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CRISP TANK TESTING <br /> 2004 Piccoli #9 } <br /> f <br /> Stockton, Ca 95205 (209)931-1828 <br /> TEST REPORT <br /> OWNER OF SITE /�}} <br /> ADDRESS r �c) �F CITT STATEn�A ZIP "1530 <br /> OWNER OF TANKS Moo LL <br /> ADDRESS CITM (aC STATE_t&ZIPgrj?) LJ <br /> r <br /> OPERATOR AT LOCAaION racks L,4y-c)ki� n <br /> ADDRESS ()C JQSLml-u- CIPq)l&,n-ftLA STATE (QS ZIP`1�33(.� <br /> NAME OF COUNTY i'lr �j�� <br /> TANK # J w L) ON PLOT PLAN. <br /> DESCRIPTION ff TANK: <br /> CAPACITY V1000 ,DIAMETER METALX FIBERGLASS ,AGE�J) U&64,5 <br /> TYPE OF SYSTEM: SUCTION SUBMERSIBLE X : OTHER <br /> VAPOR RECOVERY SYSTEM? L TYPE <br /> PRODUCT BEING TESTED /) MEASURED GRAVITY <br /> COEFFICIENT � '9 TEMPERATURE OF PRODUCT (, AIR <br /> STORAGE FILLED- DATE ` �� TIME / 7 <br /> TESTED - DATE 1'/-/3 , STAR 2 '3a , FINISH <br /> LENGTH OF TEST _��,a <br /> MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL 0 <br /> DEPTH OF GROUND WATER - Z.0'' PSI AT TANK BOTTOM <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES ; NO _ IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + ; or -fes. <br /> i <br /> REMARKS BY OPERATOR <br /> { <br /> t� <br /> i <br /> NAME OF OPERATORpZ�c�b <br /> SIGNATURE OF OPERA TOR;i / Z y, <br /> `I -Z0 <br /> �' LG <br /> DATE 'ZL) <br /> r <br />