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1 i <br /> WORKSIIEE'i FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> OWNER/OPERATOR SITE ADDRESS <br /> ! CITY 57"Oc c_� a, <br /> 1� MAILING ADDRESS [ COUNTY <br /> P6R <br /> SITE AGENT R s✓ Ro Q <br /> T'ELEPHONT <br /> ARRIVED TEST SITEQYpbIgURs TANK LOCATION/NUMBER 0iF <br /> DATE/TIME STORAGE FILLEI�IISI45Y PR©DuCr LEVEL AT ARR[VA"( 'I-1NCHRS BELOW TOP OF FILL NOMINAL TANK SIZ �OOOCI � <br /> TANK HATEAIAt.---!�� ` PROX. A <br /> G&--S----y144. PILL 11LE/TTPP�'I r OyERFfLL CONTAINMENT TYPE <br /> AP1 GRAVITY 57•$ AT 5S DEC, F. • ACI CRAVIT'1' OP <br /> A-15-A-0 bOF - COEFFICIENT OF EXPANSION OF: „DDp aoi�� � CpE ©F—(a- .� 3 <br /> VISABLE VENTING APPEARS TO BE ATI FILL END, IL4 OPPOSfTE <br /> VISAALE VAPOR TRAPS 70 11 BLED: @ALL OIECKS, HANWAYS, ILV IURP TUTS, UNKNOWN, HAS A TALL CIIECIs, 0111E <br /> OTNE <br /> PHASE 11 VAPOR RECOVERY SYSTEM TYPE: ASPIRATOR ASSISTED LOHC RUN WELLS HANIFOLDED NONE OTIfEI�_ <br /> PUMPING t;YSTEM: SUCTION Qaimb MAKE Q Ef) �-A c-u-f9 T <br /> MODEL 3 4 , v Ptee tlNe LEAK aeTFcroas �1rt <br /> LTIARTED TANK SIZE (9EI--k3 ESTIMATED LINE QUANTITY r PRODUCT—PRODADDP.D TO FLOOD SYSTF,113 <br /> AF{s1t'H7 WEATHER CONDITIONS: TEMPERATURE PRETEST ”"`--•'YS1EN GALLONS TOTAL �7 <br /> POST TEST, RAINING CLOUDY'ZiZO) RIGHT OTffE <br /> SYSTEM FLOODED-22tOI:7_HOUR9 .1 PSI DROP©930 <br /> HOURS DSI lO BE MAINTAINED ON TANK BOTTOM DURING TEST PERIO <br /> A, GRADE TD TANK BOTTOM I $$ IrZ— <br /> O 14 3 <br /> B. GRADE TO TANK TOP `44C1! <br /> C. TANK D1AtafF7TER 1 j <br /> �Ti777r— —� - <br /> + 134 <br /> y� e�� �,j <br /> D. TEST LEVEL ABOVE GRADE <br /> 1� E. EXTERNAL GROUND WATER ABOVE TANK <br /> 114 BOTTW— ,IIF. K .0351 PSI <br /> F. TOP OF FILL TO PROD. AT ARRIVAL Z II2. <br /> IS12- C. 7TIP OF FILL TO TOP OF TANK S <br /> TEST I. MV TO 10TTON OR TANK <br /> NATER INSIDE C <br /> TANK PSI PER INLR OF PRODUCT �4bf-Q -Z'j <br /> a <br /> TEST "EMIT PRESSURE FORMULA <br /> ► �� 'lei K •ozitl - _ `1 +�, <br /> H• PSI E. PSI NE7 PSI <br /> REMARKS : <br /> TIIE FINAL TEST PERIOD AS SHOWN ON TILE ATTACIIED COMPUTER GCNETtATrD DATA REFLECTS A <br /> OSS / CAIN OF:�-GALLONS PER HOUR, WITH A 99% CONFIDEN( E; LEVEL OF +/— •G� <br /> ?x,1'1 j. <br /> USING THE HORNER EZY CEIEK II PdET7I01) OF TESTING THE RESULTS AS SIIOWN ARE fd-iTF�IN � <br /> NOT WITTfIN TIIE STATE OF CALIFORNIA AND 'DIE NEPA 329 GUIDELINES OF A MAXIMMI LOSS OR <br /> GAIN OF .05 GALLONS PER HOUR FQR A TANK SYSTEM TO BE CONSIDERED TIGHT. <br /> INTEGRITY TANK TES'T'ING SYSTEffS, INC. 166 FRANK WEST CR. <br /> STOCKTON, CA 95206 (209) Z., <br /> 036 or (800) 262_8378 <br /> CERTIFIED TESTER <br /> � � DA'L'E � <br />