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` WORKSHEET FOR SUBMITTAL TOGOVERNMENTALAGENCY <br /> OWNER/OPEAATOR �/G�/I/�/U�-J� L �G Fj SITE ADDRESS( <br /> CITT7Z Gigue COUNTY <br /> HAILING ADDRESS <br /> SITE AGENT ,7 <br /> ARRIVED TEST 527�G 6�-RDU�IR/S/�TA/M�C LOCATION tJ, t/,A+'7Cic' �/i[.:�/Qc'- PRODUCZ_ <br /> DATE/TINE STORAGE F�ILLL—M_!' �-�'RODUCT LEM AT ARRS7AL=INCAFS BEL04 TOP OF FILL NOMINAL TANK SIZE/G� In <br /> TANK HATERW. _2 •2� APPROS. TAHR ACV&TRS. FILLSIZE/mE<QOERFILL CONTAIRMI,T TTPE.r/(.��/�`� <br /> API CRAVITT ,�'/� AT DEC. F. - API GRAVITY OFJ7 p 60F - COEFFICIENT OF MANSION OF .0007'7/-�-� - COEy-7_Z-- <br /> VISABLE VENTING APPREARS TO BE A7< FILL , FILL OPOSIT.E END, RAS BURP TUBE, JJJJRAS BALL CHECK, UNKNOWN, OTHER <br /> VISABLE VAPOR TRAPS TO BE BLED: BALL CHECKS, HANWAYS, RETURN LINES, OTHER i['i �Tc�� ���� <br /> PHASE II VAPOR RECOVERY SYSTEM: BALANCED, ASPIRATOR ASSISTED, LANG RUIN WELLS. HANIFOLDED, NONE, OTHER <br /> PUMP2NC SYSTEM: CIIOA, TUIUlln MAXE rZ/��G:j�iL�'J HOD>D,//J y PIPE LINE LEAK De CeCtois TES, NO; NOT APPLIC <br /> CHARTED SIZE EST. LINE QUANTITY25 PRODUCT ADDED TO FLOOD7T'SYSSTT.'LMS SYSTEM TORAL CALLONACE 7 C] 0 6 <br /> AMBIENT CONDITIONS: THiP�THiP—s PRETYST�POSTEST,& SUNNY, CLOUD RAINI—NC VINDT, BREEZY, NIGHT, OTHER /J ,., <br /> .4 PSI DRA� —HOURS TEST TO STAR ROURS PSI TO BE HAIHIAINFA ON TANK BOTTOM DURING TEST PERIOD �2psi <br /> R. GRADE TO TANK NOTION- & 71 <br /> IZ-�- 1. CRADI TD TANK LOP 5 <br /> '/ <br /> C. TANK OIAIWITA 41 Z <br /> 6 UAF <br /> D. TBT ISVBI ABOVE GRADE <br /> r ee--- E. EXTERNAL CMUM WATER A10K TANK <br /> I (5 F NOROM 1N. 1 .0161 PSI - ' <br /> F. TOP OF FILL TO PE00. AT ARRIVAL <br /> /tom C. TOP OF FILL TO TOP OF TANK <br /> H. TEST:2 "t`TD'IOrTOI OF TANK <br /> �T <br /> WATER I LE PSI PER INO1 OF MOM= 'D � <br /> E TANK ' TEST HEIGHT PRESSURE PORIULA <br /> x, rs] e. rs1 MET FSI <br /> REMARKS: <br /> RESULTS <br /> T E FINAL TEST PERIOD AS SHOWN ON THE ATTACHED COMPUTER GENERATED DATA REFLECTS A <br /> LOS / GAIN OEp�,LlCI GALLONS PER HOUR, WITH A 991% CONFIDENCE LEVEL OF +/- O 1 gph, <br /> THE HORNER EZY CHEK II METHOD'COMPLIES WITH EPA AND THE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 GPH <br /> FORT I �CT1ON 2643 CALIFORNIA COAD OF REGULATIONS)BASED UPON THIS STANDARD THE RESULTS <br /> iHOWN ABO DOES NOT CM CA AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER THAN THE 0.05 GPH STANDARD <br /> INTEGRITY TANK TESTING DIS{. F OIL EQUIPMENT SERVICE, P.0.BOX 950, SAN ANDREAS,CALIFORNIA, 95249 (209) 541808 <br /> CERTIFIED TESTER / LM 6 t LICENSE 8 DATE <br />