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OWNER OF SITE <br /> CRISP TANK TESTING. ' <br /> 2004 Piccoli Rd. 199 ��;, <br /> . Stockton, CA 95205 F�.:.�- HORN EASY TESTING METHOD ADDRESS <br /> CO 0 <br /> . s - y6.3 Z. X12 4, 3? :�� �P��\G�S WORK SHEET y y CITY-STATE•tlP16ppE <br /> 97 47 <br /> _aLo yl <br /> OWNER OF TANKS <br /> TANK No. ` - TEST LEVEL /• PRODUCT h f Pa r�G, CAPACITY 2 U aJ CHART CAL • D 5 _ IA) <br /> MEASURED GRAVITY PRODUCT TEMP T / <br /> COEFFICIENT �•-� TEMP CALOUo6 / '� 0 2, r ADDRESS <br /> Air Temp :� .�a (B) <br /> TEST LEVELCI �' <br /> LEVEL GAIN+ x(A) LEVEL TEMP. TEMP, GAIN+ x(B) TEMP. FINAL - CITY•STATE-ZIP CODE <br /> HO. START END LOSS- x(A) RESULT START END LASS- x(B) RESULT RESULT TIME <br /> s <br /> �� ! �/ -3; I �/ 1.yaq <br /> f v OPERATORS NAME AT SITE <br /> x ! <br /> � _ -�'� s - 1. <br /> ` C X s. 6 TYPE OF SYSTEM <br /> / _ s x s n n t , y _i 0 SUBMERGE SUCTION <br /> x /, ` t LENGTH 01:' �' •`�' a ' 'x 0J FILL PIPE COLOR CODE OF PRODIt: <br /> CLEAR ORANG <br /> �� x - x e REO <br /> 1 ..� <br /> Dol / 6 . 619 - DIAMETER OF TANK METAL <br /> I <br /> FiBER <br /> _ <br /> CI _ x .._ x GLJI <br /> (( I 0 ; . 611 cop? , Z2 Z4faow?a0 -3a TYPE OF RECOVERY SYSTEM <br /> O 3 0 ❑BALANCE <br /> x 0 REO JACKET E3MEAL! <br /> • t s x <br /> / 00 <br /> . 00/07 !a(I WATER LEVE IN TANK NK Liquid level <br /> f <br /> L <br /> 101'L <br /> DEPTH OF GROUND WATER (IF KNOWN) <br /> ` _ . 00057 DATE/TIME STORAGE SYSTEM FILLED <br /> STATION LOCATION .S U 1._(�� r 0 r L 0 �� 1 / U ` i f CERTIFIED TIGHT ! �' _ _ ,p GATE TIME <br /> s� <br /> ADDRESS 1�� I r1CI. } LEAK RATE PER HOUR- 013 I -7 AGE OF TANKS <br /> CITY \ �n-_�K1�, STATE [ ' OPERATOR 0yj r' v { AGE OF LINES <br /> DATE �'-+ ' ) ^ ; SIGNATURE _ ,� �,i - r I. <br /> V TESTING FLUID.IF DIFFFRFNT♦WAN <br />