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S E <br /> CRISP WANK TEST",G <br /> 2004 Piccoli #9 (209)931-18284 r <br /> Stockton, Ca 95205 <br /> TEST REPORT SAY 2 S 1994 <br /> ENVfR0NMCN1,q HEALTH <br /> � e <br /> OWNER OF SITE PFRMIT/SERV+CFS, <br /> ADDRESS Lj <br /> CITY STATEZIP <br /> OWNER OF TANKSSTATE ZIFt <br /> ADDRESS- CITY <br /> OPERATOR AT LGCATION S <br /> ADDRESS Cv CITY STATETF <br /> NAME OF COUNTY 5,7 &52 ec) <br /> TAN; # QJ1 4-'„ ON PLOT PLAN. <br /> DESCRIPTION OF TANK: <br /> CAPACITY C90DIAMETER - --, METALS F IBERGLASS.,AGE_.. <br /> TYPE OF SYSTEM: SUCTIOf �: SUBMERSIBLE,,, THEF� <br /> VAPOR RECOVERY SYSTEM? )C TYPE d <br /> PRODUCT BEING TESTED ! MELU UHAVIIY <br /> COEFFICIENT j t <br /> TEMPERATURE' OF PRObUCT �, AIR <br /> STORAGE SYST M: <br /> F ILL D - DATE 7 1 TIME 0 6d <br /> TESTED - DATE STAN / Lqn U , FINISH p2 d - – <br /> LENGTH OF TEST <br /> MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER.– ao' PSI AT TANK BOTTOM <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES ; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + ; or <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATO <br /> SIGNATURE OF OP AOR ° <br /> DATE 41—��•, <br />