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CRISP TANK TING <br /> 2004 Piccofi #9 <br /> Stockton, Ca 95205 (209)931-1828 <br /> TEST MEAT <br /> OWNER OF SITE (a K' L kn oc <br /> ADDRESS - )n - 1 i 1 I ! v <br /> (l n J YA� IY) AI_�lJf�('.�STATE(',4ZIP0- <br /> ADDRESSOWNER of TANKS v ra m P (] () <br /> CITY STATE_ZIp <br /> OPERATOR AT LOCATION <br /> ADDRESS <br /> CITY STATE ZIP <br /> NAME OF COUJTY <br /> TANK 0.x::� -f-( I�ON PLOT kAN. AGE OF TANK <br /> DESCRIPTION OF TANK: <br /> CAPACITY,-J2�,n �DIAMETER �, METAL FIBERGLASS_ <br /> TYPE OF SYSTEM: SUCTION : SUBMERSIBLES(_ <br /> VAPOR RECOVERY SYSTEM? OTHER <br /> PRODUCT BEING TESTED j� :�' TYPE MEASURED GRAVITY <br /> API SPECIEIC GRAVITY Q 60°F . / o <br /> y EM �oi1��0DUCT_TEMP. l�i COE ' ���� <br /> STORAGE LIM:- DATE <br /> TESTED - DATE �' <br /> � ��G /r} , START/n.3n , FINISH ' ' <br /> LENGTH OF TEST_ ��ni �� <br /> MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL_ <br /> DEPTH OF GROUND WATER ja� 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 O1'ERATOf�' _ �5'• /� <br /> SIGNATURE OF OPERAIORI ,yam- _ urL9' <br /> DATE <br /> , r . <br />