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CRISP TANK TES iN' G <br /> 2004 Piccoli #9 <br /> (209)931-1828 <br /> Stockton, Ca 95205 <br /> TEST REPORT <br /> OWNER OF SITE <br /> ADDRESS CITY STATE2,LZIF9,�) . <br /> OWNER OF TANKS <br /> ADDRESS CITY STATE_�&ZIP36 . <br /> OPERATOR AT LOCATION <br /> ADDRESS CITY STATEZ&ZIP2�-, <br /> NAME OF COUNTY A () <br /> TANK ON PLOT PLAN. <br /> DESCRIPTION OF TANK: <br /> CAPACITY ,DIAMETER � , METAL FIBERGLASS ,AGE <br /> TYPE OF SYSTEM: SUCTION: SUBMERSIBLE OTHER <br /> VAPOR RECOVERY SYSTEM? ; TYPE <br /> PRODUCT BEING TESTEDMEASURED GRAVITY <br /> COEFFICIENT T MPERATURE OF PRODUCT_, AIR <br /> STORAGE FILLED- DATE In , IS, (Cf$R, TIME <br /> j.K. <br /> TESTED - DATE I, START �; �,,� , FINISH <br /> LENGTH OF TEST ) <br /> MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER �, 1�. PSI AT TANK BOTTOM <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES ; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + ; or - C <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR DY1 C_ I 7 <br /> SIGNATURE OF OPERATOR ° <br /> DATE - - . <br />