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WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> DATE STORAGE FILLED TIME STORAGE FILLED PRODUCT LEVEL a .ARRIVAL PRODUCT <br /> FEB1C) � �� <br /> TANK CAPACITY AMOUNT OF PRODUCT ADDED TO D SYSTEM TANK LOCAT ON 1 I &IHE <br /> CE L1H <br /> REMARKS C� 0 [, <br /> C r-ti�1 <br /> LIQUID LEVEL CALIBRATIONS TOP OF FILL TO BTM OF ANK WATER PRESENT PRETEST POSTEST <br /> PRETEST POS17EST <br /> TOP OF FILL TO TOP OF TANK INCHES ABOVE GRADE 1 TEST START <br /> LLWFS <br /> ———— — TANK DIAMETER END <br /> OF — —— — — — TEMPERATURE CALIBRATIONS <br /> MOVEMENT — � — A.P.I. PRODUCT GRAVITY 9 F - GRAVITY OF 160 F <br /> AVERAGE <br /> . f}e-)C� - <br /> QUANTITY ADDED LINE MOVEMENT -LIQUID CONSTANT (A) COEFFICIENT OF EXPANSION z TANK CAPACITY - TEMPERATURE C(1N .Ah ( <br /> START END GA TNN + m,rjF5 LEVEL STAR?' END GAPVf t.p. M. AL <br /> TIE LEVEL LEVEL LOSS - CONS A = RESULTS T'E'MP. TEhP. IHSS - CONS H = RESULT =LILT'S <br /> 16 <br /> G S 'end <br /> J + r <br /> 1-4 <br /> THE FINAL HOUR OF <br /> ONNER/OPERATOR TESTING REFLECTS A LOSS / GAIN OF: <br /> SITE ADDRESS r 1 ,�-15`ij/ USING THE HORNER EZY CHEK METHOD OF PRECISION TESTLYG THE RESULTS: <br /> ,------ AR-P WZ771'7 / ARE ,70T Wr=12I` THE STATE OF CALIFORNIA AND THE NFPA <br /> HAILING ADPP= 329 GUIDELINES OFA MAXIMUM LOSS'OF .OS GALLOWS 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 /> COUNT? �-� 808 NORTH ANION EET S CK ,CALIFORNIA 95206 <br /> TELEPHONE ( ) CERTIFIED TESTER S 1 TEST=DATE r 34)•'e,!�— <br /> AGENT <br />