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1 / <br /> INTEGRITY TANK TESTING SERVICES P. O. BOX 691376 STOCKTON, CA 95269 <br /> HORNNE�ER EZY CHEK PRECISION LINE TEST WORKSHEET <br /> OWNER/OPERATOR f N-flEZZ/V SITE AGENT <br /> ADDRESS -:5'5 ':52':p TELEPHONE <br /> LINE CONNECTED TO TAA /v��NK# LINE HAS PLLD(:yg5 NO SUCTION LINE <br /> LINE DISPENSES APPROXIMATE LINE LENGTH "S FEET <br /> TURBINE MAKE �c0 �/9r��� DISPENSER #/ MAKE <br /> TANK TEST EQUIPMENT TO BE IN PLACE DURING LINE TEST (ES NO <br /> LINE TO BE TESTED WITH LINE BLOCK IN PLACE OF PLLD TV NO <br /> TURBINE OUTPUT PRESSURE 3%:� PSI TEST PRESSURE TO BE -%;:::;) PSI <br /> TEST PRESSURE APPLIED AT I�9q'�:)-O HOURS IMMEDIATE LINE DROP OF S1' LINES <br /> TIME LINE SRT LINE END X.0037 RESULTS EST GPH MONITOR ACCUM.GPH TEST <br /> 9�-- ff-V <br /> LINE INCREASE WHEN PRESSURE REMOVED 4� TOTAL GPH <br /> BASED UPON CURRENT STANDARDS THE GPH DATA AS SHOWN GLO - E 9& C _ <br /> THE LINE TO BE CONSIDERED TIGHT. <br /> RED JACKET PLLD ASSURANCE TEST CONDUCTED WIT UP16fl�i8FY <br /> RESULTS. <br /> REMARKS: <br /> 9 <br /> TECHNICIAN LICENSE NUMBER TEST DATE <br /> STOCKTON (209) 474-1375 TOLL FREE (800) 262-8378 <br />