER <br /> MEASURED API S['rCJFIC GRAVITY PRODUCT 'I'E?IPERATURE__2 <br /> API SPECIFIC GRAVITY @60 ' F.5c., I . <br /> COEFFICIENT OF EXPANSION , 000 663E <br /> 'PANT' FILLED - DATF6�-16-Lq,�_- 'T'I'M F <br /> TA N I7 ESTT <br /> ED - DAEY-/0 <br /> � T .90 S T'AR'T' �2 a7() <br /> LENGTH OF TEST..,�--. Al U La <br /> 7 <br /> 'FANIX BOTTOM TO G1-',APEj3i" 'TANK rot, TO GRADE <br /> DIAMETER TEIIST 1,F:VrT-, AROVE, GRADF_) 7 WATER IN 'rANK <br /> f <br /> DEP111 FOR TAKING SAMPLE Q_ !- TEMP. PROBE DEP,rn <br /> TEST LV,',V FT, TO -TANK BO'r,rom .1 4-) GROONDWA'FER ABOVE TANK__ <br /> - <br /> PRODUCT PUSSURP per I " HE <br /> *')-'RESUF,'I'S OF JEST" <br /> CERTIFIED TI(JITT- Y f-s-)<' N 0 <br /> LEAK RATE PER HOUR : <br /> SIGNA,rupE OF OPER'ATO NAME <br /> J <br /> 1)A'T'r Zf <br />