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OW :ER OF SITE <br /> CRISP TANK TESTING c <br /> 2004 Piccoli Rd. #9 S '`j G 9 L . <br /> Stockton, CA 95205 3 3 5 HORNER EASY TESTING METHOD �Coft"s <br /> S y k I.� <br /> . oo �� YI WORK SHEET <br /> Y•tTATE•ZIPCODE <br /> n <br /> :3'INER OF TANKS <br /> TANK No. —TEST LEVEL / PRODUCT b1 CS -� CAPACITY f U DOC) CHART CAL �j -E _�., I (Al <br /> MEASURED GRAVITY3 PRODUCT TEMP / COEFFICIENT _ / TEMP CALCI00�c� .SUS• D D .L�: IS) F DRESS <br /> Air Temp , <br /> TEST LEVEL LEVEL GAIN♦ x(A) LEVEL TEMP. TEMP. GAIN♦ x(b) TEMP. FINAL [;ITV•STATE•ZIP CODE <br /> NO. START END LOSS— x(A) RESULT START END LOSS— x(B) RESULT RESULT TIME <br /> + 1309 <br /> L/. q / SRATORS NAME AT SITE <br /> 15 C D ��. ' '�, U J " (� O 0 z TYPE OF SYSTEM <br /> 3 3 p U SUBMERGE ❑SUCTION <br /> • • _ _ x _ I <br /> ✓ V ft LENGTH OF <br /> C _ x, 1/ '� ► ! 7. 4 • U !� FILL PIPE COLOR CODE OF PkODV: <br /> �7 ``.' ., CLEAR ORANG <br /> • X x • • I ?v ! RED <br /> , � �, _r 0099 0 15 9C.1 �- <br /> DIAMETER OF TANK <br /> (METAL <br /> e-� <br /> X05 _ ❑ FIBERGLA <br /> • — r <br /> o C? n Q , x. 7 ` 90 , Lf 1 1 TYPE OF RECOVERY SYSTEM <br /> 7 <br /> q _ r (� / ❑BALANCE ❑RED JACKET ❑MEAU <br /> 1 • • <br /> x10 0 . �� 0 V • 3 p3 C�, U 1 WATER LEVEL IN TANK L1gUld 1eV61 <br /> QEPTH OF OROUNO WATER (IF KNOWN) <br /> • • <br /> ! - ,�+� l / ,T� / , !1');".f t1 `7✓i`� <br /> DATE/TIME STORAGE SYSTEM FILLED <br /> DATE TIME <br /> STATION LOCATION U / �' 7 ��'� / rl /'1 CERTIFIED TIGHT /' ! - / � - c r r ' r <br /> ADDRESS -aq LEAK RATE PER HOUR . OoI R AGE OF TANKS <br /> STATE G � r <br /> VITIr "t OPERATOR_ L e D h +1r p� /_ G 1'f S �s" <br /> AGE OF LINES <br /> DATE <br /> SIGNATURE ) .. � i -�►-" a � _ <br /> f ' �' TESTING FLUID.IF DIFFERENT THAN <br />