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WORKSHEET �lR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> OWNER/QJELAATOR SITE ADDRESS W <br /> CITY ' 7 <br /> cnTrm,ry <br /> MAILING ADD S <br /> SITE AGENT ��((//���� / I,ELEPHONN . (_) <br /> ARRIVED TEST SIT�//�M )N)URS TANK LOCA��TI,,O��N/NUI/ER�3/ .QQ�Q .Q�G(.O� CPOOIICT (�'^Q� <br /> DATE/TIME STORAGE FILLS 'nn �� &VT LEVE�LL AATT ARRIVAL�_INCHES BELOW TOP OF FILL. NOMINAL TANK SIZFL N e <br /> TANK MATERIA�, �} Q� 101 APPROX. AGE��. SS.yFILL SIZE/TYPE. OVERFILL CONTAINMENT(TTYYP/E�-� 777' OAC/ I <br /> "I CRAVITY.LCLAT'"DEG- F. . API GRAVITY OCL& 6OF . COEFFICIENT OF EXPANSION OF: _LDO-J�/vo . COE OF-'/ l._ <br /> VISABLE VENTING APPEARS TO BE AT: FILL EN FILL OPPOSITE END. BURP }-y1IN"OWN. HAS A BALL CHECK. <br /> VISASLE VAPOR TRAPS TO BE BLED: BALL CNECKS, MANWAY3 O111ER_ LVLt�J Vz6 '� <br /> RUISE It VAPOR RECOVERY SYSTEM TYPE: BALANCED <br /> op ASPIRATOR ASSISTED LANG RUN WELLS MANIFOLDRD �ONIDR <br /> PUNTING SYSTPM: SUCFI ..�TURBINE MAKE l�� MODEL %/O PIPE LINE TEAK DETECTORS }[II, / <br /> CHARTED TALAR SIZe �E$7IMAlEO LINB QUANTITY PPDW ADOQD 70 FLOOD SYSTEM_ YSTEM GALLONS IOTA L�1a" al <br /> AMBIENT READIER COMITY TEMPERATURS PRETESST�T �D/�OST TES UNNY RAINING CLOUDY WINDY NIGNT DINE _ <br /> SYSTEM FLDODED1LLIt NWRS .B PSI DROP6�TIQURS PSI TO BE MAINTAINED ON TANK BOITON WRING TEST PERI <br /> / A. GRADE TO TANK BOf1TM /Jfz�t <br /> 0L_ B. GRADE TO TANK TOP ] � <br /> C. TANK DIAVETER <br /> 6 Pi1OE <br /> 7�T <br /> / t D. 1757 LEVEL ABOVE GRADE <br /> Z/ E. EXTERNAL c ABOVE TANK <br /> '[/I� Bona . <br /> IN. I .07361 PSI . C� <br /> F. TOP OF FILL TO PROD. AT ARRIVAL i T <br /> AI �• /y G. TOP OF PILL TO TOP OF TANK <br /> N. Tesr I.BVeL'TD-B017ON'OR TANK / <br /> WATER IN C PSI PER INCH OF PRODUCT �yV/,/ bsI <br /> TANK ^ TEST HEIGHT PRESSURE FORMULA <br /> E — /56/y R o3/ _ <br /> M. PSI B. PSI NET PSI <br /> REMARKS: <br /> TI AL�ST P RIOD AS SHOWN ON THE ATTACHED COMPUTER GENERATED DATA REFLECTS A <br /> LOSS / GAZN OFA GALLONS PER HOUR, WITH A 99% CONFIDENCE LEVEL OF +/-gyp_yP,PH. <br /> USING THE IIORNER EZY CHEK II ME7T TING THE RESULTS AS SHO{5N RE WIT$IN <br /> NOT WITHIN THE STATE OF CALIFORNIA D THE 29 GUIDELINES OF--X--M1XIM <br /> GAIN OF .05 GALLONS PER HOUR FOR A TANK SYSTEP 0 BE CONSIDERED( GI{T <br /> INTEGRITY TANK TESTING SYSTEMS, INC. 166 FRANK WEST CR. <br /> STOCKTON, CA 95206 X289) 46 3 or (800) 262-8378 <br /> CERTIFIED TESTE (/ EST DATE <br />