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Crisp Tank Testing & Construction Company <br /> Phone (209) 931-1626 I � <br /> Post Office Box 30467 lie Licensed <br /> Stocldon,Calllomla 95213 Insured <br /> f 14 1991 LICENSE #92-1248 <br /> *TEST REPORT* LEONARD E. CRISP <br /> LN'v; )NNIENTAL HEALTH <br /> PERMIT/SERVICES <br /> CC DATE.-...Rae ,s . iqc(l <br /> OWNER OF SITE:KaAdnn(\ U�AAOLA4 <br /> ADDRESS: J0I �� G1C� 2 WO, CITY : twi&rx, ZIP: s-Q <br /> OWNER OF TANK(S); K�QI On(� uwAaA- t NW6 kIj <br /> ADDRESS: CITY : ,/1 A ZIP:�S-oZO <br /> �1 . <br /> OPERATOR AT LOCATION: <br /> ADDRESS:m__ OL�CITY - <br /> NAME OF COUNTY: ?' <br /> Cin �daAl,�ir� AGE OF TANK: <br /> TANK#sTUL_. CAPACITY : 1)n_GALLONS . METAL: FIBERGLASS: <br /> SINGLE WALLED:-k DOUBLE WALLED: DIESEL: PREM. UNLEADED: <br /> UNLEADED:-,X- REGULAR LEADED: KEROSENE : WASTE OIL: AVGAS: <br /> VAPOR RECOVERY--YES_X_NO IF YES, PHASE l :—X- PHASE 2 :-&-. <br /> SYSTEM TYPE--SUCTION:,XSUBMERSIBLE: • INLINE LEAK DETECTOR--YES NO" <br /> SHEAR VALVE--YES NO_><,_. OVERSPILL CONTAINER--YES NO_>�, . <br /> TANK FILLED--DATE: TIME: <br /> TANK TESTED--DATE: QQL-a�-yi . START: 08,49 FINISH: LU(Q <br /> LEGNTH OF TEST: HOURS . _MINS. <br /> -TANK -BOTTOM TO GRADE: it . TANK TOP TO GRADE:_" . DIAMETER: <br /> TEST LEVEL ABOVE GRADE :��" . WATER IN TANK- <br /> DEPTH FOR TAKING SAMPLE: TEMPERATURE PROBE DEPTH: <br /> TEST LEVEL TO TANK BOTTOM: JS_S_." . GROUND WATER ABOVE TANK: <br /> PSI : •Dae NET TEST PRESSURE: 4,03 . <br /> **RESULTS OF TEST** <br /> CERTIFIED TIGHT--YES-9—NO <br /> LEAK RATE PER HOUR: + _ 3 <br /> r) n D <br /> SIGNATURE OF TESTER: <br />