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RISP TANK TESTING <br /> y 1 <br /> P• 0. 86X 30487 <br /> StOCKION, CA 95213 r <br /> (209) 931.1828 <br /> LICENSE #92-1248 I <br /> LEONARD E. CRISP <br /> TrS T TZI:POR'T i <br /> 011NIc'n, OF SITE <br /> A D D R r S S c5 C IG(/r i <br /> IIFt, �� ft CI'1'Yyp� zIP <br /> OWNER of TANK(S) Li OIL a s all A <br /> • k..: <br /> ADDRESS CITY <br /> ZIP <br /> ' 1 <br /> OPERA'T'OR AT i3OCATION J cC l!l( - -� c� -'�t�f �< <br /> L <br /> ADDRESS 7/ ' <br /> i l(1 r(�_11 ( � f� C_I'r'YI 1 ► CALIF. ZIP <br /> NAME OF COUN'T'Y �((i1oLI /Y 1 <br /> 'I'ANK# _0N P[-,OT PLAN. AGE OF 'TANK_ )XRS. CAPACITY <br /> ,(�,,Q�GALLONS <br /> DIESEL , PREMIUff UNLEADED , UNLEADED , REGULA <br /> .�. REGULAR_t <br /> KEROSENE <br /> yl <br /> ME'T'AL FIBERGLASS . VAPOR RECOVERY SYSTEM: YESA_NO` <br /> TYPE OF SYS'1'rPT: SUC'T'ION SUBMERSIBLEI <br /> OTHER . <br /> MEASURED API SPECIFIC GRAVITY ``td. PRODUCT TEMPERATURE <br /> API SPECIFIC GRAVI'T'Y @)60 ' F�1, <br /> COEFFICIENT OF EXPANSION <br /> TANK FILLET) - DATE - - �v <br /> 'TIME <br /> TANK '1'ES'TEU - UA'I'E - START �) <br /> LENGTHFINISH____�y�Q_ <br /> OF TEST' u,�S <br /> TANK 13OTTOM TO GRAPE 'T'ANK TOP TO GRADE5:5 � <br /> 1 <br /> UxAr1E'I'ER TEST LEVEL ABOVE GRADE <br /> WATER 'IN TANK. <br /> DEPT11 FOR TAKING SAMPLE <br /> TEMP. PROBE bEPTH <br /> '1'ES'1' LEVEL `1'O 'TANK BO'TT'OM GROUNDWATER ABOVE TANK <br /> PRODUCT PRESSURE per 1 " IIEIGHT .021 PSI . 78 <br /> **RESUL'T'S OF 'TES'T'** <br /> CERTIFIED TIG1T'I': YESXNO <br /> LEAK RATE PER 11OUR : + <br /> SIGNATURE OFr.RATO R i <br /> NAME <br /> ! - r, �. <br /> DATE <br />