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IWORKSHH-1I'O SUf3 ri-rAL TO GOVERWINNTAL AGENCY <br /> OtvrJL�R/o SIT11 ADDR11 s <br /> HAILING ADDR"FS © t <br /> SITF AGENT TELE11110N1. <br /> AAAivFb ITS? slTi//{lL!ttOVlt! TAPIR LOGt71oM/H1}FIRE <br /> BATE/TIF*! RTDRArA FIL '+ ! RONKI L!v!L AT AAhITA Ra WR 11mm Tor 0r FILL PORIPI L TANK SIX <br /> TALAR. MATP.RIA1�A? tMr. <br /> rRORAfls. PILL aT efirrrP� evvirittAri CAATi1TArl GRATITT or, " • bar . eDP.rrICTf!1fT OF P1trA43IOR art mip - CUE <br /> Vt5AAt1 vPMTINC Arr!A" TO RR ATI rILL EMn, LL O "ITT1PMO' 'US BUM ME, tRUOt(7AN, HAS A BALL put*, Ont! <br /> TISAALE TAtDK TRAP! TO 61 Mat BALL QIeng. MATTItATS, 0111@lk -� <br /> F41ASE T1 vAroR RP(7avlRT sTSTEM TTTat 1AW(7jP-orj"jDP ASslstse Latta R,RI MELLI�wmirOLDPO HONE en1E <br /> T(11trINa STSff7t, sUC71aM TVAST►tE FEAR} WOP.L C— 5e PIPE Lilm LF" rmtT!CTOA9 CM <br /> CTtAt17F0 TANK RIZE19'.14CC*M MATEO LINE gUANT1TY IMIUCT Ant,rb TO rLoor fty, FT_ 6 ATSTP.M CALLONS TOTAL-IS?40 <br /> A1011'"T WF.AnrPR CON11ITI0MSf T"IrPOATURR PAP.TIN-ST?dPO"iT TE RATMIM(1 CLnUOT 71TNOT III01T eTTIP. <br /> SFN TSTFLOODP ItUUIs .4 PST O aillIUURT PSI TO RB MAIMIAIMI) ON TANK 0071UM OURIMa MI PEATD 1� <br /> A. OPAUs TO TK"K go,TTOM ,j <br /> Q <br /> 0. CRAnl TO TANK TtX J �7 <br /> C. TAPIR DIAVPTPR �7 <br /> - <br /> TTj77�— � D. TPST Met ARO11 CRAVE <br /> Q 1. EXTIMIAL G ATTR 00" TANK <br /> 10'"HIIF, 1 .0761 P51 • __� � <br /> P. to? 0P FILL TO PROD. AT ARRIVAL <br /> /� ✓!�_ -- O. TOP OF FILL TO Ta► OF TALAR <br /> h. 7TST I.1lM'TO BOTTOM 0! TANK /1L' <br /> .+y{ RAT>•R Ella! PSI P!R IME71 OF FTk11UC1 <br /> ITALAR N <br /> Test u I= PREss/t[nta2 TO17tITLA <br /> REMARKS: <br /> MITE FINAL �MOD AS SHOWN ON THE Al"I'ACITED CWHIUVER Gt''NrRA`,rD DAVrA REf'LT C1S A <br /> I;OSS / <br /> GAIN OF: GALLONS PER HOUR, WI'111 A 99'k CONFIDENCE LP-VPL 01' <br /> The Horner Fzy Chek IT Test Method complies with the State of California <br /> performance standard of 0.05 gph for tank intergrity testing. (Section 2641 <br /> Calif. Code of Regs.) Based upon this standard, the above result demdB does not <br /> indicate an unauthorized release equal to or greater than 0.05 gph. <br /> INTECRITY TANK TESTING SYSTEMS, INC. 166 PRANK WST C;R. <br /> STOCKTON, CA 95206 ( 9) 4 036 or (800) 262-8378 �y <br /> CERT I f�I ED TUIST1°R � TEST tlA'IVR /?[ <br /> STATE LICTNSE # —/ <br />