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CRIS ANK Tr=S%IMG <br />OWNER OF SITE <br />ADDRESS -7-.' <br />OWNER OF TANKS <br />ADDRESS 42()_7 <br />OPERATOR AT LOCATI <br />ADDRESS r,lA _ 7,Q J <br />(209)931-1828 <br />STATE ZI - °_ . <br />STATE bI <br />STATED ZIF °{ <br />NAME OF COUNTY <br />TANK # ON PLOT LAN. <br />DESCRIPTION OF TANK: <br />CAPACITY,DIAME TER , METAL FIBERGLASS ,AGE <br />TYPE OF SYSTEM: SUCTION SUBMERSIBLE LATHER <br />VAPOR RECOVERY SYSTEM? ; TYP i <br />PRODUCT BEING TESTED `MEASURED GRAVITY, <br />COEFFICIENT TEMPERATUR OF PRODUCT , AIR <br />STORAGE FILL D:- DATE s TIME <br />TESTED DATE , TART `_ , FINISH <br />LENGTH OF TEST �,pt e r , <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 />• <br />4 <br />NAME OF OPERATOR _ 4 1� 6 �� a <br />SIGNATURE 0F' , OPERATOR <br />DATE c <br />11 <br />