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CRISP *AIVK TESEAPJG <br /> 2004 Piccoli #9 <br /> (209)931-1828 <br /> Stockton, Ca 95205 <br /> TEST REPORT <br /> OWNER OF SITE n <br /> ADDRESS Q CITY STATE�ZIPL� <br /> OWNER OF TANKS <br /> ADDRESS -741 X/)t3 CITY STATE&,ZIP_qs-,,,?43 <br /> OPERATOR AT LGCATI N <br /> ADORES OITY STATE�ZIP `i- <br /> NAME OF COUNTY <br /> TANK ii pf, ON PLO PLAN. <br /> DESCRIPTION OF TANK: <br /> CAPACITY r . I ,DIAMETER , METAL FIBERGLASS ,AGE <br /> TYPE OF SYSTEM: SUCTION_: SUBMERSIBLE OTHER <br /> VAPOR RECOVERY SYSTEM? ; TYPE <br /> PRODUCT BEING TESTED . MEASURED GRAVITY <br /> COEFFICIENT TEMPERAT RE OF PRODUCT_, AIR <br /> STORAGE YSTEM: <br /> ILL D - DATE (�, , TIME ,�l� <br /> TESTED - DATE , START�G,��_ , 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 OPERATOR <br /> DATE <br /> �� JIB c <br />