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1'iCl Lj O� <br /> Afforda-Test JUN�2 3 2008 <br /> 416 2nd Street Galt, Ca. 95632 Precissaon Ta"Jest <br /> 209 744-0112 Fax 209 744-0116 ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Site � J 'j j�Of YI U Address <br /> city 2>ID 0 n .lk <br /> Equipment: <br /> EZY 3 LOCATOR PLUS T Test Date <br /> Tank# Tank Product V1 e 15 'e J Ulla a :Z�57 Volume Tank Size / <br /> PRESSURE SENSOR CALCULATION WATER SENSOR CALIBRATION <br /> Prod. d. PSI <br /> Pro <br /> X wt 0 = p Cal#1 __.__ Cal#2 Cal 93 <br /> " Water PSI <br /> In Tank � X .036 = (2) d AVERAGE: <br /> PSI <br /> (I) + (2) = Positive Head Pressure in Tank = (3) Water Intrusion Test Period: Began <br /> " water PSI Ended <br /> Outside Tank b X .036 = (4) <br /> PSI Test Period Calculation: <br /> (3)Hd Pressure- (4) Outside Water Pressure — (5) <br /> PSI / 3780 = / .05 = <br /> (5) 1, 4_ + .5 PSI + (6) , Avg "A"Factor Test Time <br /> PSI <br /> TEST PRESSURE _ (7) �/ +/- Groundwater Depth Determination: <br /> If(6)is less than.5 PSI,(7)shall be.5 PSI By: 7,;'-r �e r— <br /> Where or How: <br /> TIME PRESSURE r <br /> Height <br /> � <br /> Blower Started f /f/l� 1 l�� <br /> Test Pressure Reached lqg_.q / • Bottom <br /> To <br /> Product Grade <br /> Blower Turned Off / in L�3 Ground <br /> / ani�— Water` <br /> Test Began <br /> Water in <br /> Test Ended FO�L l , � 5` lank <br /> _L�12 <br /> Water Sensor Indication' _ I declare under penalty ofperjury that testing was done by a licensed <br /> �/ tank tester in the State of California and the information in this report is <br /> Water Intrssion No Water N/A _✓'� true and correct to the best ofmy knowledge. <br /> ------------------- <br /> PASS INCONCLUSIVE Technician: LYLED. AMO <br /> FAIL <br /> Ullage(Dry) Signature: f rtL'd�w <br /> Product Level(Wet) 0171,07-1143 <br /> 5J- L <br />