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An company <br />Crisp Tank TeAng & Constructi <br />Phone (209) 931-1828 1.1cptised <br />Post Office Box 30407 Insured <br />Stockton, CallfoFnia 95213 LICENSE #92-1248 <br />**,rEs,r REPORT" LEONAPr) E. CRISP <br />OWNER OF SITE: <br />Rah 0 <br />ADDRESS: 0,C IT Y - ZIP <br />OWNER OF TANKS: <br />ADDRESS: CITY: -?—ZIP: <br />OPERATOR AT LOCATION: rr- <br />ADDRESS:)022 CI'T'Yc ZIP: <br />COUNTY n, ,(AaA A YA TANK It: A ___ AGE, 6 Y& GALLONS: <br />METAL O FIBERGLASS( ) SINGLE <br />WALLEJ)k ) DOUBLE <br />WALLED( <br />DIESEL( UNLEADED( ) PREMIUM <br />UNLEADED(Y-) <br />WASTE OIL( KEROSENE( AVIATION <br />GAS( ) JET FUEL( <br />WATER( <br />SUCTION( ) SUBMERSIBLE( ) OVERSPILL CON'rAINrR---yrsV,) <br />mo( <br />SflEAR'7VALVE--YES(V) NO( ) IN --LINE LEAK DE'rf,-,C'rOR--YFS(K) <br />NO( <br />VAPOR RECOVERY SYSTEM--YES(V) NO( ) <br />*IF YFS, PHASE PHASE 2( Y,) <br />TANK FILL DATE: 21LO kil, THIE:_-LIL)a <br />TANK TEST DATE :f-)/2,-�)(1.4sTART: jjW T,,ND:_j_q__J,ENGTll <br />OF TEST, <br />TANK BOTTOM TO GRADE.... -;�E <br />—1, <br />TEST LEVEL TO TANK <br />BO'l'TOM__tW" <br />TANK TOP TO GRADE....... <br />GROUND WATER ABOVE <br />TANK.. <br />DIAMETER................ <br />PSI ...................... <br />TEST LEVEL ABOVE GROUND. <br />NET TEST PRESSURE ......... <br />A. <br />WATER IN TANK ........... <br />API SPEC GRAV ............ <br />DEPTH FOR TAKING SAMPLE._&V <br />TEMP ..................... <br />Wn <br />TEMPERATURE PROBE DEPTH. 'Ab" <br />API SPEC GRAY 0, 60' <br />F.... <br />COEFICIENT OF EXP........ <br />LIW45 <br />CERTIFIED TIGHT--YES(V4 NO( <br />LEAK RATE PER/11R:+ <br />PRODUCT LINE TEST­PASS('9 FAIL( ) <br />CERTIFIED TIGHT­YES(-�3 NO( <br />COMMENTS: <br />SUCTION( PRESSURE(A <br />LEAK RATE PER/1111:+ <br />DATE: _1.p/ 4/ 0 -SIGNATURE OF TESTEP, <br />REV 3/92 <br />