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WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> DATE STORAGE FILLED TIME STORAGE FILLED PRODUCT LEVEL @ ARRIVAL PRODUCT '(;( <br /> TANK CAPACITY AMOUNT OF PRODUCT ADDED TO FLOOD SYSTEM TANK LOCATION <br /> LIQ-CALIBRATION. TOP OF FP TO BTM OF <br /> LINOTOP OF FP TO TOP OF TNY <br /> ___ <br /> OF TANK DIAMETER •NK ! <br /> MOVEMENT --- MATER PRESENT PRETEST _ L GRAVITY _! F, GRAVITY 1 60F COE Z <br /> _ <br /> AVERAGES --- WATER PRESENT POSTESi TANK C. A.::Y CON B <br /> INCHES ATT •(FST STAAT'. W.AV:-7T ! F, GRAVITY ! 60F COE Z o O • , . ,�y <br /> CAL QUAN LINES =A INCHES ATS TEST END AL.TY CON B <br /> _ LEVET. LEVELGAIN + -11MES L-EGr_L T-!W •1'E_YP TE!"_P GAIN + :I:IES TANK COMB T-E'1P n".A .- <br /> TIME- STAR-T- _END LOSS— GBP -A RE S+-UL:` m S"_•?.Rr °SID TOSS"'= CO^- 'm urcni me r? m R7 RT' <br /> "'I/• y <br /> Y I &-1 -er- ass a- <br /> f Too q toc5 <br /> /off 60 -(O l - ; ao 8� I X10 , 001 (a3J+oo J7 O G <br /> / 01- L d7Y I .001I's,y 31rOoSs <br /> ((�/ (Q� � Ir Y 99C I.`/79I� oo ! -7,/a521, 71 <br /> L I ��/6 I.�Y6 1 _&- ISryr31 -b- I / 7 -f" <br /> ;93 <br /> rOC��J 79 1, 775' 1! li6S <br /> 001 „ .Zr0o37 , Ooh DOS <br /> //ad �/--��� //-� __ I. �y� Lw7 It IS�it <br /> 6� I(� `�I " I -�' 1 , 5'1 77 1- 061 '13, 171 <br /> 2 7 I It 00 1,!; 99 Ito6s5 OoSS '6 ��3 <br /> 7 1 77 1 <br /> �� -�—� J <br /> � �7 I .y7 1 -0- <br /> I3 �s <br /> �f- �- L <br /> • f/�O Ul� IL 1 v" I I /G03 77 1 ,177 I I " ,wti�V � ro65S , O <br /> THE FINAL HOUR OF rMt <br /> OWNER/OPERATOR . TESTING REFLECTS A LOSS / GAIN OF: <br /> SITE ADDRESS USING THE HORNER EZY CHEK METNOD OF PRECISION TISTING ME RESULTS: <br /> _ APE n?TPT! / ARE' 770T EI=IP THE STATE OF CALIFORNIA AND ITE NFPA <br /> MAILING ADD S 329 GUIDELINES OFA MAXIMUM LOSS OF .OS GALLONS PER ONE HOUR OF <br /> CC TESTING FOR A TANK SYSTEM TO BE CONSIDERED TIGM. <br /> CITY ��V <br /> INTEGRITY TANK TESTING SYSTEMS, INC 166 FRANK WEST CIRCLE <br /> COUNTY STOCKTON, CA. 95206-(209) 4(t6-8036) (800) 262-8378 <br /> ) !y <br /> TELEPHONE (_ CERTIFIEg TESTER - 2 TEST DATE <br /> ) <br /> AGENT <br />