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WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> OWNERfOPF3UTOR Qr�e���� SITE ADORESS <br /> CITT /� /COVNTT <br /> MAILIRG ADDRESS rj�Ci SCJ 4 / Q� en/ <br /> SITE AGENT ALAC s�i'��666 .� TFS.EFAon t-v ) <br /> ARRIVED TEST S 1210 Ap:v <br /> ;,,* <br /> K LOCATION �/lt C�¢sPD GCf�. FRonvcr <br /> GATE/TINE STORAGE FILL PROt7UCT LEVEL AT ARRIVAL INCHES BELOc7 TOP OF FILL NOMINAL TANK SIZE <br /> TANK MATERIAL f AFI GRAVITT oF.APPROA. TANK Aqg TRS. FILLSI7.E/TTFE OVERFILL CORTAIi�YEtiT TTF <br /> API GRAVITT 36 AT9© OEC. F. - 5r$ 0 6OF - COEFFICIENT OF ERPARSION OF .000 4Y7,f 6 . COE <br /> VISAAtE VENTING APPRZ'ARS TO BE ATI FTLL ENO, L OP05ITE TURF 7TJR HAS FALL CHECK, VNKnmm, oTRFR <br /> VISABLE VAFOR TRAPS TO BE BLED! BALL CRECKS, HANWATS,RETURN LINES, OTHER <br /> PARSE II VAPOR RECOVERT STSTMtt! Nom#, A$ R ABSISTEb, LONG RIJN WELLS, HAAIfOLDEI?, NONE, OTA ER <br /> PUMPIRG SYSTEM. SUCTION, IH HAKE /-D•� wJ MODEL =r(::) PIFE LIFE LMDetectors TES�RO: NOT APTLIC <br /> CHARTED SIZE lZp04 EST. LINE QVANTITT /$ PROVUCT AD rl— SYSTEM STSTEM TORAL CALLONAGE <br /> AMBIENT CONDITIOFS: TEMP: PRETEST-70 roSTEST T INING. WINDY, BREEZY, NICRT, OTHER <br /> .d PSI D R29AOVRS TEST To STAR1�/ HOURS PSI TO BE MAIFTAINED of TANK BOTTOM OUTING TEST PERIOD / � PSI <br /> A. GRArPE TO TANK BOT'TUM <br /> Z^ S. CkkM TO TANK TOP <br /> C. TANK OIAVETER <br /> _ <br /> D. TEST LEVEL ABOVE CMDF <br /> L2- E. rXitMAL GROUND HATER AB4YE TANK _ <br /> G F— J aurrcm Irt. K .0361 PSl <br /> F. TOP OF FILL TO POOP. AT ARRIVAL w <br /> 132— G. TOP OF PILL TO Tor OF TANK Z-- <br /> 123 1-ISM'TV <br /> --TT'S1-ISM'TV 00T1 UK Ot TALAR <br /> L- <br /> E <br /> c PSI tt!B INCH Of PRDOiJCi a �� <br /> f TEST HEIQtr PMSURR FOMOILA <br /> /1-5,r R Gtj/ _ = 41 <br /> REPIARKS I H. Psl F. rSI HET rsi <br /> RESULTS <br /> IEE# 's L TEST PERIOD AS SHOWN ON THE ATTACHED COt'TFUTER GENERATED DATA REFLECTA <br /> LOSS / OF:>,000 GALLONS PER HOUR, WTTII A 99% CONFIDENCE LEVEL OF pph, <br /> THE HORNER EZY CREK I EST METHO COtTLIES WITH EPA AND THE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 GFH <br /> FOR TANK INTE TING. (SE ON 2643 CALIFORNIA CODE OF REGULATIONS) BASED UPON THIS STANDARD, THE RESULTS <br /> ( SHOWN ABOVE: E DOES NOT ICATE AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER THAN THE 0.05 GPH STANDARD. <br /> INTEGRITY TANK TESTI VICES, 41 WEST YOKUTS ST. STOCKTON, CA., 95207, (209) 474-1375 cr (8000) X622-8 78, <br /> CERTIFIED TES TEA (V,�`,�Jf STATE LICENSE �1 �d�/07j� _TEST DATE P <br />