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Crisp Tank Testing & Construction Company <br /> Phone (209) 931-1828 Licensed <br /> Post Office Box 30487 r,a * Insured <br /> Stociaon, California 95213 LICENSE #92-1248 <br /> LEONARD E. CRISP <br /> ) J T REPORT* <br /> ENVIRONMENTAL HEALTH I �,r� 1 <br /> PERMIT/SER`Y!Ct ES DATE: -go <br /> OWNER OF SITE: C—akt-, 6CAI lCt <br /> I <br /> ADDRESS: joy J). /"l(AE II\C•: JA1A\J CITY : <br /> OWNER OF TANK(S): <br /> ADDRESS: 3aD E, gu6 j\A)U(1C �)F_.CITY : f , ,:ZIP:e`530 <br /> OPERATOR AT LOCATION: <br /> I 1-0. 11 aF> 1 <br /> ADDRESS: ,24 y � . 1 t� (1�((1(i CITY : <br /> JIZIP: JI_A� <br /> NAME OF COUNTY: JO1 I�!!!(�(A�] [,11 (l AGE OF TANK: L � 'n' <br /> TANK#: n NE CAPACITY :�GALLONS . METAL: FIBERGLASS:_ <br /> SINGLE WALLED: DOUBLE WALLED: DIESEL: PREM. UNLEADED: <br /> UNLEADED: REGULAR LEADED:: KEROSENE: WASTE OIL: AVGAS:_ <br /> VAPOR RECOVERY--YESXNO IF YES, PHASE 1 : PHASE 2 ::. <br /> SYSTEM TYPE--SUCTION: SUBMERSIBLE::• INLINE LEAK DETECTOR--YES NO <br /> SHEAR VALVE--YES:NO OVERSPILL CONTAINER--YES No X <br /> TANK FILLED--DATE: - ,j—IU. TIME : <br /> TANK TESTED--DATE: - - START: FINISH: ! S <br /> LEGNTH OF TEST: HOURS . MINS . <br /> TANK BOTTOM TO GRADE _" . TANK TOP TO GRADE: 34DIAMETER " . <br /> TEST LEVEL ABOVE GRADE::_" . WATER IN TANK ::-ll - <br /> DEPTH FOR TAKING SAMPLE: '91 TEMPERATURE PROBE DEPTH: ,3 , " . <br /> TEST LEVEL TO TANK BOTTOM:.' - GROUND WATER ABOVE TANK: <br /> PSI : ,0a6 . NET TEST PRESSURE:] <br /> **RESULTS OF TEST** <br /> CERTIFIED TIGHT--YES:NO <br /> LEAK RATE PER HOUR: <br /> SIGNATURE OF TESTER.,_ � <br /> LQiyLn <br />