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CRISP TANK wreswripj(3 <br />2004 PICColi #9 <br />Stockton, Ca 95205 (209)931.1828 <br />TEST REPORT <br />OWNER OF SITE <br />ADDRESS CITY y77 a 1l•fP� STATEC ZIP5 <br />OWNER OF TANKS --�— � <br />ADDRESS f CITY STATE ZIP <br />OPERATOR AT LOCATIOJ_47�11t_4t' ta� �It N 1 lv�.e' $ <br />ADORES M �� <br />• <br />NAME OF COUNTY''TCITY.0 dL Zj2 cS <br />TATE_(a ZIP=d <br />� <br />TANK # . <br />.�p_ _ . ON PLOT PLAN., AGE OF TANK? S e P h d 1�P. �jelpr,U <br />DESCRIPTION OF TANK: <br />CAPACITY_gQ Q_Q vDIAMETER <br />- �1_�, METAL FI©ERGLASS�he � { <br />TYPE OF SYSTEM: SUCTION : SUBMERSIBLES: OTHER <br />VAPOR RECOVERY SYSTEM?' ; TYPE <br />PRODUCT BEING TESTED MEASURED GRAVITY <br />API SPECIEIC GRAVITY A 60°F Pdoptuci TEMP. <br />Syy EEMM � <br />STORAGE FILLEU•- DATE <br />��-- <br />j TIME_j.�DD <br />TESTED - DATES - START ,FINISH Q <br />LENGTH OF TEST_ <br />MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL <br />DEPTH OF GROUND WAIER- Z,; ' • <br />`. PSI AT TANK 80TTOh1 ' � .��:` • <br />RESULTS OF TEST: <br />CERTIFIED TIGHT? - YES__V <br />or <br />LEAK RATE PER HOUR: + ' NO IF NO EXPLAIN IN REMARKS. <br />p• <br />�h <br />REMARKS` Y OPERATOR <br />NAME OF OPERATOR �^�• <br />SIGNATURE OF O�PE_RATODATE <br />_ <br />i Mt <br />• II IIA <br />it <br />