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CRI91) TANK TIS,s7'lr� (f <br /> 20D4 Piccoli P9 <br /> Stockton, CA 95205 Ur)c.►crtlr . Star�g� <br /> (209)931-1828 N( ,I;EfA, (lSfjEN,���� <br /> OWNER OF SINE ENVIROMENTAL HEALTH <br /> k. �Tf',�u,n�, ✓. ,S,y��� FERMIT/SERVICES <br /> ADDRESS 70/ E CHA%rEk Jl4ly CITY 2 cToy/ STAIEC/j <br /> OWNER OF TANKV, p T�1/�iAi+/Wiz/ �'��y�� <br /> ADDRESS 7CI �" C'f�'s�/17E.e hiy�� CITY .7TCCAc'7-c,,/ STAlE_L/LZ1P S,Zd� . <br /> NAME OF OPERATOR Al LOCAT10Nkh,g1410CiIlk, <br /> NAME OF COUNTY SAMI <br /> TANK I/ ON PLOT PLAN. <br /> DESCRIPTION OF TANK: CAPACITY/a,poo , DIAMETER--Yf-, AGE/7rRs LINES /iy�ls <br /> METAL X : FIBERGLASS <br /> STORAGE SYSTEM: TYPE- SUCTION X , SUBMERSIBLE , OTHER <br /> FILLED - DATE Y TIME /yon <br /> TESTED - DATE 4=�-�7 , STARTOB,/,S , FINISH /D VS- <br /> LENGTH OF TEST // <br /> VAPOR RECOVERY SYSTEM QS ; TYPE <br /> PRODUCT BEING TESTED Ac-Gui., A MEASURED GRAVITY :S <br /> COEFFICIENT Sdf, 3 . TEMPERATURE: PRODUCT ,ST , AIR <br /> MEASURED WATER IN TANK DEPTH OF TANK TOP FROM GROUND LEVEL3�/ <br /> DEPTH OF GROUND WATER HEIGHT OF LIQUID LEVEL IN STANDPIPE <br /> TEST RESULTS: <br /> CERTIFIED TIGHT? - YES A" NO <br /> IF IJO EXPLAIN IN REMARKS BY OPERATOR BELOW. <br /> LEAK RATE PER HC'IJR: + <br /> REMARKS BY OPERATOR <br /> IJAIfI_ 0' OPERAIOR,�C,I L p <br /> Al-10 ' 1987 DAI E " LY <br /> ENVIROMENTAL HEALTH <br /> FERMIT/SERVICES <br />