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CRISP VANK YiEsyi*jG <br /> 2004 Piccofi ,49 <br /> Stockton, Ca 95205 (209)931-1828 <br /> TEST RL-PORT <br /> OWNER OF SITE TA.' r' PC-Aj 7-,y <br /> ADDRESS // �}/, ,/i�,i 9 ` CITY__,1,2 p,' • STATE <br /> ('EZIP S, <br /> OWNER OF TANKS ]" <br /> ADDRESS 11.E <br /> 114 <br /> 9 _ CITY L t D i STATE�11_ZIP F52V,. <br /> OPERATOR AT LOCATION ' <br /> ADDRESS //j CITY !�� D r" STATE C ZIP . <br /> NAME OF COUNTY -- Sz <br /> � nJ <br /> TANK # _ ON PLOT PLAN. <br /> DESCRIPTION OF TANK; <br /> CAPACITY "0 ,DIAMETER_�4! �" , METAL FIBERGLASS <br /> TYPE OF SYSTEM: SUCTION-d- SUBMERSIBLE ; OTHER > 5 c c <br /> VAPOR RECOVERY SYSTEM? ti.�; ; TYPE <br /> PRODUCT BEING TESTED ! .- src �,� MEASURED GRAVITY <br /> COEFFICIENT _ TEMPERATURE OF PRODUCT '7p AIR a <br /> STORAGE `LL1`- DATE -� =-�y ��r TIME '/Sr <br /> TESTED - DATE /�-/5� ,� START (G1� , FINISHO® <br /> LENGTH OF TEST <br /> MEASURED WATER IN TANK - v - HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER PSI AT TANK BOTTOM <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES X ; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + ©r _ ley-3 <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR <br /> SIGNATURE OF OPERATOR r ... <br /> DATE — <br />