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,7v WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> DATE STORAGE FILLED S��) k4IME STORAGE FILLED y1�,�.� *.� „� J�L�,✓ <br /> �1 ,?"" PRODUCT LEVEL 2 ,iARIVAL) PROpp� / <br /> TANK C.IPACITY V�3od AMOUNT OF PRODUCT ADDED TO FLOOD SYSTEM G /(� TANK LOCATION <br /> t <br /> REMARKS <br /> LIQUID LEVEL CALIBRATIONS TOP OF FILL TO BTM OF TANK � WATER PRESENT PRETEST_ POSTEST <br /> \ //ryRE�PFS/ �a PoSTESTtd TOP OF FILL TO TOP OF TANK INCHES ABOVE GRADE 9 TEST START 1�14�1 <br /> LINES <br /> OF L? ' _ L7� TANK DIA. 7ER IND <br /> 'J;.� q TEMPERATURE CALIBRATIONS <br /> MOVEMIENT�)3 y?y ????l A.P.I. PRODUCT GRAVITY" &-a F GRAVITY OF115 0.60 F <br /> -. . AVERAGE � - <br /> 00 <br /> QUANTITY ADDED LINE MOVEMENT -LIQUID CONSTANT (A) COEFFICIENT OF E ANSION x T CAPACITY = TEMPERATURE C(:NST.LV 1. IB <br /> (S START Er'7D CAN + TIMES LEVEL START END CAIS+ 'TI.;IF,'S TEMP. FINAL <br /> TIME LEVEL LEVEL LOSS - CONS A = RESULTS TEMP. TEMP. LOSS - CONS B = RESULT RESULTS <br /> 9]a067 61 �- <br /> o 076 y <br /> �-o C).;2 : (o l(r 9 -e- 'o o-2 z :0 07/ <br /> 03G 89i 'd- moo �oc6rs' ?"00/7o -7- <br /> '071 g7 <br /> �cc 2 rCG6/s X00 FjJ S <br /> ec2y 617 eel tCC& <br /> =i&-FlftL HOUR OF <br /> OWNER/OPERATOR <br /> TESTING REFLE A LOSS / CAN OF:CW <br /> SITE ADDRESS <br /> c� t �lNER _ <br /> TS <br /> MAILING ADDRESS 77 c6L % P�GE�CZG�..ELC � �I.NES OF?ATMAXIMUM THELOSSTATE OFGCALIFFS NIAPER AND HOURN O OF PRECISION TESTING THE PA . <br /> TESTING FOR A TANK SYSTEM TO BE CONSIDERED TIGHT. <br /> CITY 'fP ll INTEGRITY TANK TESTLNG SYSTEMS, INC 166 FRANK WEST CIRCLE <br /> i <br /> COUNTY STL7CKTON, CA. 95206 fl9) 466- 3 (800) 262-8576 59,, <br /> TELEPHONE (_) V CERTIFIED TESTER I..-G TEST DATE J �/ <br /> AGENT <br />