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last hour first hour QwNLA. O_E SITE : <br /> CRISP TANK TESTING _/ <br /> 2004 Piccoli Rd. 4#9 <br /> Stockton, CA 95205 HORNER EASY TESTING METHOD ADORES S: <br /> MAY 2 5 1994 - <br /> WORK SHEET LT.Y-STATE-ZIP : <br /> ENVIRONMENTAL HEALTH CHART CALIBRATIONS (A ) <br /> PERMIT/SERVICES <br /> TANK## � , TEST LEVEL PRODUCT CAPACITY '' first hr A + - <br /> OWNER OF TANKS: ' <br /> last hr + <br /> A D D fTE'S <br /> MEASURED GRAVITY PRODUCT TEMP AIR COEFFIr'IENT.' TEMP CALF X � . , • (B)'.. <br /> TLEVEL LEVEL GAIN+ LEVEL EMI , TEMP . C,41iv+ X( B ) TEMP: FINAL CITY-STATE-ZIP : <br /> ° START END LOSS- X (A RESULT START END L7FF- X(e ) RESULT RESULT TIME <br /> - X - J <br /> X� • t%J'�.�.�-� put, GRADE T TANK <br /> 0 BOTTOM : <br /> s, <br /> - _ X X _ DIAMETER OF TANK <br /> LENGTH OF FILL PIPE : o� r� <br /> X {�J q - - X -- GROUND WATER DEPTH : --po <br /> `7 ! - , �)(1 � C� r HIGHTH OF "LIQUID LEVEL l��! <br /> _ <br /> WHILE TESTING <br /> X" / ,1 �;Vv t 7 L907 X '_ - ,-� - `►)0 r Po T 0. VAPOR RECOVERY SYST M <br /> . E .• <br /> -} YES ( )_ NO <br /> ► SYSTEM TYPE: <br /> _ <br /> (. j SUBMERGE ( )SUCTIDN <br /> X �� / <br /> tr`0l W , l� I X OTHER : <br /> TANK TYPE : ( ) METAL <br /> X 00 _ = X , , ) FIBERGLASS <br /> f COLOR CODE OF PRObUCT : <br /> X - _ _ ( ) CLEAR ( ) RED <br /> r' s i X <br /> .. ORANGE <br /> AGE OF TANKS- <br /> TANK LOCATION LEAK RATE PER HOUR + _ �, AGE OF LINES: <br /> ADDRESS �'� � / YY1 � !, n � � � � PASS ( ) FAIL ( ) INCC�N'LUSIVE ( ) STORAGE SYSTEM FILLED : <br /> o <br /> `rY - k STATE OPERATOR o r! TESTING FLUID IF DIFFERENT <br /> COUNTY "" �-} ; � � THAN STORED MATERIAL : <br /> DATE � � ��� P�Y U� � SIGNATURE E <br />