Laserfiche WebLink
CRISP ANK TES NG <br /> 2004 Piccoli #9 <br /> (209)931-1828 <br /> Stockton, Ca 95205 <br /> TEST REPORT <br /> -I <br /> OWNER OF SITE / I <br /> ADDRESS CITY STATE2A <br /> OWNER OF TANKS <br /> ADDRESS CITY XL6pn, STATE�ZIP L,- <br /> OPERATOR AT LOCATION 3,11 <br /> ADDRESSITY STATEj�&ZIPL <br /> � <br /> NAME OF COUNTY zf n olA�l f i n <br /> TANK �� n� ON PLOT PLAN. <br /> DESCRIPTION OF TANK: <br /> CAPACITY ,DIAMETER �� METAL FIBERGLASS ,AGE <br /> TYPE OF SYSTEM: SUCTION SUBMERSIBLEOTHER <br /> VAPOR RECOVERY SYSTEM? TYPE <br /> PRODUCT BEING TESTED ) MEASURED GRAVITY <br /> COEFFICIENT TEMPERATURE OF PRODUCT /0/ , AIR <br /> STORAGEYSTEEM: <br /> ILLED - DATE " , TIME D <br /> TESTED - DATES Q{� , j.�S�Sy' START , FINISH <br /> LENGTH OF TEST <br /> MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER PSI AT TANK BOTTOM,' <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES ; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + or - <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR <br /> SIGNATURE OF OPERATO <br /> DATE - <br /> Ix <br />