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' OWNER OF SITE <br /> CRISP TANK TESTING <br /> Stockton, <br /> ton, Ci R9 09 G%5 HORNER EASY TESTING METHOD_ ADDRESS <br /> 76 <br /> Stockton, CA 95205 i�. � � � � <br /> •` I 1 <br /> WORKSHEET CITY•STATE•ZIP CODE <br /> _ dq � <br /> OWNER OF TANKS <br /> TANK No. '-- - TEST LEVEL PRODUCT CAPACITY CHART CAL •�� _ `�S,_� . , OD��a (A) <br /> a� MEASURED GRAVITY JJ' S PRODUCT TEMP .SD <br /> ` '� COEFFICIENT TEMP CAL •D� S- s DO ADDRESS <br /> Air Temp / _(e) <br /> 1v <br /> TEST LEVEL LEVEL GAIN• x(A) LEVEL TEMP. TEMP. GAIN♦ x(B) TEMP. FINAL CITY-STATE-ZIP CODE <br /> NO. START END LASS- x(A) RESULT START END LOSS- - x(B) RESULT RESULT TIME ,may 11 <br /> s r! x s ! '1 r s , x s s OPERATORS NAME AT SITE <br /> r r <br /> % x s _ s X, s • /�- TYPE OF SYSTEM <br /> 0SUSMERGE ❑SUCTION <br /> � <br /> U `� }' s • LENGTH OF COLOR CODE OF P <br /> t `:' S. FILL PIPE ROOL. <br /> ( / 3 1- CLEAR ORANG <br /> s x s _ s x s s `� J RED <br /> DIAMETER OF TANK <br /> METAL <br /> x s _ s x . s V6 ❑ FIBERGLA <br /> TYPE OF RECOVERY SYSTEM <br /> ❑BALANCE RED JACKET HEALI <br /> WATER LEVELINTANK Liquid level <br /> s x s s x <br /> DEPTH OF GROUNDWATER (IF KNOWN) <br /> s x a I s x s a , <br /> OATE/TIME STORAGE SYSTEM FILLED <br /> DATE TIME <br /> STATION LOCATION - �, :'j C << '; % } CERTIFIED TIGHT <br /> _ AGE OF TANKS <br /> ADDRESS !�: �/1 r LEAK RATE PE HOUR - • © a D <br /> , I ��� <br /> t:ITY��;! ; 7� STAT <br /> E� `1 OPERATOR T !� �`` r AGE OF LINES <br /> ,,�,� 4 <br /> DATE SIGNATURE <br /> TESTING Ff U10 IF n�rcrer.��•..., <br />