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WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> ' l <br /> DATE STORAGE FILLED 'f � 4 'IME STORAGE FILLED i ' PRODUCT LEVEL }�{, � y- � <br /> . ! + PRODUCT <br /> TANK CAPACITY �'� ��AMOUNT OF PRODUCT ADDED TO FLOOD SYSTEM J ! <br /> / TANK LOCATION <br /> REMARKS <br /> LI UID LEVEL CALIBRATIONS TOP OF FILL TM pF TAN <br /> PRETEST POSTEST WATER PRE ENT PRETEST POSTEST <br /> LINES �TP 7� TOP OF FILL TO TOP OF TANKr <br /> rr <br /> _ �D INCHES ABOVE abtBfi @ TEST START <br /> OF � �� TANK DIAMETER END <br /> MOVEMENT `� J TEMPERATURE CALIBRATIONS <br /> y J� A.P.I. PRODUCT GRAVITY /fig 5 F - GRAVITY OF—:L7 <br /> AVERAGE `S960 <br /> ' YA DODO <br /> QUANTITY ADDED ; LI;`IE MOVEMENT ■LIQUID <br /> START END CONSTANT (A) CO FIC EN F EXPANSION x TANK CAPACITY T84ERATUR <br /> P �C('N <br /> ---�� <br /> GAIN TIMES LEVEL START END GAIN+ -TLMES TEMP` <br /> TIME LEVEL LEVEL LOSS - CONS A = RESULTS TEMP. TEMP. LOSS - CONS B RESULT FI'UAL <br /> r . �l'�' . C C"' . y RESULTS <br /> �S � 7,1� '' cvr / � fic�a � <br /> T35; <br /> r <br /> .Co t , r <br /> l L 190 <br /> Lyl <br /> LTJ <br /> M HOUR OF <br /> OWNER/OPERATOR TESTING REFLECTS(A LO f GAIN OF: <br /> SITE ADDRESS THE�OIINER EZY-CHEK METHOD OF PRECLSIbN TESTING TUE RESULTS: <br /> MAILING ADDRESS WITBIN�'iARE NOT WIT..71W THE STATE OP CALIFORNIA AND THE NFPA <br /> F29' <br /> GFJIDF,INES OF A MAXIMUM LOSS'OF .05 GALLaYS PER ONE HOUR OF <br /> CITY TESTING FOR A TANK SYSTEM TO BE CONSIDERED TIGHT. <br /> COUNTY INTEGRITY TANK TESTING SYSTEMS, INC 66 FRANK WEST CIRCLE <br /> STOCKTON, CA. 95206 9} 46 $O3 (800) 262-8378 <br /> TELEPHONE (� } CERTIFIED TESTER t TEST DATE //'T.'(s <br /> AGENT <br /> { <br />