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i <br /> WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> DATE S"I9RAGE FILLED/0j"03 TIME STORAGE FILLED PRODUCT LEVEL 8 ARRIVAL �L/ PRODUCE - <br /> _ CP <br /> AFOUNC OF PRODUCT ADDED TO FLOOD SYSTEM TANK LOCATION <br /> WK CAPRCITY j, - 4.000 — - _ <br /> .A! <br /> CV Z U'-LLLQQ� CALIBR= TOP OF FP TO BTM OF '.NK <br /> LL`LE3� rGY 7 817YTDP OF FP TO TDP OF T7K 1 <br /> r, F 7 ?l.. TANK DIAMETER `�'Y+ TNK I yly3 F, GRAI::i//i3! 60F =E !?rG�S7,Y`S' Z 90 t1- <br /> Q MD 9 YMWATEA PRESENT PRETEST �• e' GRAY.^,Y <br /> AYE -� WATSR PRESENT POSIFST ca' 9 ,.` y T ANX �"��-� 3 <br /> `ZOO l3/� INCHES A:. ;sS: START- tJy GRAYITYT+_al�F. GRAY^YJ'=! 60F CDE M(��/��D S'lDoo! , 3 1. <br /> ® CIL QUAN �GUN.A INCUS A^ IST / . . .. ""'- --.`-- • B <br /> LEVEL LEV.TGAIN + TIMES L_VE-L• T.-W. M11F TEMP G22Y + :I:2_S TANK COMB TEMP F':Sq•L- ' <br /> • TT_ME- &TAR END LOSS- - 4WIC 'A RESTId,T iF S-AR^_' °\D T OSF= c4g-y ,n Oren+ V Vo 'T+- .R=E'°r'T <br /> q p i i ,6 1.8871 EI- 1 ,y6 I <br /> 7 O� I�� . � ood1 .006(0 2- ,y67• I, ylo Itaoi 3. 39 Itocoo3cY - <br /> qGj T ?f7 1.886 1;_ool LS• <br /> H6H1'oosY -1 <br /> 72 <br /> I : - Ir.000b�v- -3 5'cs I,'f6Y l� ool 13,65 Ito .e01s� A001/(p <br /> T 88G I, 3. 1',co, <br /> LIJ FF <br /> cy q + <br /> F— <3- 7 / 7951 It000b{� ycs' 1,5�vs I� 0 13;63 (# �o36ti ;ool8 �000`/8� <br /> Qo) �/yS q f I.xsS !.8851 6- I,S965 �-_ Oca(Q(o <br /> + , o006(0 _ - _ .`�6S <br /> I ;oa/ Is;YbYl,00S/ 1 <br /> LL. 1 q�sl O`Q Ito 13.63 It o36 BOO �f `adOSS/y <br /> / 57 �(p 1 77 1 �/ 1 I-1 7 I?ool IS:YG`/!+ooSY -1 Y <br /> ool�� ,yb6 1,'16 <br /> f/ F 1.887 1,?87 1 �' 16; /b I/ �- I f �Sby <br /> • /063 77 1 7-$ 1 ✓ I .bbl .5�6 I,YG'7 I Too/ 13;639 P,00;Lyl r ° r 0033 <br /> �. . 8 ! 7 1 <br /> Alo �� TCJ �.�I I � Oolq y YG7 !,Y67 1 -0-- <br /> THE <br /> -0--THE FINAL HOUR OF <br /> cr n AX a Q TESTING REFLECTS A LOSS / GA-77V OF: <br /> OINER/OPERATOR <br /> SITE ADDRESS 49 73 USING THE HORNER =Y CHER !TTHOD OF PREC'SIdY :ES'L\G THE RESULTS: <br /> _ qpF• W=T. ' / AIN :70? JL" THE STATE OF CALIFORNIA AND THE NFPA <br /> MAILING ADDRESS 329 GUIDELINES OFA MAXIMUM LOSS"OF .OS GALLONS PER ONE HOUR OF <br /> 7� Co- TESTING FOR A TANK SYSTEM TO BE CONSIDERED TIGHT. <br /> CITY ✓r-B^^ �/ lt <br /> . INTEGRITY TANK TESTING SYSTEMS, INC 166 FRANK WEST CIRCLE <br /> COUNTY STOCKTON, CA. 9S206/f209) d 6-1Ig0 (B 0) 262-8378 {� ! �/ <br /> TELEPHONE (_ ) CERTIFIED TESTER - //��(L.�I- 1 TEST: DATE [/�J- L <br /> AGENT <br /> y , t1:5/B6 <br />