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Crisp Tank Testing & construction Company <br /> Phone (209) 931-1828 Licensed <br /> Post Office Box 30487 <br /> Stoctdon, California 95213 Insured <br /> LICENSE #92-1248 <br /> LEONARD E. CRISP <br /> *TEST REPORT* <br /> DATE- <br /> OWNER <br /> ATE:OWNER OF SITE: C.^ - ;t 11 <br /> ADDRESS: CITY : ,C . ZIP: �d . <br /> OWNER OF TANK(S): . <br /> ADDRESS :lLLM6 D, CITY: ZIP:�� �r <br /> OPERATOR AT LOCATION: IL,a* <br /> ADDRESS: FCS CITY : Ldil <br /> NAME OF COUNTY: <br /> AGE OF TANK: <br /> TANK##:. CAPACITY: 0QU GALLONS . METAL:__L FIBERGLASS: <br /> SINGLE WALLED: DOUBLE WALLED: DIESEL: PREM. UNLEADED- <br /> UNLEADED: REGULAR LEADED: KEROSENE : WASTE OIL: AVGAS: <br /> VAPOR RECOVERY--YES NO IF YES, PHASE 1 : PHASE 2 : <br /> SYSTEM TYPE--SUCTION_-. . . . . SUBMERSI.BLE:-X-• INT.,INE LEAK DETECTOR--YES NO_X_ <br /> SHEAR VALVE--YES__X_NO OVERSPILL CONTAINER--YES NO , <br /> TANK FILLED--DATE : TIME: <br /> TANK TESTED--DATE: j - -'_ START: 3t ' FINISH: <br /> r <br /> LEGNTH OF TEST:- -HOURS . MINS. <br /> TANK BOTTOM TO GRADE:1 " . TANK TOP TO GRADE: `j _" . DIAMETER :_ " . <br /> TEST LEVEL ABOVE GRADE : " . WATER IN TANK : <br /> DEPTH FOR TAKING SAMPLE:_7P, TEMPERATURE PROBE DEPTH:-37_" , <br /> TEST LEVEL TO TANK BOTTOM:] GROUND WATER ABOVE TANK:_-f, <br /> PSI : . NET TEST PRESSURE : . <br /> **RESULTS OF TEST** <br /> CERTIFIED TIGHT--YES�NO <br /> LEAK RATE PER HOUR: +� <br /> SIGNATURE OF TESTER: ' _ � <br />