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WORKSIIEET'TOR S'UMITTAL TO COVERWIENTAL <br /> OVNER/OfEM10R //may/1 � ��� -/�� AGEPNCY <br /> RITE AnURESs37E155 m-JJ4r11ez'u <br /> c(Drm_ --CA t-) �,7Di9-OoIA-., <br /> NAILING ADDRESS a,�/t�9 _ ?$-Z_,04 <br /> SITE AGENT -'y/t1.�/E TFLEPHORE c1 )__ ` 00Z— <br /> pZ�' <br /> ARRIVED TESt SIttQ/'L7 ROIIR9 T ,�LOCATION�E.:Fr- a /obo pnoDOCr /GU Ei� /�lJ�Z• <br /> DATE/t INE BmMCE �F..I�L.Lm n 9�A OPUCT I.FVEL AT yARRIVAL-43 INCHES 11")M Tor Or FILL NOMINAL TANK RTZE, <br /> IAPTK MATERIAL lld Y� *- Ar PAOR. TANK AOrv4TRS. rILLSIr.E1/ttrE_�uvmtlLL CONTAIr""Tc-TYPE. '7Ld � <br /> APt CMVitt 35 2 4 <br /> At SS DEC, r. - Art CRAOItt OF3 ! 60F . COErF,CT FRI OF FRrAPAIG" or .Boo 4d6q� - cot <br /> VISAALE VEHTIHC ArrREJAM TO BE AT, PILL FEB. tILL oro!Ilt LIM, GAS IRMt TT!!), BAS §ALL CHECK, UNKnawv, OTHER <br /> VISAptE vArOR 'FRAYS 70 ME pi.mt PALL CHECKS, NAHVAT . RErvp" Lim, OTHER <br /> rRAsE It vArOR krcovtRT STSTEHt pALANCm, AsrIMrOR Ass ISim, t.oNO RIM unts, k"IT Pil. PONE OTHER <br /> tlRtf lHC Sisirll,�1 UCTtOH TURRINt HAKE D-- p _PIrE.}LINE LEAN Detecto TH FFs, ; PUT Atrt.tC <br /> CnARTTm SIZE F4 EST. List pHAnttt/749tROnUct. AOOF.D TO FLoon SrsttN.,3 Stsirl2 tOHIAL OALI.ONACF._��.____ <br /> A}IB tFHi CORDIt I'�OjR9t T1T1I', tRETESt s� hOS/it3T_IRtIHN;,j moVOT, RAINING. t(11PPY, AREr", HICRI, OTHER <br /> .4 Est DROrel BOIHLS TEST 10 START//J119M t{j�S tit TO §E NAIHtAINEn Oil TAHR pottOtt OURIpO TEST PERIOD rst <br /> k. CPAM' To tANt Nat" 10 <br /> A, tmX4'ro twt Tor <br /> L-L<_ <br /> C. PARK 0I1Ms`1RR <br /> y. D. TtSt I.PVP.L ABOVE OKAnt �V <br /> At <br /> . 77E Bim— t. tx11ANAL OkDUHe NATER ARoVr TANt <br /> 1 t <br /> //D�� 00"01 ip. 1 .0791 rst . <br /> _ , I f7 t. mr or tttt to tA00. At ARRiVAt 33 <br /> D. mr et tilt to tot Dr ?MR 3-0�Z_ <br /> OO u1. TRSt�1.RVFE to 110"M or IADT <br /> RAttR Ip Ot C rsi PEA INCH or pAnwcr D� all <br /> IM TARK / ft91t REIGN 0"S"M to"ftA <br /> 160yr--* 14 7 <br /> REIIARKS! 1(ij�,tJWjdj/ bDL/�S /6f/�.0 ti,Ts H. rst �€isi HE, fit <br /> Z�I'Jlj,e e_A 2 /TA v✓� <br /> RESULTS <br /> IIB FINAL TEST PERIOD AS SHOWN ON TIM ATTACHED COhICUTER GENERATED DATA RErLECFS A <br /> ,OS / CAIN OF!/—Q4f- GALLONS PER HOUR., WIN A 99% CONFIDENCE LEVEL OF +/- iOv7 RI,),, <br /> THE KORNER EZY CHER II TEST METHOD COMPLIES WITH EPA AND THE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 CrH <br /> FOR TAMC INTEGRITY t SF,CTION 2643 CALIFORNIA CODE OF RECULATIONS) BASED UPON THIS STANDARD, THE RESULTS <br /> SHOWN ABOVE: tDQ/R DOES NOi INDIC tE AN UN UIHORIZFD RELMSE E AL TO OR GREATER F 05 Gmi ST AEP. <br /> Od /a r1.�sizd rt r /sTT!1��r c d °� y/ <br /> ItMF,CRttt TANI( TESTING ERV ICES, 166 FRANK NEST CIRCLE., STOCKTON, CA., 95206,2 (209) 466-8036 or (800) 262-8378 <br /> CERTIFIED tESTER STATE LICENSE 0 -16 Id L3 TEST DATE ` / <br />