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� l <br /> WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> o Y/- 9 " <br />• DATE STORAGE FILLED'�6-90 TIME STORAGE FILLED 5/p--. PRODUCE LEVEL @ ARRIVAL,r3 - 9/1 PRODUCT <br /> A(/- <br /> TANK CAPACITY+r,1 - 8.0oo MOUNT OF PRODUCT ADDED TO FLOOD SYSTEM p TANK LOCATION J1..,,Q I177 <br /> at/ <br /> LIQ:.CALIBRA7ION TOP OF FP TO BTM OF =.44 Sclk x' 1'n <br /> LINES � � ?v7TOP OF FP TO TOP OF TNY� <br /> OF 7 TANY DIAMETER y'/_ _1,3 <br /> TNF ! y i �2 i q <br /> MOVEMENT � ONATER PRESENT PRETEST -er .� / GRAYI77 e .)S F, G,UVIT7,;(/1�! 60F WE Oo�yS 7/y K I.,�/OI.3 `j y /�J <br /> AVERAGES -I MATER PRESENT POSTEST <br /> C.•ILO.Q�UAN .-i4N/ES D,:OdN./AG INQff3 ATT TES7 . � ' 3•ha <br /> 1V l � , GRIYy! 60F CE O�CYS�� /INCHES ATT TEST START. „O TT END � <br /> JS' <br /> C^7: B <br /> X001 LEVEL LEV.ELGAIN + TIMES L-°.CEI:- T-:3K- TE.MTTEHP GAIN + TI:fES TANK COMM TEMP i_-.kL <br /> • TI'f& SS/AR.T– END LOSS• — GBR -I RE5J7.� r S^p R•^ _Nn LOTS CO"F .A nrc"* nrcv+. T R_ct•r", <br /> /0-0 s;" 1 (o04-�1 +.3 ,6011r00V �. 7 <br /> 7 1 7 3.�,5' <br /> .p03 171 , 00 4 L-7.4,s3l;ou3y <br /> % J3Y I..75'o too YY3N oas t <br /> /Dad 0 I d uO <br /> �Ya I, 17,H 31i'vuss <br /> 106 - (n0 CO3,-1 � �a , �tvQ3 s/ I+ o -;Voo1 I�-oo/`J/ <br /> T <br /> J I / 1 -B- 131 --,. <br /> -� y <br /> co-3- <br /> 9 V;2 <br /> o-3- <br /> 9y;2Ito 1.5, oG((jp' <br /> $ 1,953 I o� I .cs3f X037 Acoo <br /> /oy� 6y f� � y tJoi`� - cco <br /> �__LL�� _� I�.f�J it -U�7 r ( <br /> � /dSa SFS g,S �-SI �aod � II.7y3 l,�y I�JUI �.`i,y Ir OS <br /> s l -yoo l 6�3F o0 7 <br /> �1� THE FINAL HOUR OF Y <br /> OWNER/OPERATOR / Q '1 ' STING REFLECTS A LOSS / GAIN OF. <br /> 517E ADDRESS O USING THE HORNER EZY CHEK METHOD OF PRECISION TEST11G THE RESULTS: <br /> ARE W=rH / ARE NOT WI'=IY THE STATE OF CALIFORNIA AND THE 4FPA <br /> MAILING AD S /7 329 GUIDELINES OFA MAXIMUM LOSS OF AS GALLONS PER ONE HOUR OF <br /> CITY TESTING FOR A TANK SYSTEM TO BE CONSIDERED T3347. <br /> INTEGRITY TANK TESTING SYSTEMS, INC 166 FRANK WEST CIRCLE <br /> COUNTY STOCYTON, CA. 95206 X09) 4#618016 (800) 262-8378 <br /> TELEPHONE (_ ) / tm�G'�/v CERTIFI•E�TESTER. / K TEST DATE ✓�r/ <br /> AGENT <br /> �,s/8s <br />