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CRISP TANK TESTING OWNER OF SITE <br /> Stockton, <br /> Piccton, Ci Rd. 05 79 71 a�,Emo !�4D.v q <br /> StoCktoft, CA 95205 TESTING T ADDRESS <br /> WORKSHEET CITY-STATE-ZIP CODE <br /> TANK NO. ha TEST LEVEL-264JPRODUCT 4 h Ieilde A CAPACITY9O <br /> OWNER OF TANKS <br /> CHART CAL • 4 <br /> MEASURED GRAVITY • PRODUCT TCT TEMP_ 9� COEFFICIENT a TEMP CALF 1B} <br /> _ �j( s �. )l ADDRESS <br /> TEST LEVEL LEVEL GAIN♦ x(A) LEVEL TEMP. TEMP. GAIN♦ x(H) TEMP. FINAL CITY-STATE-ZIP CODE <br /> NO. START END LOSS— x(A) RESULT START END LASS— x(B) RESULT RESULT TIME <br /> b • ` 0 .7974- <br /> 73 . 0 47 . Q /715..- OPERATORS NAME AT SITE <br /> NL <br /> /?es <br /> • O ! s O! f - !x 7L <br /> 2 77 <br /> s . ?3o TYRE OF SYSTEM C� 4f <br /> _ = x _ c 173o UBMERQE ®SUCTION <br /> 3 .11-72 <br /> _-- ~' / 1 • ®d r , ' x ` �l7"� �� - LENGTH OF COLOR CODE OF P�OC•U: <br /> _793 -7q,5FILL PIPE <br /> 174-5-- !/ CLEAR ORANG <br /> = x = _ RED <br /> • -7413 ® • q 06 f CZ . O 731 19,90 DIAMETER OF TANK <br /> ° METAL <br /> r r�,® Q / r <br /> ® x = _ = x = • = 0'� ® FIBERGLA <br /> 75 7 • !• . , /� TYPE OF RECOVERY SYSTEM <br /> ®5S7 _ f" p!57 dAL MCE ®RED JACKET ®HEAL, <br /> 0062 2SP-, <br /> • 0 d ' f 3a WATER LEVEL IN TANK Liquid level <br /> x4.73 <br /> = <br /> cev AL <br /> DEPTH OF GROUNDWATER (IFKNOWN) <br /> 0 at <br /> 13� , 006 • x r <br /> _ <br /> OATE/TIME STORAGE SYSTEM FILLED <br /> STATION LOCATION Da 11 7z!e DATE TIME <br /> CERTIFIED TIGHT Ass F7 <br /> I <br /> ADDRESS re 2 4.0o AGE of TANKS <br /> LEAK RATE PER HOUR <br /> —LLD STATE_--. <br /> OPERATOR <br /> AGE OF LINES <br /> DATE: <br /> SIGNATURE <br /> { 4 TEST{NG FLU{D.IF DIFFERENT THAN <br /> m <br />