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;rz / <br /> / WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> ^ <br /> OWNER/OPFAA70A SITE ADDRESS <br /> CIT .PiDO.t� COUNTY, <br /> MAILINC ADDRESS �q�yy24!5u'd�� Q!, / <br /> SITE AGEN ���T TELETTORE Aj �// 2121 <br /> ARRIVED TEST SITI074J OURS TANK LOCATION <br /> DATE/TTME STORAGE FI��LL--E��D? Z Apo�RODUCT LEVEL AT ARRTVAL// INCRES BELOW TOP OF FILL NOMINAL TANK STZF, Od <br /> TANK MATERIAL yZ: 1/y0_�� APPROI. TANK AG?."?74rRS. FILLSIZE/TTPE T OVERFILL CONTATMTM TYPE <br /> APT CRAVIT S'a AT 7,? DEC. F. - AFT GRAVITY OIJ510 P 6OF - COEFFICIENT OF ERPANSION OF ,000 4160(9- COE X41 <br /> VISABLE VENTING AFPRRARS TO BE AT: FILL ENO ILL OT05ITE ENII, RAS SURF TUBE, RAS BALL CUEcK, DNKNOWN, OTRFR <br /> VISABLE VAPOR TRAPS TO BE BLED: BALL CHECKS, MANWATS, RETURN LINES, OTRER <br /> ERASE II VAPOR RECOVERY SYSTEM: BALANCm ASPIRATOR ASSISTED, LOpC RUN WET.LS, MANIFOLDED, <br /> POIfl'IWG SYSTEM! SUCTION, MAKE TDK,4/�'�� MODEL :`y'TPE LINE LEAK Detect- 8 TES, NNOOT�7AFPLIC <br /> CRARTID SIZE_ EST. LIRE/OUARTIT� PRODUCT ADDED TO FLOOD STSTEM�STSTEN TORAL GALLONAGE <br /> AMBIENT CORDIITIONS: TIME! PRETEST 76 PJJOSSTEST_ SONNY CLOUDY RAINING, WINDY, BREEZY NKAT, OTRER <br /> .A PSI D0. cff-34OURS TEST 70 STARA/'1OC/POURS PSI TO BE MAINTAINED ON TANK BOTTOM DURING TEST PERIOD .3� 9 PST <br /> A. GRAD. TO TANS BOTTOM /�/ <br /> B. GRAVE TO TANK TOP ')0 T, <br /> r <br /> C. TANI DIAMETER 74 Z <br /> 6.G10f <br /> —� O. TEST LEVEL ABOVE GRADE —_' <br /> z E. ESTENIAL C%M" RATER ABOVE TANK <br /> 148F. TOP OF FILL TO PROD. AT ARRIVALG. TOP OF FILL TO TOP OF IANKN. 71ST'LIr n TO BOTTOI OP TNR <br /> PST PER INOI OP psomCT TEST REIOIT PRESSURE FORMRA <br /> — C <br /> Q K 07HJT r <br /> REREMARKS: N. PSi rst NET rSi <br /> RESULTS <br /> THE FINAL TEST PERIOD AS SHOWN ON THE ATTACHED COMPUTER GENERATED DATA REFI,F TS A <br /> OS / GAIN OF:/�AL ALLONS PER HOUR, WITH A 99% CONFIDENCE LEVEL OF +/— DOJO Qph. <br /> THE HORNER EZY CHEK I METHOD COMPLIES WITH EPA AND THE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 CPR <br /> FOR TANK INTEL T{NG. SECTION 2643 CALIFORNIA CODE OF REGULATIONS) BASED UPON THIS STANDARD, THE RESULTS <br /> SHOWN ABOVE: S ES NO INDICATE AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER THAN THE 0.05 GPA STANDARD. <br /> -INTEGRITY TANK TESTTN VICES, 41 WEST YOKUTS ST. STOCKTON, CA., 9152/07,�I (209) 474-1375 Or (90-07) 62-/376 <br /> CERTIFIED TESTER STATE LICENSE 4 ('1/�{ �y� TEST DATE / � / Z— <br />