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Crisp Tank Te%,, ng & ConstructAn Company <br />Phone (209) 931-1828 Licensed <br />tr Post Office Box 30487d <br />Stocidon, California 9520 LICENSE #92 -IT' <br />"TEST REPORT" LEONARD E. CRISP <br />OWNER OF SITE: <br />J4_'w_R -• T <br />CJL <br />ADDRESS:_A_0- /_u 0 CITY: Xa#ch__I ',,7 I P <br />OWNER OF TANKS: <br />ADDRESS: CITY: <br />-I-ZIP: <br />OPERATOR AT LOCATION: Lra2Ljz' <br />S /-'0 0 <br />kn d r <br />ADDRESS:01 A uj 1/0 5'c 1h, ite CITY- /11 YZZ ZIP: <br />COUNTY tAL 0 ()aj (AjAn_,_TANK #: AGE- G GALLONS: <br />METAL(DV-) FIBERGLASS( SINGLE <br />WALLED(V) DOUBLE WALLED( <br />DIESEL( UNLEADED(� PREMIUM <br />UNLEADED( <br />WASTE OIL( KEROSENE( AVIATION <br />GAS( JET FUEL( WATER( <br />SUCTION( ) SUBMERSIBLE(Vj OVERSPILL CONTAINER --YES( NOW) <br />SHEARVVALVE--YES(V-) NO( ) IN-LINE LEAK DETECTOR --YES( NO(k<) <br />VAPOR RECOVERY SYSTEM--YES(V-) NO( <br />*IF YES, PHASE 1('v) PllASr 2(v) <br />TANK FILL DATE: TIME: <br />TANK TEST DATE: TART: <br />END:_ G' LENG-Tll OF TEST: <br />TANK BOTTOM TO GRADE.. <br />TEST LEVEL TO TANK BOTTOM <br />TANK TOP TO GRADE....... 7w" <br />GROUND WATER ABOVE TANK'.. <br />DIAMETER ................ q!;"Cl 10" <br />PSI ...................... <br />TEST LEVEL ABOVE GROUND. 2 TO <br />NET TEST PRESSURE........ <br />WATER IN TANK ........... <br />API SPEC GRAV ............ 7, Z) <br />DEPTH FOR TAKING SAMPLE.'Jl <br />-.0 17, - <br />TEMP .................. <br />TEMPERATURE PROBE DEPTH ,`-_-�j- <br />API SPEC GRAV @ 601 F.. <br />COEFICIENT OF EXP ...... <br />CERTIFIED TIGHT--YES(V) NO( <br />LEAK RATE PER/HR:+ <br />PRODuaT LINE TEST --PASS( -/-) FAIL( <br />SUCTION( PRESSURE(4,.) <br />,CERTIFIED TIGHT --YES(() NO( <br />LEAK RATE PER/HR:+ <br />COMMENTS: <br />DATE: In 4-04 SIGNATURE OF TESTER, <br />REV 3/92 <br />'Y <br />