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CRISP drANK TES21 °�. <br /> 2004 Piccob *9ro <br /> (209)931-1828 a <br /> Stockton, Ca 95205 : <br /> TEST REPORTS <br /> OWNER OF SITE <br /> ADDRESS 5'4/1 CITY STATEfd-ZIP S,Zc,S <br /> OWNER OF TANKS � EiJJC� Eesti a L�NlG7 <br /> ADDRESS-,5-Z//,e,&,,;►r,!;ej„n Z,2�/ CITY S'f6c/e,,�,,/ STATE C'/,j ZIP9Sx5` <br /> OPERATOR AT LOCATION <br /> ADDRESS . - / E CITY STATEC:4 ZIP` <br /> NAME OF COUNTY <br /> TANK # / ON PLOT PLAN. <br /> DESCRIPTION OF TANK: <br /> CAPACITY?pOC-• ,DIAMETER /S" „ , METAL X FIBERGLASS <br /> TYPE OF SYSTEM: SUCTION SUBMERSIBLE OTHER <br /> VAPOR RECOVERY SYSTEM? t�e S ; TYPECi�.vC.,.6-- . <br /> PRODUCT BEING TESTED MEASURED GRAVITY .:! Z& <br /> COEFFICIENT 6-6. TEMPERATURE OF PRODUCT Sfb , AIR N C <br /> STORAGE FILLED:- DATE ;/- V4`7 , TIME <br /> TESTED - DATE %/- 5 -d' 7 , START /7 p , FINISH <br /> LENGTH OF TEST �. �.,;z s <br /> MEASURED WATER IN TANK - c - HEIGHT OF LIQUID LEVEL /5"Y �. <br /> DEPTH OF GROUND WATERJe'Auw.2C c'. PSI AT TANK BOTTOM 1,,! Sl <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES ,�'' ; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + or <br /> REMARKS BY OPERATOR T17;s /s 0f,6-T-f sr'. 7� e <br /> f�Le ? a�iTF�v •✓c AID �c�i usTi-vim , .yFT2 �i i��2 +La ��ai.es 7L�e� <br /> Uy51-E/G7 7ESr�0 <br /> NAME OF OPERATOR s <br /> -3 SIGNATURE OF OPERATO L <br /> t ; DATE 7 <br /> `,...e�� �,"� E d!3 �4/ � �� bV i1/�-,v / .'�'"'..1./ /��✓����(/�� �i law /,����G����.LG(/ <br /> ENVIRGNI,i rvTAL EAL7H <br /> F ERI�lI7/SE& VI ES; r <br />