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CRISP TANK TESTING lost hour J `) � first hourl,1 75 QL�HER._0� SITE: <br /> rel ' ) <br /> 2004 Piccoli Rd. X 9 <br /> Stockton, � � 0 r�f C. )i <br /> �=mon, cA 95205 HORNER EASY TESTING METHOD RODRESS: <br /> A 5 <br /> 1994 <br /> M WORK SHEET I-TY-.sTATE_�'zIP: <br /> ENVIRONM+EgN�%t-HEAL CHART CALIBRATIONS {A) a "UG )r 10 h <br /> TANK) 'TEST LEVEL pERQDUICTS° Pn� h.n, r f //( OWNER OF TANKS: ' <br /> _. iC CAPACITY ��- first hr _ )�,. } . <br /> last hr ADDRESS: <br /> MEASURED GRAVITY PRODUCT TEMP � AIR COEFFICIENT TEMP CAL, ),,40r X _ 'S' j (B)' <br /> TEST LEVEL LEVEL GAIN+ LEVEL cM TEMP . + X( E ) TEMP: FINAL <br /> START END LOSS- X A RESULT START END LI=E- X(q ) RESULT RESULT TIME CITY-STATE-ZIP : <br /> l XOU (I <br /> c� rJ � e7U �.,,�.� �'?�' ,�, {� /7q GRADE TO TANK BOTTOM: ; <br /> _ � ) <br /> X� <br /> X � ,� C,�'(� � �?r) ��. . DIAMETER OF TANK <br /> � LENGTH OF FILL PIPE . <br /> X = '> > 57(47 X GROUND WATER DEPTH : -d U <br /> `' = HIGHTH OF LIgUID LEVEL <br /> 0/1 _ ` X WHILE TESTING : .I,�.� <br /> 0/1 - WHILE- oqq y - IWAM T Fm TN TAW <br /> - X _ - . <br /> _ �� "✓+ VAPOR RECOVERY SYSTEM: <br /> q +�- _ X _ _ { ,) YES { )- NO <br /> � / J � _ SYSTEM TYPE: <br /> 17 �. t, J {. ) SUBMERGE ( ) SUCTION.* <br /> ?- ! , X r ©0/ � _ �.ov� = X 0 = OTH <br /> • � TANK TYPE : { ) METAL <br /> FIBERGLASS <br /> COLOR CODE OF' PRODUCT : <br /> X _ G'® _ _ { . ) CLEAR <br /> D <br /> ORANGE <br /> AGE OF TANKS- <br /> TANK <br /> NKS:TANK LOCATIOt' UCA P r LEAK RATE PER HCUR ♦ AGE OF LINES: <br /> ADDRESS '� '� ' `j SASS FAIL INCONCLUSIVE STORAGE 5Y5TEM FILLED : <br /> _ 'P_ { ) _ ( ) f ) <br /> CITY DATE : IMF - <br /> STATE OPERATOR 'j9 ( TESTING FLUID IF DIFFERENT <br /> DATE <br /> COUNTY SIGNATURE THAN STORED MATERIAL : <br /> �� <br />