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9 <br />Champion P.O. Box 13059 <br />Sacramento CA 95813-3059 <br />Precision Tank Testing CA 800-660-9443 <br />License No. 73848 NV 800-949-9443 <br />1-916-927-1557 <br />USTest 2000/P Fax: (916) 927-7345 <br />PRECISION TANK TEST(S) EVALUATION REPORT <br />THE US Test 2000 System declares a tank to be leaking when die measured leak rate exceeds the threshold of .05 gph and has a probability of false <br />alarm of <1% and a probability of detection of> 99%. Champion assmnes no responsibility for product leakage. Our responsibility extends only to <br />the testing of Lacks as to light or not tight, as of the dale and levels tested. <br />Date: <br />Site ID: <br />Operator: <br />Site Address: <br />City: <br />Zip: <br />TEST <br />TEST <br />2. 3. <br />1. Pressure 11 Suction <br />❑ — C06 <br />LEVEL <br />RESULTS <br />2. Pressure IN Suction <br />❑ - rte - l <br />Pass Fail <br />1. 44S % <br />'001101 4- <br />Pass <br />❑ Fail <br />❑ <br />2. S;Z % <br />• OOUQOO I- <br />Pass <br />❑ Fail <br />❑ <br />3. % <br />WATER IN TANK -')-- <br />Pass <br />❑ Fail <br />❑ <br />4. % <br />GRND WATER <br />Pass <br />❑ Fail <br />❑ <br />LINE TEST RESULTS <br />--Pass <br />2. 3. <br />1. Pressure 11 Suction <br />❑ — C06 <br />Pass Fail <br />❑ <br />2. Pressure IN Suction <br />❑ - rte - l <br />Pass Fail <br />❑ <br />3. Pressure ❑ Suction <br />❑ <br />Pass ❑ Fail <br />❑ <br />4. Pressure ❑ Suction <br />❑ <br />Pass ❑ Fail <br />❑ <br />TANK INFORMATION <br />TANK # <br />--Pass <br />2. 3. <br />DIAMETER <br />n1. <br />Pass <br />VOLUME <br />RESULTS <br />3. <br />PRODUCT <br />—R -Q l)I°iL <br />4)_ QNJ�ll... <br />TANK TYPE <br />7 <br />fir <br />PROD LEVEL <br />'78" <br />'731/ <br />DIFF/ VOL <br />I 00.x'7 <br />i, N <br />WATER IN TANK -')-- <br />_ <br />WELL POINT <br />N <br />Nn _ <br />GRND WATER <br />C5T- <br />C3T- <br />On Job Site Time: 0-10 0 <br />Off Job Site Time: 1 �Cjp <br />TEST <br />--Pass <br />TEST <br />❑ <br />2. ALJ <br />Pass <br />ULLAGE <br />RESULTS <br />3. <br />Pass <br />❑ Fail <br />1. 1 S <br />% <br />SN . O1 <br />PassFail <br />❑ <br />❑ <br />2. 19 <br />% <br />SKI i —.3 <br />Pass <br />Fail <br />❑ <br />3. <br />% <br />Pass <br />❑ Fail <br />❑ <br />4. <br />% <br />Pass <br />❑ Fail <br />❑ <br />LINE LEAK DETECTOR <br />I 17L:5 <br />--Pass <br />Fail <br />❑ <br />2. ALJ <br />Pass <br />Fail <br />❑ <br />3. <br />Pass <br />❑ Fail <br />❑ <br />4. <br />Pass <br />❑ Fail <br />❑ <br />_ Tank 2 <br />Amount of Product <br />Wait Time Before Precision <br />4. To Be Delivered <br />Tank Test <br />75%-90% <br />20 - 36 hours <br />_ <br />_ 50%-75% <br />14 - 20 flours <br />25%-50% <br />8 - 14 (tours <br />_ <br />5%-25% <br />6 - 8 hours <br />_ <br />_ Amount of Last Delivery <br />_ No of Tank Ca ci _ Timc _ Dale <br />_ Tank 1 <br />_ Tank 2 <br />_ <br />_ Tank 3 <br />Tank 4 <br />_ <br />Minimum Test Time From Differential Volume Chart -(Min.) Tank I:"1 S Tank 2: (_->0 Tank 3: _ Tank 4: <br />COMMENTS: <br />Any additional tank testing information requested by your office is on file at Champion Precision Tank Testing. Fuel delivery slips are <br />on file with Tank Owner. <br />TECHNICIAN: William Campbell CA - LIC. 98-1324 - SIGNATURE DATE: �-C;-q�- <br />