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} <br /> CRISPTANK TESTING <br /> " 2004 Piccoli #9 <br /> (209)931-1628 <br /> 1828 <br /> Stockton, Ca 915205 ) <br /> TEST REPORT <br /> OWNER OF SITE 1E—Q yk)- A I's <br /> } .ADDRESS I 1 :3�6�_ Al . _ c:u C E3 CITY STATEe,,4 <br /> Iv, OWNER OF TANKS - - T Lt-Kim ' <br /> : ADDRESS CITYSTATEI!A ZIFq S,d <br /> ,1 OPERATOR AT LOCATION .7 4 T T C,-UW <br /> 'ADDRESS c - U )v q(i tITY j STATq�M ZIPY ( <br /> NAME OF COLNTY�'a � 7U , ; A) , <br /> TANK 0 o N ON PLOT PLAN. AGE OF TANK <br /> II j <br /> , DESCRIPTION OF TANK: <br /> CAPACITY DIAMETER X <br /> , , METAL FIBERGLASS , <br /> f � TYPE OF SYSTEM: SUCTION SUBMERSIBLES_: OTHER <br /> VAPOR RECOVERY SYSTEM? fy () ; TYPE <br /> PRODUCT BEING TESTEA. MEASURED GRAVITY • <br /> COEFFICIENT TEMPERATURE OF PRODUCT�pf , AIR <br /> STORAGE IL� •_ DATE <br /> TIME — <br /> TESTED -• DATE f Z2 _1 V f � , START / , FINISH /S O G <br /> * LENGTH OF TEST a� (e 5 , <br /> MEASURED WATER IN TANK -1�r , HEIGHT OF LIQUID LEVEL <br /> DEPTH OF GROUND MATER - . PSI AT TANK BOTTOM <br /> 1 <br /> RESULTS OF TEST: <br /> CERTIFIED TIGHT? - YES NO IF NO EXPLAIN IN REMARKS. <br /> LEAK RATE PER HOUR: + ; or •• r(j�(yS�- . <br /> i• <br /> REMARKS BY OPERATOR <br /> I <br /> NAME OF OPERATOR I-@dN r� E. <br /> SIGNATURE OF OPERATOR` <br /> ! DATE fa- <br /> �( - � ...,.... <br />