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r <br /> CRISPWANK TESm*NG <br /> 2004 Piccoli #9 'Tj <br /> (209)931-182 j <br /> Stockton, Ca 95205 <br /> TEST REPORT MAY 2 5 1994 <br /> ENVIRONMENTAL HEALTH <br /> OWNER OF SITE Rclr PERMIT/SERVICES <br /> ADDRESS CJ CITY-s STATEL2-7IP ' <br /> OWNER OF TANKS_ 2Yh � r��� oy--e- ,,,�.��' <br /> ADDRESS. CITY STATEiP <br /> OPERATOR AT LGCATION,� v <br /> ADDRESS e- CITY pG vs STATE 9 ZIP <br /> NAME OF COUNTY <br /> TANK 9k 1A ON PLOT PLAN. <br /> DESCRIPTION OF TANK: <br /> CAPACITY oou DIAMETER _ METAL FIBERGLASS_,A GE . <br /> TYPE OF SYSTEM: SUCTIONw.:. SUBMERSIBLE, uTHE( - <br /> VAPOR RECOVERY SYSTEM? TYPE ,Jal` 1rc � <br /> PRODUCT BEING TESTED Wea cLac MEASUREU GNAVIIY <br /> COEFFICIENT �17 MPERATURE OF PRODUCT 56 AIR S� <br /> STORAGE F ILL D - DATE G :, TIME 0600 <br /> TESTED - DATE fir' , STAPT , FINISH 2210 <br /> LENGTH OF TEST 2- /-/I- R, S <br /> r� <br /> MEASURED WATER IN TANK jL . HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER, bra PSI AT TANK BOTTOM_y <br /> RESULTS OF TEST: - <br /> CERTIFIED TIGHT? - YES _; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + or -, 0326 f _ <br /> REMARKS BY OPERATOR <br /> C <br /> NAME OF OPERATOR O 148 r, <br /> SIGNATURE OF OPERATDR L_ <br /> DATEy G� .....� <br /> r <br /> a <br />