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n4 <br /> 1 <br /> nsftLI�; <br /> tan Company Cris Tank Testing <br /> Phone (209) 934-1828 licensed <br /> Post Office Box 304137 1.I,CE NSE #92-1248 <br /> ` Stocldon, California 95213 UONARD E. CRISP Insured <br /> OWNER OF SITE : —4 <br /> T �%i= - :__ �'�._.✓_ /. G��C:— �:C�C — —_ <br /> ADDRESS:L �' <br /> OWNER OF TANKS : <br /> ADDRESS: C7 '1'-� . .- <br /> OPERATOR AT .LOCA'T'ION: <br /> ADDRESS:� _ __ C'l '1"T _ , f (� • _ <br /> M <br /> COUNTY.��_ 17TAN17 It c%"Z —A,:I,: : -. <br /> METAL(() IBE:RGLASS( ) S1 N(11 G h11�1,1,E1)f DOU131,r wAI,i,P.,,( ) <br /> DIESEL/( ) UNLEADED ) PREMIUM UN),EAD1:I,)( <br /> WASTE OIL( ) P;EROSENE( ) AVIATION (;N S( ) ,JI;'I' FUIi•1.,( ) WA,rl:R( ) <br /> SUCTIONW) SUBMERSIBI,G( ) OVE.R`PILL CONTAINER---Yr.-,1,( ) 1100) <br /> SHEAR','VALVE---YEC;( ) NO(X) IN-L1N1; I,EAK 1)E.Tit:1"T'OR--YF3( ) NI) ) <br /> i <br /> VAPOR RECOVERY SYS'T'EM--YF:S(x) NO( ) *'IF �'FS , PHASE E ) PHr15E 2 (� <br /> TANK FILL DATE: _ TIHr" : _ <br /> TANK TEST START L����^ ti —(-ND; I,ENGTII OF TEST:,;',/L4*/ <br /> 'l TANK BOTTOM TO GRADE. TEST -I,EVE1, TO TANK J-IOTTOM <br /> ;TANK. TOP TO GRADE. . . . . . . �y (,POUND WATER ABOVE 'LANK . . <br /> aDIAME:'ER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C7 � <br /> ;: TEST LEVEL ABOVE; GROUND .— N1?'I' TP.S'1' 11I:E;SStJRE . . . . . . . _ A <br /> WATER IN TANK. . . . . . . . . . —6;, A111 SPVC 1:11AV. 3 � <br /> DEPTH FOR TAKINC; SAMPLE . <br /> TEMPERATURE PROBE DEP'1'II . <br /> —. ---- —— 111' f SPEC ("RAV 0 .60 ' 1' . . . .'�Jr�3• rJ <br /> CERTIFIED TJG11'T'---YES( NO( <br /> Y, <br /> `}'PRODUCT LINE: 'PEST--PASS( FALL( ) ;Iir"1'IU1J(�! PI2T:SSfJ:lE( 1 <br /> ti;CERTIFIED TIGHT—•—YES( <br /> !.4 COMMENTS : _ _.--- --- <br /> YfY � rDATE <br /> ;r SIGNA'CURE OF 'E'];S'CE:P,.- <br /> ' REV' � <br /> $, <br /> S/92 <br /> ( , <br /> M ' <br /> 1 ' <br />