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CRISP TANK TESTIlm <br />2004 Piccoll ,#9 <br />Stockton, Ca 95205 <br />TEST REPORT <br />(209)931.1828 <br />OWNER OF SITE <br />ADDRESS <br />CITY Yi] ,� yl�f'PC STATEQ, ZIPjCLLg <br />OWNER OF TANKS r7ly�P r� �% y �? . <br />ADDRESS CITY STATE ZIP <br />OPERATOR AT LOCATION 1•j • <br />ADDRESS ` ® r" CITY <br />Jllj21_L&'Lj. STATE_[,�j ZIP 1=d <br />NAME OF COUNTY <br />TANK # <br />,.�EULO ON PLOT PLAN. AGE OF TANK•S e P he <br />k)eloaj <br />DESCRIPTION OF TANK: <br />CAPACITYjoQy) ODIAMETER' <br />METAL FIBERGLASS_Lhe j , <br />TYPE OF SYSTEM: SUCTION SUBMERSIBLE OTHER <br />VAPOR RECOVERY SYSTEM? TYPE • <br />PRODUCT BEING TESTED• <br />MEASURED GRAVITY <br />API SPECIEIC GRAVITY 60°F RgODUCT TEMPI r-rOE <br />STORAGE FIUT.TEU•_ DATDATE E„ <br />TESTED q,TIME - - _ <br />-`� � —�q � T �� � , FINISH _ / 30 3 <br />LENGTH OF TESTSTAR <br />�r_,/ P 5 <br />MEASURED WATER IN TANK_ HEIGHT OF LIQUID LEVEL <br />DEPTH OF GROUND WATER_`' PSI AT TANK BOTTOM 14 / L _ • <br />RESULTS OF TEST: <br />CERTIFIED TIGHT? - YES__;,NO IF NO EXPLAIN IN REMARKS. <br />LEAK RATE PER HOUR: + • or - <br />I it, : a m I! P, a - -- - - - ft a m <br />.Y <br />NAME OF OPERATORLenlylr <br />SIGNATURE OF OPtRATOR <br />DATE_ <br />