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WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY y Q� <br /> OIVNER/OViMTOR SITE. ADDRF' S_,.2o�2sZ <br /> CITY -COUNTY <br /> MAILING A �— <br /> SITE AGENTD S TELEPHONE ( <br /> ARRIVED TEST SITE- J+N+�AIURS pr1WR fL'OCATION/NIR613a _ � ''�� .. �ROmR:T <br /> DATE/TIME STORAGE FILLEm?:j_. O 9 yROCULT LEVEL AT ARRIVAH�_tNORS BELOW TOP OF FILL NOMINAL TANK SIZE <br /> TANK MATERIAJL� Il/� Kl�f� . _APPROS. Acdi ES.. FILL SIZE/TYPE OVERFILL CONTAINMENT TYPE <br /> {� �j - <br /> API GRAVITYTwA(l AT_3 IYDEG. F. • API GRAVITYY OF� 7'�066`O,FF - COEFFICIENT OF EXPANSION OF: -DOn'5W_q COE OF v L <br /> VISABIE VENTING APPEARS TO BE AT: FILL END, ILL OPPOSITE END- FIRS BURP TUBE, UNKNOWN, HAS A BALL CHECK, OTHER <br /> VISMLE VAPOR TRAPS TO BE BLED: BALL CHECKS, MANWAYS, OIIIFa -- <br /> PHASE 11 VAPOR RECOVERY SYSTEM TYPE: NALAN D ggl 70R SISTED LONG RUN WELLS MANIFOLDED¢ NOH OTHER — <br /> PUMPING SYSTEM: SUCTION <br /> S�UUCQCTTI�I{O�N� TURBINE MARE J T _SSO-IJ PIPE LINE. IE.AR DETECTORS lei <br /> CHARTED TANK SIZI-V=LO ESTIMATED LINE QUANTITY _7_�� PROVUCT ADDED TO FLOOD SYSTEM ►' AYSIEM GALLONS TOTAL '•-' 916,5- <br /> IV®IENT M¢AIIORw�CO9qNDI�q/T�I,ONS: 7ENPERATURE PRRYEST]bDST TEST961 RAINING CLOUDY WINDY EIGHT OTHER----- <br /> AMBIENT -_- <br /> SYSTEM FI.CODEDAL2je5 NONRS .A PSi DROPS/�IIOURS PS[ 70 BE MAINTAINED ON TANK NOTION DURING LEST PERIOD 'y <br /> SYSTEM <br /> _ <br /> A. CMDF 70 TANK BOTTOM <br /> N. GRADE TO TANK TOP Q / <br /> O <br /> C. TANK DInVEtea 7/ <br /> 6 D. TEST LEVEL ABOVE GRADE 98 <br /> �'•f•=� +�`p q�I/ E. EXTERNAL GRODU WATER ABOVE TANK <br /> • G � B N �,+ BOTiOI_ IM. K .0361 PSI <br /> AIDS L�l-7 F. TOP OF FILL TO PROD. AT ARRIVAL <br /> G. TOP OF PILL TO TOP OF TANK <br /> II. TEST LEVEL TO BOTTOM OK TANK <br /> ()�,� �•�_ <br /> Com" PSI PER INCH OP PRODUCT – <br /> wy( NAIER <br /> I TANK TEST HEIGHT PRESSURE FORNLA /T <br /> Otero!_ (.,!Y- <br /> 1 <br /> N. PSI B. PSI NET PSI <br /> REMARKS : ------- —-- .. -- ---- -- — — <br /> 1E FINAL TE�T PERIOD AS SUOWN ON TME ATTACHED COMPUT'F.R GENERATED DATA� REFLECTS A <br /> nLoss <br /> CAIN OF: �GALLONS PER HOUR, WITH A 99% CONFIDENCE LEVEL OF � GPII. <br /> USING THE HORNER EZY CIIEK II MET110D OF TESTING THE RESULTS AS SHOWN ARE WITIIPIT / <br /> NO.T WITHIN 71IE STATE OF CALIFORNIA AND THF. 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 ( 4 -8 36 or (800) 262-8378 <br /> CERTIFIED TESTF. / TEST DATF.���� <br />