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{ WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> DATE STORAGE FILLS 1 TIME STORAGE. FILLED PRODUCT LEVEL @ ARRIVAL /�/ PRODUCT <br /> TANK CAPACITY AMOUNT OF PRODUCT ADDED TO FLOOD SYSTEM 3 TANK LOCATION ' <br /> J . <br /> REMARKS <br /> LIQUID LEVEL CALIBRATIONS TOP OF FILL TO BTM OF TANK ^� T WATER PR£SeIT PRETEST POSTEST <br /> PRETEST POSTEST <br /> E. 3 7 TOP OF FILL TO TOP OF TANK ✓ '/7 INCHES ABOVE GRADE ! TEST STAKt <br /> �>I� END <br /> TANK DIAMETERrY <br /> OF _( , _' � TEMPERATURE CALIBRA71ONS e _ a <br /> MOVEMENT r ;' Yyp 4/v _ �y A.P.T. PRODUCT GRAVITY�J,� 9 ?,() F GRAVITY OF F <br /> AVERAGE """ ._Ly r. !yr� ►it '7 1 <br /> �c> � yy coo coo.o r <br /> QUANTITY ADDED ' LINE MOVEMENT •LIQUID CONS,A.NT (A) COEFFICIENT OF EXPANSION z TANX CAPACITY • <br /> START END GAIiV 4. TIMES LEVFL START CND GA:7+ -ml.v-rS TERP. <br /> ME LEVEL LEVEL LOSS - CONS A = RESULTS TEAT. TM0- LOSS - CONS R = RESULT RESULTS <br /> 30 -7 �' 731 -�- 11. <br /> '1731 73 <br /> W <br /> &5J )3 <br /> IeI7 e'7.3 <br /> 0,5 <br /> oCSC`� <br /> THE FINAL HOUR OF ' <br /> OWNER/OPERATOR <br /> TESTING REFLECTS A LOSS / GAIN OF: <br /> SITE ADDRESS„ /c �4V / l�-,SC/\}Ci!Ir USING 71M HORNER £ZY CHEK METHOD OF PREC=3.N icS-MN0 SHE RESULTS. <br /> A&r W17-74-7 / .NRI' NOT +r7S=_ THE STATE OF CALIFORNIA AND THE NFPA <br /> MAILING ADD S `- � 329 GUIDELINES OF A MAXI". LOSS'OF ,D5 GALLCINS PER ONE HOUR OF <br /> TESTING FOR A TANK SYSTEM TO BE CONSIDERED TIGHT. <br /> CITY + - <br /> STOCKTON SERVICE STATION EQUIPMENT (209) 464-8333 <br /> COUNTY qr� �q 808 NORTH UNION STREET 5 CCT . CALIFORNIA 95206 �} <br /> TELEPHONE (_ ) 1 T ! y�� CERTIFIED TESTER / T TEST DATE C� <br /> AGFITC <br />