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Crisp Tank Asting & Constructon Company <br /> ny <br /> Phone (209) 931-1828 licensed <br /> Post Office Box 30487 Insured <br /> Stockton, California 95213 <br /> *TEST REPORT* % : ':,9,, 17 A <br /> LEONAT�_? E. CaSP <br /> OWNER OF SITE: o k),A � <br /> ADDRESS: CITY: IZIP �dlo� <br /> OWNER OF TANK(S) : S Yj C)l0 k 6 4 0 <br /> ADDRESS:_97oZ nAlLlAJ J,( � ( CITY: ZIP Sol <br /> OPERATOR AT LOCATION: ' 0,0), ') lS ��A IT <br /> ADDRESS: �j(„ II �� � ��OC7 CITY:,'� 'CAZIP <br /> COUNTY:,'S.6; Ab y yJ TANK #: CUAA_. AGE: YRS. ZS, 06 C7 GALS. <br /> METAL: C/' FIBERGLASS: SINGLE WALLED: DOUBLE WALLED: <br /> DIESEL: UNLEADED: PREMIUM UNLEADED: REGULAR LEADED: <br /> WASTE OIL: KEROSENE: AVIATION GAS: JET FUEL: WATER: <br /> SUCTION: SUBMERSIBLE: ✓. OVERSPILL CONTAINER--YES L✓NO <br /> SHEAR VALVE--YES L,-'NO IN LINE LEAK DETECTOR--YES L,-6 <br /> VAPOR RECOVERY SYSTEM--YES V"'NO IF YES, PHASE l : Ll--,-- <br /> PHASE 2 : <br /> TANK FILLED--DATE: / "G� �� . TIME: <br /> TANK TESTED--DATE:_ /`,-�3 START: (_)0 . FINISH: 0i00 . <br /> LENGTH OF TEST:-HOURS. MINS . <br /> TANK BOTTOM TO GRADE:L:&' , TANK TOP TO GRADE::' . DIAMETER: " . <br /> TEST LEVEL ABOVE GRADE' . WATER IN TANK-e'" . <br /> DEPTH FOR TAKING SAMPLE:jjj_" - TEMPERATURE PROBE DEPTH: " . <br /> TEST LEVEL TO TANK BOTTOM:/a/". GROUND WATER ABOVE TANK-- <br /> PSI : NET 'TEST PRESSURE: . 3b * [API SPEC . GRAV . : , * TEMP <br /> � COEFFICIENT. f <br /> CERTIFIED TIGHT--YES NO . [API SPEC. GRAV . @ 60* F:Jb.6 * EXP: . <br /> LEAK RATE PER HOUR: + * _ C")C) 7 * <br /> q ; <br /> DATE OF REPORT:—/ — / SIGNATURE OF TESTER: l' <br /> (REV. 4/91 ) <br />