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w 1 {VORKSHEE� R SUBMITTAL OR _ _... TO GOVERNMENTAL AuI;NCY <br /> OWNER/OPERATOR A S 4) L©[z n SIT$ ADDRESS J % <br /> CITY COUNTY <br /> MAILING ADDRESS - <br /> SITE AGENTy1 -E1R � RofSR�rlc � �_,,TELEPHONU <br /> ARRIVED TEST SITED-HjQQNOURS TANK LOCATION/NUMER <br /> LQDESS- Tkt RODUCT U AS�- - — <br /> DATE/TIME STORAGE FILLEl1 `PAODUCT LEVEL AT ARRIVA� ' �" � <br /> �J_.L.fe1NC]IES BELOW TOP OF FILL. NOMINAL TANK 9IZE�EZ •DQC7 <br /> TANK MUTT?Ri PROX. AGAAQLYRS. FILL SIZE/TYPE`S••TS OVERFILL CONTAINMENT TYPE- tip C) )Or <br /> API GRAVITY 51A AT-5-I_DEG. F. API GRAVITY OP_S"l 6OF - COEFFICIENT OF EXPANSION OF. COE OF-G- 0 <br /> VISABTE VENTING APPEARS TO BE AT: ILL END, FILL OPPOSITE END, HAS BURP 7TRTE, UNKNOWN, HAS A BALL CHECK, OTNE <br /> VISABLE VAPOR TRAPS TO Be BLED: BALL CHECKS, AYS OTHER- <br /> PHASE II VAPOR RECOVERY SYSTEM TYPE: D ASF.IRATOR ASSISTED LONG RUN YELLS MANIFOLDED NONE "M <br /> PUMPING SYSTEM: SUCIIOH IME MAKE__F-S MODEL- -S <br /> 2.vCc MAN A PIPE LINE LEAK DETECTORS tLJ� <br /> CHARTED TANK SIZE 1-13 ESTIMATED LINE QUANTITY _PRODUCT ADDPD 4O FLOOD SYSTEM 24', SYSTEM GALLONS TOT I Z.C1 2 <br /> AMIF.NT WEATHER CONDITIONS: TEMPERATURE PRETFST"POST TES 4-? 55 <br /> 1�x RAINING CLOUDY WINDY Nltilt OTHE <br /> SYSTEM FLOODED -0),kTIOURS ,4 PSI DROP L2Va OURS PSI TO BE MAINTAINED ON TANK BOTTOM DURING TEST PERIODS•O <br /> - Ps.S <br /> A. GRADE TO TANK BOTTOM - -] c� <br /> 0 idt i! B. GRADE TO TAN K TOP S 3 <br /> C, TANK DIAMER <br /> D. TEST LEVEL ABOVE GRADE Z <br /> i <br /> G�Z F 3�IL E. EXTERNAL GROUND HATER ABOVE TANK <br /> BOTTOM- �r"L [*. X .0361 PSI . <br /> n cj F. TOP OF FILL TO PROD. AT ARRIVAL Z <br /> A !64 T G. TOP OF FILL TO TOP OF TANK <br /> Lf <br /> �/'/ N. TEST i.BVEL'TlY 8OTTOM'0!► TANK <br /> WATER Ij SIDE PSI PER INCA OF PRODUCT SaJ}5�� X161_ <br /> pf <br /> TANK <br /> (Q n _ L TEST HEIG+fI PRESSURE PoRMLA <br /> 1 °i I X .ca <br /> M• PSI B. PSI NET PSI <br /> REMARKS : �s� s7 Qvti0 Tr Ev�Ln P1,96 r;i aX Lzyt�-106 41Gov <br /> � rz• r.Jfl 1 ��)L - fl r !4 H S L"� Q v�ay�D _ yut.7Z RSD �7e�ErD :L" vr, <br /> 1-J,0 <br /> THE FINAL TEST PERIOD AS <br /> SHOWN ON THE ATTACHED COMPUTER GENERATED DATA REFLECTS A <br /> LOSS / GAIN OF:!V7,3GALLONS PER HOUR, WITH A 990-, CONFIDf:NCE LEVEL OF QQ GPII. <br /> USING THE HORNER EZY CHEK II METIJOD OF TESTING TJJE RESULTS AS SHOWN ARE TVTTiFIN / <br /> NOT WSTIIIN THE STATE OF CALIFORNIA AND VIE NFPA 329 GUIDELINES OF A MAXIMUM LOSS OR <br /> GAIN OF .05 GALLONS PER HOUR FQR A TANK SYSTEM TO BE CONSIDERED TIGHT. <br /> INTEGRITY•TANK TESTING SYSTEMS, INC . 166 FRANK WEST CR, <br /> STOCKTON, CA 95206 (20 ) 466-8036 or (800) 262-8378 <br /> CERTIFIED TESTER G(I �/ TEST DATE /�- � - C � <br />