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14ECIE IVIE 0 <br /> WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY JAN 2 5 19M <br /> / c rtEEr°OEnAr <br /> DATE STORAGE FILLED �TF STORAGE FILLED S/PRODUCT LEVEL I ARRIVAL ' % PRODUCT L. /l � RA LOW <br /> TANK CAPACITY /2. !�Oli AMOUNT OF PRODUCT ADDED TO FLOOD SYSTEM / <br /> _ -� TANK LOCATION /VE'�J�, `J LGieG-� a T- <br /> REMARKS /V .%c G. T/7.T//= d.///�l�f (^/�js TI.'r/1.LL ✓ , Y <br /> �� GA�c c.:•S Y✓c.lc'-' L' e'er+ 7L r-C 4.�- -✓ cat y <br /> LIOUID LEVEL CALIBRAttOMS TOP OF FILL TO RTI OF TANK �Lj"YZ WATER PRESENT ppETFST �� ppS1EST �' <br /> PRETEST POSTES7 <br /> LINES J� 17 �J 7' TOP OF FILL TO TOP OF TANK , INCHES ABOVE GRADE 4 TEST START 4{2 <br /> OF i�l,�J `j / ,1 TANK DIAMETER //-7Y END <br /> MOVEMENT-)_ <br /> 4C.I <br /> • i SG—JT— TEMPERATURE CALIBRATIONS <br /> AVERAGE -�-2 SO A.P.I. PRODUCT GRAVITY`y�-5f - F . GRAVITY OFet 4 ' <br /> 868 F <br /> QUANTITI ADDED - LINE MOVEMENT LIQUID CONSTANT (A) ODEFFICIENT OF EXPANSION z TAN\ CAPACI . <br /> lj ,START START GAIN + TIAE5 LEVEL <br /> 72-,AE T START START CAT7+ .*1�gS TEMP, <br /> LEVE LEVEL `LOSS - CONS A = RESULTS FINAL <br /> TEALP. TEMP. LOSS - CONS F = RESULTF <br /> R.S=_"5 <br /> 780 1'OJi 75L I*, CX. /S Oo <br /> 7 7 7j f mj f ti <br /> _Yz C <br /> . 427j -,OU 7j <br /> ,�G'p>S G� "9L <br /> 73',i . 789 �DOi �•Ud7 -� cc,dvL <br /> 7b 76- - z I 0-v <br /> ¢UoZL. 74 L I C�i 7.j'C• . 78i fCLi GL7j s -Ccf��Z <br /> q/J 7l/ 70- - �Cc7,/y -.JUi� .757 .L4'/ •'J L , Gvt%3L <br /> �' " <br /> OWNER/OPERATOR THE FINAL HOUR OF - 0OWNER/OPERATOR /�[�i�iYJffkl/�f/Gs�lly��✓ i1ty�I�G TESTING REFLECTS 7/ GAIN OF: <br /> SITE ADDRESS (VS`INC- RNER EZY 01EX WINOD OF PRECLSIIN TESTINX THE RESULTS: <br /> 4(E v'?3ARr' NOT W.T-DF THE STATE OF CALIFORNIA AND THE NFPA <br /> MAILING ADDRESS 329 GUIDELINES O LOSS OF .OS GALLONS PER ONE HOUR OF <br /> CITYJ i Z'G/_/"Z1�V I;q TESTING FOR - ANK SYSTEM E CONSIDERED TIGHT. <br /> INTEGRITY TANK TLNG SYSTEMS, INC 166 FRANK NEST CIRCLE <br /> CIXN77- .. �/Ii(J �U��j/��/�J TPSSTOCKTON, CA. 95206 /(,2099) /466-8036 (800) 262-8376 f <br /> TELEPHONE (_ ) CERTIFIED TESTER _ Li/�JILC��'y TEST DATE <br />