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y i <br /> Crisp Tank Testing & Construction Company <br /> Phone (209) 931-1928 licensed <br /> Post Office Box 30487 Insured <br /> SlocMon,Callfoml <br /> LICENSE ,�92-1248 <br /> M AR 21 1991 <br /> *TEST REPORT* LEONARD E. CRISP <br /> ENVIRONMCNTPILHL1ACE�L-TtA DATE- Ki H'1 �I <br /> OWNER OF SITE: . ! �_Awl <br /> ADDRESS: yjO ( 1, CITY : _, ZIP: J� <br /> OWNER OF TANK(S):__�j �(aI(�Q(�fl <br /> ADDRESS: :AnCI&C l CITY : ) ,�AZIP:C.SJ{ <br /> OPERATOR AT LOCATION: I"l(f ooh d , (a k /)L( C) <br /> ADDRESS: �r !1,1ACITY : )�T� ZIP: <br /> NAME OF COUNTY:(: (' AGE OF TANK: <br /> TANK#: CAPACI'T'Y : () ) GALLONS . METAL: FIBERGLASS: <br /> SINGLE WALLED: DOUBLE WALLED: DIESEL: PREM. UNLEADEDi <br /> UNLEADED: REGULAR LEADED:____ KEROSENE: WASTE OIL: AVGAS: <br /> VAPOR RECOVERY--YE:".__X_NO IF YES, PHASE 1 :: PHASE <br /> SYSTEM TYPE--SUCTIOV::SUBMERSIBLE: . INLINE LEAK DETECTOR--YES NO� <br /> SHEAR VALVE--YES___N0 X OVERSPILL CON'T'AINER--YES NO X <br /> TANK FILLED--DATE:I' TIME: <br /> TANK TESTED--DATE: START: � _. FINISH: <br /> LEGNTH OF TEST GFOUR <br /> TANK BOTTOM TO ! " . MI <br /> TANK TOP TO GRADE: " . DIAMETER: <br /> TEST LEVEL ABOVE GOADE: WATER IN TANK :^ " . <br /> DEPTH FOR TAKING SAMPLE " . TEMPERATURE PROBE DEPTH: J 6 " . <br /> TEST LEVEL TO TANK BOTTOM: " . GROUND WATER ABOVE TANK: <br /> PSI :.yalo NET TEST PRESSURE: 4,03 . <br /> "RESULTS OF TEST** <br /> CERTIFIED TIGHT--Y-S:NO <br /> "LEAK RATE PER HOUR: + Q <br /> n r <br /> SIGNATURE OF TESTER: �� �Q �U <br />