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CRISP TANS` TESTING & CONTRU -ION CO . <br /> P.O. BOX 30487 LICENSED <br /> STUCKTUN, CA 95213 INSURED <br /> (209) 931- 1828 <br /> FAX (209) 465--3006 <br /> * ** * *TEST RE,pop 'f* * ** * LICENSE #92-1243 <br /> _ LEONARD E. CRISP <br /> OWNER OF SITE:T"�" L --- __ - _. - ----- ----�f- <br /> ADDRISSAI� Z1P:_(V�- - <br /> OWNEROF TANKS:-__-.__--_.-_____-_____--_-___�_------- <br /> ZIP:----_-___ <br /> OPERATOR AT LOCATION:-_-._________.._ ___ <br /> ADDRESS:_- -_- CITY:-_ <br /> TANK#:-A_-. AGE:------ GALLONS:_A_QC& _ <br /> METAL(I) FIBERGLASS( ) SINGLE WAI..I,ED( ) DOUBLE WALLED( ) <br /> DIESEI.41 UNLEADED ( ) PREMIUM UNL. ( } _ <br /> SUCTION( ) SUBMERSI131,13 ) OVERSPILL CONTAINER""YES60 NO( } f��' tgjyzl <br /> SIMAR VAT.VF. YES"-) NO( ) IN-LINE LEAK DFTEC:TOR YF-';W) NO( ) <br /> VAPOR RECOVERY SYSTEMR`YFS( ) NO(9r) IF YES, PHASE 1( ) PHASE IF( MAR 0 2, 1995 <br /> TANK FILL DATE:. i=iWR0NMENTALHEALTH <br /> TANK TEST DATE:d����� START.( - END:_tb5D_— PERMIT/SERVICES <br /> LENGTH OF TEST:__- 5_ <br /> TANK BOTTOM TO GRADE..... 'PEST LEVEL TO TANK BOTTOM....-.15:1- <br /> TANK <br /> OTTOM....TANK 'f OP TO GRADE............ " GROUND WATER ABQVE TANK-- " <br /> I)InMETFR: <br /> .................. ., -.. PSI................................................... <br /> ._•� �_ <br /> TEST LEVEL AI3OVE GROUND. NET TEST PRESSURE.......................� c2 <br /> WATER IN TANK....,...............----a API SPECIFIC GRAVITY.............. <br /> DF'PTIi FOR TAKING SAMPLE....__ " TEMPERATURE................................ <br /> _� _ <br /> TEMPERATURE PROBE DEPTH...._" API SPECIFIC GRAVITYw 60' F...... _ <br /> COEFFICIENT OF EXP...................... <br /> LEAK RATE PER/IIR:+ —/-, O <br /> CERTIFIED TIGHT: YES(-) NO( <br /> PRODUCT TINE 'PEST: SUCTION( ) PRESSURE(,) <br /> LEAK RATE PER/FIR: +--. <br /> CERTIFIED TIGHT: YESQQ) NO( } <br /> DATE:-Ift,50iT SIGNATURE OF TESTED. <br /> -F,cv X11 <br />