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CRISP TANK <br />7. <br />:`Pje -,3 <br />-L-.:.-'BOX-0487 <br />rqff`, <br />�ckton,.California d <br />-18 28Y;_ ° <br />TEST REP RT �h <br />6 <br />t °mra <br />P� <br />kAd <br />OWNER OF SITE <br />ld w� <br />aoDREss <br />.M <br />CITY STAT " P <br />�. <br />'Z <br />OWNER OF TANKS !ZI� <br />i <br />ADDRESS <br />•+x`,, t <br />> urs P <br />CITY ... STATE <br />t <br />OPERATOR AT LOCATION <br />,-„ZIP <br />ADDRESS <br />CITY STATE2IP�5 <br /><. ` <br />NAME OF COUNTY `^ <br />TANK 0 '- ON PLOT <br />PLAN. AGE <br />OF TANK <br />DESCRIPTION OF TANK• <br />CAPACITY (aD a DIAMETER -�� <br />TAL FIBERGLASS <br />TYPE OF SYSTEM: SUCTION : SUBMERSIBLE_: OTHER <br />VAPOR RECOVERY SYSTEM? <br />' <br />PRODUCT BEING TESTED'TPE <br />MEASUR�O:GRAVITY • <br />API 'SPECIEIC GRAVITY�F�--_, "' - • <br />0®L�CZ <br />STORAGE 5YySS EEMM... <br />• <br />F ILLELI - DATE ® <br />TAME J , DO ' <br />4 <br />TESTED DATE <br />START (,�® FINISH <br />t <br />LENGTH OF TEST > <br />MEASURED WATER IN TANK HEIGHT OF LIQUID LEVEL <br />DEPTH OF GROUND WATER • PSI <br />AT TANK BOTTOMS� <br />RESULTS OF TEST: <br />•"'i r <br />CERTIFIED TIGHT? - YES.; <br />NO • IF NO EXPLAIN IN. ARKS <br />REM <br />par <br />LEAK RATE PER HOUR: <br />or -fist+ <br />, <br />d- �.. R &9rt <br />REMARKS BY OPERATOR <br />0 <br />Pte. A .. <br />ON <br />fall r.. <br />p + L P <br />'tN <br />Pte. A .. <br />ON <br />fall r.. <br />