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t <br /> CRISP ANK TES'T'ING <br /> 2004 Piccoli #9 <br /> Stockton, Ca 95205 (109)931-1828 <br /> TEST REPORT <br /> OWNER OF SITE �- ari—L/ . <br /> ADDRESS C5ql F" � ��- CIT1 f-1� STATE iI ZIPf5/J <br /> OWNER OF TANKS �- <br /> ADDRESS �5qq ��f- CITYInAAjt( , STATELA ZIP�4� <br /> OPERATOR AT LOCATION $'�j Aj 5 �Q J V <br /> ADDRESSAVq LTbati&L C I (�y1; , ' STATECA ZIP f 533 <br /> NAME OF COUNTY &L� 604LU k I <br /> TANK #_ ON PLOT PLAN. <br /> DESCRIPTION OF TANK: <br /> CAPACITY (_p UDb ,DIAMETER , METAL)( FIBERGLASS ,AGEW.tk 5 <br /> TYPE OF SYSTEM: SUCTION SUBMERSIBLE X OTHER <br /> VAPOR RECOVERY SYSTENg S ; TYPE y3 Com' <br /> PRODUCT BEING TESTED riLal MEASURED GRAVITY,5'). _5 <br /> COEFFICIENT TEMPERATURE OF PRODUCT_(- , AIR �� 5 <br /> STORAGE FILLEEE D- DATE -/a - � , TIME <br /> TESTED - DATE -/ 3 - �, START Q /� , FINISH f /� <br /> LENGTH OF TEST �R ; <br /> MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL 'f l�Q <br /> DEPTH OF GROUND WATER zU' PSI AT TANK BOTTOM �- <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES _; NO----- . IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + or �?a� <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR <br /> SIGNATTnURE OF OPERATOR, ° <br /> DATE <br />