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l4w <br />CRISP <br />TANK TlESTINr= <br />2004 Piccoli -#g <br />(209)931-1828 <br />Stockton <br />Ca 95205 <br />TEST REPORT <br />OWNER OF SITEe 1-4)1/ <br />2iL e2c�, <br />-.ADDRESS <br />TV-�STATE J!�4 ZIPIZ,:?/ <br />OWNER OF TANKS <br />ADDRESS <br />CITY TATE(�d ZIP222.,Zp <br />-Z41 J) s <br />OPERATOR AT LOCATI <br />ONjLjj <br />ADDRESS _Q_ZS� <br />STATE64Z <br />NAME OF COUNTY�,A) - ()Aql <br />TANK # <br />.1 ON PLOT PLAN. AGE OF TANK N �-LL) <br />DESCRIPTION OF TANK: <br />CAPACITYIC�'. IDIAMETER__qZ, METAL FIBERGLASS <br />., TYPE <br />IBERGLASS.,.TYPE OF SYSTEM: SUCTION <br />SUBMERSIBLE OTHER <br />:'!VAPOR RECOVERY SYSTEM? <br />_Ali TYPE <br />PRODUCT BEING TESTED <br />-Ul e's e- I MEASURED GRAVITY <br />COEFFICIENT -3 ), H TEMPERATURE OF PRODUCT <br />,AIR (� ` <br />STORAG <br />IRSTORAGE <br />TIM: <br />PIEL DATEZZL- <br />TIME '141Z)O <br />TESTED -DATE_ - I STARt225�,Q FINISH _,a,50 <br />LENGTH OF TEST ,� j4fZ_S <br />MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL _/1� ';7 <br />DEPTH OF GROUND WATER - PSI AT TANK BOTTOM <br />_4b 55 17 <br />RESULTS OF TEST: X <br />CERTIFIED TIGHT? - YES NO IF NO EXPLAIN IN REMARKS. <br />LEAK RATE PER HOUR: + -; or <br />REMARKS BY OPERATOR <br />NAME OF OPERATOR /,!:;;l0A)Ar,4 <br />SIGNATURE OF OPERATOY�4��C�?4� <br />DATE //- 0 <br />r7% <br />EN'v i I W�'ALJH <br />