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WORKSHEE*r FOR S BMITTAL TO GOVERNMENTAL AttNCY <br /> OWNER/OPE TOR SITE ADDRESS 20 QTi�j� <br /> CITY �� COUNTY JAVT�d.9fk�l.[_9 <br /> MAILING ADDRESS <br /> SITE AGENT_�/�//yy��""""� ���A,�� � ���yyTELEPHO/NE (7 <br /> ARRIVED TEST SITW(/�TgURS TANK LOCATION/NIMER`2* �� C-Q'^ 'L� ;RDtrT <br /> DATE/THD STORAGS FILLS RODUCI LEVEL AT ARRIVAL 4:-- S BeLOW TOP OF FILL. NOMINAL TANK SIZE lot�orp <br /> TANK MATERIA, sc f� PRUX. AGE�IRg, PILL SIZE/TYPR� CONTAINMENT NTAINMENT TYPE ,A--- <br /> API GRAVITY AT <br /> AT 0 DEG. F. • API GRAVITY OE E GOP • COEFFICIENT OF EXPANSION OPf .IIOOA COE OF---4✓`4 <br /> VISARIM VENTING APPEARS TO BE AT: Ei3 , FILL OPPOSITE END, HAS BURP TUBE, UNKNOWN, HAS A BALL CHECK, OTHER <br /> VISABLE VAPOR TRAPS TO BE BIEDt BALL CHECKS, MANWAYS, OTHER vld.L <br /> PHASE <br /> VAPOR <br /> CDVERY <br /> ItUN <br /> PtWINGISTSTBI:APS(JULc-riumSTiS ITYPE: BIU.AN(yp A 7RATO IS1xD I.ONC�ceLWELLS lUN1QOLD ^��^���^tl IPE LINE HEAR DETECTOPS OT H <br /> CHARTED TANK S1ZE]7(J✓ESTIMATED LINE QUANTI�TT�fe�}p./z ROWL7 ADDED TO FLOOD SYS`�IPM/�YSTEM GALLONS TOTAL 9 g O r <br /> AMBIENT BEATER�--CyOOJNND�IIT��I7ONS: TEMPERATURE PRET/ESTV�—�M�POST TEST SIMNY' INING CLOUDY WINDY NIGHT OTHER ,J p/ <br /> SYSTEM FLOODED�HOURN .A PSI W02E 'IDURS PSI TO BE MAINTAINED ON TANK BOTTOM WRING TEST PERIOD 4t /(O <br /> A. GRAN TO TANK BOTTOM 1-37 <br /> Q 2 R. GRADE TO TANK TOP <br /> C. TANK DIAWTER 7 <br /> 67 <br /> i'7T77�� - D. TENT LEVEL ABOVE GRADE Z <br /> •�• yC•+ 4,N1 e Z E. EXTERNAL GFgTD WATER ABOVE TANK _ <br /> G F emTul_((LIM. x .0761 PSI . <br /> P. TOP OF FI L TO PROD. RT ARRIVAL <br /> A137 G. TOP OF FILL TO TOP OF TANK 4✓/Z <br /> 9S H. TFST LEVEL TO e01TO1 OF TAN �L <br /> WATER 1X5108 C PSI PER INCH OF PROOK,T D �� <br /> E TANK ° - 7EST HEIGHT PRESSURE FORTRILA <br /> 0 x 6R/ - 4.9( <br /> yc H. PSI p PSI NET PSI <br /> REMARKS: <br /> f <br /> 1 <br /> TINE F- NAL TEST PERIOD AS SHOWN ON THE ATTACHED COMPUTER GENERATED DATA REFLECTS A <br /> LOSSAIN OF.-10�O/S GALLONS PER HOUR, WITH A 990-. CONFIDENCE LEVEL OF +/- , per/ GPH. <br /> USING THE HORNER EZY CHEK II METHOD OF TESTING THE RESULTS AS SHOWN ARE WITHIN / <br /> NOT WITHIN THE STATE OF CALIFORNIA AND THE NFPA 329 GUIDELINES OF A MAXIMUM LOSS OR <br /> GAIN OF .05 GALLONS PER HOUR FOR A TANK SYSTEM TO BE CONSIDERED TIGHT. <br /> INTEGRITY TANK TESTING SYSTEMS, INC. 166 FRANK WEST CR. <br /> STOCKTON, CA 95206 (209 466-8036 or (800) 262-8378 <br /> CERTIFIED TESTER TEST DATE <br />