Laserfiche WebLink
Crisp Tank T sting & Construcnon Company <br /> Phone (209) 931-1828 J O N Licensed <br /> Post Off Ice Box 30487IVVIF?clf, Insured <br /> Stockton, California 95213 P` LICENSE #92-1248 <br /> **TEST REPORT** <br /> LEONArD E. CRISP <br /> OWNER OF �SITE: <br /> ADDRESS: /cil/ < L�,�li2�l�' G(1 CITY: g Yip=.f 'l%!k > , ��ZIP bI;7C <br /> OWNER OF TANKS: 1`�7C(3%Y`, ZfvT ��/AGL SL ll_ �IL/SCJ <br /> /yam� � /� ..,/ 7 �' h. _ � • .-�, -- <br /> ADDRESS: /l'/ C�. ��:ZS/!� ��CC� CITY: zip: <br /> OPERATOR AT LOCATION: <br /> ADDRESS : CITY: ZIP: <br /> COUNTY: . AE:/ GALLONS: J <br /> METALOO FIBERGLASS( ) SINGLE WALLED( f ) DOUBLE WALLED( ) <br /> DIESEL( ) UNLEADED( ) PREMIUM UNLEADFD( I ) ( ) <br /> WASTE OIL( ) KEROSENE( ) AVIATION GAS( ) JET FUEL( ) WATER( ) <br /> SUCTION( 'C) SUBMERSIBLE( ) OVERSPILL CONTAINER--YES( ) NO(A ) <br /> SHEAR VALVE--YES( ) NO(� ) IN-LINE LEAK DETECTOR--YES( ) NO( k-) <br /> VAPOR RECOVERY SYSTEM--YES('.,' ) NO( ) * IF YES , PHASE 1 (.� ') PHASE 2 ( 1' ) <br /> TANK FILL DATE: 1� /'-M TIME: <br /> TANK TEST DATE: '_� / i? T , -� <br /> STA AP. [ . ). ) END: . ' '',,, LENGTH OF TEST: �. <br /> TANK BOTTOM TO GRADE. . . . 'T'EST LEVEL TO TANK BOTTOM <br /> TANK TOP TO GRADE . . . . . . . JI-el GROUND WA`T'F,R ABOVE TANK . . <br /> DIAMETER. . . . . . . . . . . . . . . :�v PSI . . . . . . . . . . . . . . . . . . . . . . ��if? <br /> TEST LEVEL ABOVE GROUND. NET TEST PRESSURE. . . . . . . . L�3 <br /> WATER IN TANK . . . . . . . . . . j API SPEC GRAV . . . . . . . . . . . <br /> DEPTH FOR TAKING SAMPLE . 5/..,) A TEMP. . . . . . . . . . . . . . . . . . . . <br /> TEMPERATURE PRO13E DEPTH. J6 API SPEC GRAV C 60 ' F . . . . �y� <br /> COEFICIEN'C OF EXP. . . . . . . ..r����(L�j4J <br /> CERTIFIED TIGHT--YES(\ ) NO( ) LEAK RA'Z'E PER/HR : +_ <br /> PRODUCT LINE TEST--PASS ( ) FAIL( ) SUCTION( ) PRESSURE( ) <br /> CERTIFIED TIGHT--YES( ) NO( ) LEAK RATE PER/FIR : + ;- <br /> DATE: �-, ',9,�- SIGNATURE OF TESTER: <br /> COMMENTS : <br /> REV 3/92 <br />