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CRISP VANK YESTWjG <br /> 2004 Piccoli 5',q-9 <br /> Stockton, Ca 95205 (209)931-1828 <br /> TEST REPORT <br /> OWNER OF SITE ff I) i.TE N T LS <br /> ADQRESS--ft 3,2 -- 1V• h v 4 9 CITY L p STATE_Cy ZIP Sir a . <br /> OWNER OF TANKSk u r <br /> ADDRESS_[ 3�� N. 8"Z 9� CITY Ci STATE C�' ZIP fZ a . <br /> OPERATOR AT LOCATION TRo <br /> ADDRESS 3 CITY_ ► STATE O.,/ ZIP?S-2te.. <br /> NAME OF COUNTY S'�,V y � � <br /> TANKS ON PLOT PLAN. <br /> DESCRIPTION OF TANK: <br /> CAPACITY O ,DIAMETER_2Z_��, METALS_ FIBERGLASS , <br /> TYPE OF SYSTEM: SUCTION SUBMERSIBLE­&Y: OTHER <br /> VAPOR RECOVERY SYSTEM? ,�lo ; TYPE <br /> PRODUCT BEING TESTED�� c MEASURED GRAVITY -33.,5- _ <br /> COEFFICIENT g, _. TEMPERATURE OF PRODUCT 27` AIR_ a2 <br /> STORAGE iLL� - DATE /C -/3 -j'7 � TIME <br /> TESTED - QATE _ Y 7 , START / , FINISH fes. <br /> LENGTH OF TEST 2 <br /> MEASURED WATER IN TANK -c— HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND WATER PSI AT TANK BOTTOM 5/, 03 <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES a' NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + ; or <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR <br /> SIGNATURE OF OPERATOR, <br /> DATE /1 -rS 7 <br />