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CRlSP .'TAi' K TESTING <br /> 2004 P ccoli *9 ; <br /> (209)931-1828 <br /> Stockton, Ca 95205 <br /> i ' TEST REPORT <br /> 1r 1 <br /> OWNER of SITe .Ard i <br /> ADDRESS c , CITY ? L STATEZIP [,/(J <br /> OWNER OF TANKS ~'� f ; u <br /> ADDRESS_ 3.° �t� [1Zc: )c r �` CITY Cj STATZIP S t'J <br /> OPERATOR AT LOCATION <br /> ADDRESS 14 uaCI Y STATE ZI <br /> NAME OF COUNTY_j - N_�` L)A L <br /> ; + <br /> . TANK 0_ !rf�e ON PLOT PLAN. AGE OF TANK <br /> �I DESCRIPTION OF TANK: <br /> CAPACITY ,DIAMETER ,•, METAL FIBERGLASS <br /> I !., TYPE OF SYSTEM: SUCTION : SUBMERSIBLE '+ OTHER <br /> VAPOR RECOVERY SYSTEM? N <br /> , TYPE <br /> PRODUCT BEING TESTED_ j MEASURED GRAVITY <br /> COEFFICIENT ` ` TEMPERATURE OF PRODUCT, AIR J� <br /> ! yy <br /> STORAGE LILIT.IN"- DATE_ - -J �2 ` � - c�,. TIME IZGo <br /> TESTED - DATE START D 4/,�� , FINISH <br /> LENGTH OF TEST _ _ 17 JOS <br /> MEASURED WATER IN TANK . HEIGHT OF LIQUID LEVELC/� + , <br /> ! DEPTH OF GROUND WATER -,Ro/ . PSI AT TANK BOTTOM r II <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES }C ; NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + ; or - U 3 .;L• <br /> REMARKS BY OPERATOR <br /> NAME OF OPERATOR I- IU rJ` 'S <br /> ' .S SIGNATURE OF OPERATOR <br /> i DATE <br /> 9 <br /> V' , <br />