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_ a <br /> CRISP TANK '1'ICS`l wr. <br /> 2004 Piccoli #9 <br /> Stockton, Ca 95,205 (209)931-1828 <br /> REST REPORT <br /> OWNER OF SITE iaK' L eca <br /> ADDRESS �n ( CITY J pM K�1 1f±Cr STATE IgZIP�a <br /> OWNER OF TANKS___ a <br /> ADDRESS <br /> CITY STATE ZIP <br /> OPERATOR AT LOCATION <br /> ADDRESS <br /> CITY <br /> NAME OF COUNTY S STATE ZIP <br /> TAMC p.4-�- .L n ON PLOT kAN. AGE OF TANK <br /> DESCRIPTION OF TANK: <br /> CAPACITY"-j�,DIAMETER�� <br /> , METAL FIBERGLASS <br /> TYPE OF SYSTEM: SUCTION SUBTYRSIBLE_ (Z; OTHER <br /> VAPOR RECOVERY SYSTEM?_ <br /> -� TYPE <br /> PRODUCT BEING TESTE <br /> MEASURED GRAVITY • <br /> API SPECyyISSEEEIC GRAVITY W 60°F��j1�}CODUCT: TEMP. e&r COE 'fy�(7 <br /> STORAGE FILNEW- DATE. L- <br /> Z �S , TIMET/6(j , <br /> TESTED - DATE_ /G,/ , START/ `j <br /> T_, a , fINISH� <br /> LENGTH OF TESlp -- <br /> MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER_ PSI AT TANK BOTTOM /} �q, <br /> RESULTS OF TEST: / <br /> CERTIFIED TIGHT? - YES ✓ ; Np IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + or _ <br /> REMARKS BY OPERATOR <br /> i <br /> NAME OF OPERAT - <br /> SIGNATURE OF OPERATOR - <br /> DATE / 1 ------ - - , <br />