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Crisp Tank TIsting & Construction Company <br /> Phone (209) 931-1828 Licensed <br /> Post Office Box 30487 Insured <br /> Stockton, California 95213 1 17 f% <br /> *TEST REA41031992 <br /> ENViRONMENTAL HEALTgONARD E. CULP <br /> 'PERM IT/SERVICES <br /> OWNER OF SITE: SA M <br /> ADDRESS: CITY:_ ,S<Ck-r0j) Cr ZIP /a- <br /> OWNER OF TANK(S) : <br /> ADDRESS: 9_2 0 5/ <br /> CITY: 51"&0�1 CA_ZIP j�=� <br /> OPERATOR AT LOCATION: ' <br /> ADDRESS: 11 E - Q WrE 0( 1 (D-0 CITY: ,S CA z I P <br /> COUNTY: 3Q O' Qoo� -. TANK #: . AGE: YRS. /0, ()()OGALS. <br /> METAL: V" FIBERGLASS: SINGLE WALLED: k-" DOUBLE WALLED: <br /> DIESEL: y UNLEADED: PREMIUM UNLEADED: REGULAR LEADED: <br /> WASTE OIL: . KEROSENE: AVIATION GAS: JET FUEL: WATER: <br /> SUCTION: , SUBMERSIBLE: OVERSPILL CONTAINER--YES [/NO <br /> SHEAR VALVE­YES �NO IN LINE LEAK DETECTOR--YES !/NO <br /> VAPOR RECOVERY SYSTEM--YESI,/NO—. IF YES , PHASE 1 : t,""PHASE 2 : <br /> TANK FILLED--DATE: TIME; . <br /> TANK TESTED--DATE:_/- START: (9 �I� <br /> FINISH: <br /> LENGTH OF TEST: HOURS. A�' MINS. <br /> TANK BOTTOM TO GRADE:Ibl . TANK TOP TO GRADE: 65" . DIAMETER: <br /> TEST LEVEL ABOVE GRADE_/Q WATER IN TANK--(3 1". <br /> DEPTH FOR TAKING SAMPLE: it . '2 <br /> TEMPERATURE PROBE DEPTH:& 11 . <br /> TEST LEVEL TO TANK BOTTOM: If . GROUND WATER ABOVE TANK:10�11 '- <br /> PSI :-.0,31 NET TEST PRESSURE: [API SPEC. GRAV. :_,i3,' <br /> 2* TEMP: <br /> CERTIFIED TIGHT--YES (/NO [API SPEC GRAV. @ 600 F:Z� COEFFICIEtfT of <br /> LEAK RATE PER HOUR: + <br /> DATE OF REPORT: 9;7,, SIGNATURE OF TESTER, <br /> (REV. 4/91 ) <br />