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CRISP T/*K TLSTING�'t��F�LQ <br /> TION CO. <br /> P.O. DOX30407 <br /> *j ,4SED <br /> STOCKTON, CA 95213 LICENSED <br /> INSURED <br /> (209) 931- 1020 FEB 0 6 1995 <br /> FAX (209) 465-3006 <br /> t;"C,[,I' JFI,17 I-iF 4T�j <br /> * ** * *TE <br /> Sr"REPORT" " * LICENSE #92-1248 <br /> OWNER OF SITE: LEONARD E. CRISP <br /> ------ CITY:- z I P.-A-YA <br /> OWNER OF <br /> OPERATOR AT LOCATION: <br /> AUT)KESS:m____— _-- --- - CITY:____-_---_ —.-, __�_ Z <br /> OCATJON:ADDRESS:­-­ <br /> ZIp:_____ _ <br /> TANK#:-J--- AGE:_---_ GALLONS:--4-UDa <br /> MFTAL(�) FIBERGLASS( SINGLE WALLET?( DOUBLE WALLED( <br /> UNLEADED PREMIUM UNL. <br /> SUCTION( ) SUBMERSIBLE( ) OVERSPILLCONTAINER**YFSw) No( <br /> SHEAR VALVE"YES(W NO( ) IN-LINE LEAK DETECTOR"*YES W) NO'( <br /> VAPOR RECOVERY SYSTEM**YFS( ) NO(9t) IF YES, PHASE [( ) PHASE 11( <br /> TANK FILL DATE:-P-j TImF:AeQ <br /> TANK TEST DATE:la-�'Afii START:-.06,f'L <br /> LEINGTH OF TEST:--QKn-- <br /> TANK BOTTOM TO GRADE­­t4:�­" TEST LEVEL TO TANK BOTTOM..-Z1—,- <br /> TANK TOP TO GRADE............ GROUND WATER ABQVE TANK..... <br /> DJAMFTFR.*........"'.­ q_d_,, -7 <br /> TEST LEVEL ABOVE GROUND. IQ <br /> PS I.,......................... <br /> WATER IN TANK.................... NET TEST PRESSURE...................... <br /> in-'PTH FOR TAKING SAMPLE... 6L-5 " API SPECIFIC GRAVITY,,,.,,,,,,....... <br /> TEMPERATURE PROBE DEPTH.... _" TEMPERATURE.-�......... <br /> API SPECIFIC GRAVITYip 66' <br /> COEFFICIENT OF EXP...,-; <br /> LEAK RATE PHR/HR:+—/--a�,� <br /> CERTIFIED TIGHT: YES(-) No( <br /> PRODUCT LINE TEST: SUCTION( ) PRFSSIJRF,()d <br /> LEAK RATE PER/HR: <br /> CERTIFIFI) TIGHT: YES(X) NO( <br /> DATE:- SIGNATURE OF TrSTE <br /> COMMENTS:------ <br />