Laserfiche WebLink
WORKSHEET R SUBMITTAL TO GOVERNMENTAL AGL--f <br /> OIYNER/OgHRATOR F�lJ�L� SITE ADDRESS Wt /LQ <br /> CITY OUN Y <br /> MAILING ADDR S , - <br /> SITE AGENT �//jo I'ELEPHON . <br /> ARRIVED TEST Slno ,�HOURS /T'ANK LOC�AA.T.�II..00�N/NU4BBX PRODIA:T I�LQ% <br /> DnTE/TINE 9roM¢ FILIP 'n S� RppUtT LEVEL AT ARL INOTES IMLOW TOP OF FILL. NOMINAL TANK 912E <br /> TANK MA`ERIA[- — Y MPROA. A�'P�"- fts. PILL SIZE/TTE--ly— OVERFILL CONTAINMENT TYPE <br /> API GRAVITT-VAAT VDEG. F. • API GRAVITY O0.J4! P 6or - co,mcIENT OF EZPNISION OF: �pOJL_JSL COE DF-�L/! <br /> VISARIF VENTING APPEARS TO BE AT, FILL EN PILL Or YOSITE PND. yBURP tyRUNI HAS A BAIL CHECK, OIIIQR <br /> VISABLE VAPOR TRAYS TO BE SLED: BALL OMECILS. MANWAYS� 011@R is �- <br /> TNASE II VAPOR REOOVERY SYSTEM TYPE: BALANCED <br /> o�ASPIMTOR ASSISTED LDMG PMN WELLS{/MAANI�rOLDED O�pDIER <br /> FIRMING STSTFN: $UCTI �TURBINE MAKE W"' MODEL_L!t/ PIPE LINE TEAR DETECTORS T� <br /> CHARTED TANK SIZ ,E$TIMATED LINE QUANTITY- <br /> CHARTED PRODU ADDED TO FLOOD SYSTEM IS IOTA <br /> AMBIENT WEATLMR CONDITIONS: TEMPERATURE PREIPST700ST TES DENY RAINING CLOUDY WINDY NIOIT DMP,k— <br /> SYSTEM <br /> V <br /> SYSTEM FLOODEDO2;! ALL FS .A PSI DROPQt"ouPS PSI 10 BE MAINTAINED ON TANK BOTTOM DUPING TEST FEPIO <br /> ft <br /> A. GRADE TO TANK BOFITM <br /> O� B. L'RADE To TANK TOPy <br /> 6.Pi1,oE <br /> C. TANK DTAyCTER s�?y <br /> D. TEST LEVEL ABOVE GRADR . <br /> 9 / <br /> Fe T <br /> ABOVE TANK"At T, <br /> P. TOP OP FILL TO PROD. AT ARRIVAL <br /> G. IOP OR PILL TO TOP OF TANK <br /> N. TPST LEVEL'TD BOTTOM OR TANK��� <br /> wy( WATER IN C PSI PER INOI OF PRODUCT iL'�/r vsl <br /> I TANK + TEST IIEIQR PRESSURE FORMULA <br /> E <br /> M. PSI E. PSI NEi PSI <br /> REMARKS: ^YYJt�i2GU � �+ c �J <br /> TI ALi 3 P •RIOD AS SHOWN ON TIIE ATTACHED COMPUPER GENERATED DATA REFLECTS A <br /> LOSS / CAIN OF GALLONS PER HOUR, WITH A 99% CONFIDENCE LEVEL OF +/- �y ,,FII. <br /> USING THE HORNER EZY CHEK II ME'I1 P TING 771E RESULTS AS SIIOIYN RE WIT9TN <br /> NOT WITHIN 711E STATE OF CALIFORNIA D 711E 329 GUIDELINES XIMU <br /> GAIN OF .05 GALLONS PER HOUR FOR A TANK SYSTEP ' 0 BE CONSIDERED GHT <br /> INTEGRITY TANK TESTING SYSTEMS, INC. 166 FRANK WEST CR. <br /> STOCKTON' CA 95206 X299) 46 3 , or (800) 262-8378 <br /> ( <br /> CERTIFIED TESTE / EST DATE/ 4(D <br />