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Crisp Tank Testing & Construction Company <br /> Phone (209) 931-1828 Licensed <br /> Post Office Box 30487 Insured <br /> Stockton, California 95213 LICENSE #92-1248 <br /> *�*T/ElREPORT** LEONARD E. GRIP <br /> OWNER OF SITE: <br /> ADDRESS:d2111 _le2r„ CITY : <br /> OWNER OF TANKS: t /Y <br /> ADDRESS: CITY: <br /> OPERATOR AT LOCATION: — Z/720 <br /> ADDRESS : CITY- <br /> COUNTY(!; <br /> ITY:COUNTY!1TANK #: - AGE: GALLONS: <br /> METAL( FIBERGLASS( ) SINGLE WALLED(.n DOUBLE WALLED( ) <br /> DIESEL UNLEADED( ) PREMIUM UNLEADED( ) ( ) <br /> WASTE OIL( ) KEROSENE( ) AVIATION GAS( ) JET FUEL( ) WATER( ) <br /> SUCTION(f) SUBMERSIBLE( ) OVERSPILL CONTAINER--YES( ) NOW) <br /> SHEAR VALVE--YES( ) NO(X) IN-LINE LEAK DETECTOR--YES( ) NO()o <br /> VAPOR RECOVERY SYSTEM--YES( ) NO()() *IF YES, PHASE 1 ( ) PHASE 2( ) <br /> TANK FILL DATE: IME: <br /> TANK TEST START: /��5�� END:��LENGTH OF TEST: �77 <br /> TANK BOTTOM TO GRADE. . . . hoz , TEST LEVEL, TO TANK BOTTOM % Q �� <br /> TANK TOP TO GRADE. . . . . . . - GROUND WATER ABOVE TANK . . $' <br /> DIAMETER. . . . . . . . . . . . c <br /> . . . 'Q PSI . . . . . . . . . . . . . . . . . . . . . . . Oy3z <br /> TEST LEVEL ABOVE GROUND. E�vP �i NET TEST PRESSURE. . . . . . . . "Q6o <br /> WATER IN TANK. . . . . . . . . . . API SPEC GRAV. . . . . . . . . . . . � <br /> DEPTH FOR TAKING SAMPLE . 49. ,5 TEMP. . . . . . . . . . . . . . . . . . . . . <br /> TEMPERATURE PROBE DEPTH. ,f9 e API SPEC GRAV @ 60 ' F. . . . �3 <br /> COEFICIENT OF EXP. . . . . . . . y , <br /> CERTIFIED TIGHT--YES,( ) NO( ) LEAK RATE PER/HR:+ <br /> PRODUCT LINE TEST--PASS( ) FAIL( ) SUCTION( ) PRESSURE( ) <br /> CERTIFIEDD TIGHT--YES( ) NO( ) LEAK RATE PER/HR:+ <br /> DATE: co ��7 ��� SIGNATURE OF TES'C R : <br /> COMMENTS : <br /> REV 3/92 -- ID Al HEA` <br /> ,rn <br />