Laserfiche WebLink
� )WORRSI trr FOR SUBMITTAL TO GOVERNPIENTAL�-r,GEENCC�Y <br /> FA <br /> WNER/OrATOR�jy�/�c,�-/ /�U���J6 RITE ADDRESS d- 6?0 <br /> Cm �lMaC1CTCJ�J 9620 t CDmITT �iq-L> <br /> HAILING ADDRESS / y <br /> SITE ACRNr �v,2G iLE TFLEPIIONE 9'E ) Q4 / C� <br /> ARRIVED TEST SIW/ t:9NCIHLV TARR LOCATION Q�7' rRODUCT /VV/QSer <br /> DATE/TOME STORACE TILLEDS.O�{'RODUCT LEVEL AT ?ARRIVAL. 7•' t17rT1ES BFLOWATOP OF FILL NUMIRAL TALAR SIZE Z,�J <br /> � 0O <br /> TANK MATERIAr.RL STC-p��— AFFROI. TANK ACI✓ JTKS. FILLSI7F/TTrE y` OVFRFILL CORTATTIfENT TTrF.q��lT7�SL� <br /> Art AVTrY 34 AT pFr. F. - API GRAVITY OF�2�4 6 6OF - COEFFICIENT OF ERrANS10N OF .000 4Y27-7 - COE q <br /> VISAALE VArFINC ArrRGTRS TO BE Al, FILL AID, LL OPOSIFE ALO "AS BURT TIME, RAS BALL CHECK, UNRNOWR, Orom <br /> VISARLE TArOR TRAPS TO BE BLED: BALL CHECKS, MANWAYS, RF.TUAI LTNES, OTHFR <br /> rRASE 11 TArOR RECOVERY SYSTEM, BALANCED, AArIRATOR ASSISTED, LONG RUO WELLS, KANTFOLDED, PONE, OIHEK <br /> PKBO't= STSTEI, STICTION, TtFRRINE HAKE /y(�'YT_�- RODEL rirE LIFE LEAK Detectors YES. NO; OT APTL <br /> CHARTED SIZE FST. LIRE QUARTI77 /0 PRODUCT ADDED TO FLOOD STsTAI SYSTEM TORAL CALLOIIACE / ZIJ/�9 <br /> AMBIEtt CONNT)ITIONst TrlIP, PRETEST 767 r.00SSTSKDTNA <br /> TEST_ T CLUVOT, RAININC, WINDT, BREEZY, NICRT, OFFER A <br /> .4 rSl DBOVIMPROURS TEST TO STAR/Jr- OUFS FSI TO BE MAINTAINED Olt TANK BOTTOM DURING TEST PERIOD ` - `E rST <br /> '^ A. CRADF. TO TANK BOTTOM /?'Z/ <br /> O !� A. MADE TO TANK TOP <br /> C. <br /> 27 <br /> C. TANK DIAVOTER <br /> e uc� Zo <br /> D. TEST Level AAov! cMOe <br /> '' ,• I �s" 3/4 a Z / E. VAERMAL RATER AAOVE TANK <br /> G — /Yz?/ BofT YI fN. I .OTsf r.q <br /> F. Tor OF FILL TO POO*. AT ARRIVAL Z <br /> A!ZZ% C. "r OF FILL TO TOP OF TANK <br /> 9sy H. ILTT BTEC TO BDTTOI or TANK /4L yy <br /> 7�R IN Ire C RD <br /> rsi PER IPC" Or PTKRr � 03 <br /> / TEST HIIOfT PRESSURE FUNM.A <br /> !¢ZM 1 03! A ¢ <br /> — z <br /> REMARKS: H. rSI E. rsI NET rsi <br /> APR 2 3 t' <br /> EMVIRONPALWAL HEALTH <br /> RESULTS <br /> TIM t I. TEST PERIOD AS SHOWN ON THE ATTACHED COMPUTER GENERATED DATA REFLECTS A <br /> LOSS / I OFC}- 36---GALLONS PER HOUR, WITH A 99% CONFIDENCE. LEVEL OF +/- i0a9 Rph. <br /> THE HORNER EZY CHER II TEST METHOD COMPLIES WITH EPA AND THE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 GPH <br /> FOR TANK INTEGRITY i (SECTION 2643 CALIFORNIA MODE OF REGULATIONS) BASED UPON THIS STANDARD, THE RESULTS <br /> SHOWN ABOVE: JNMDOES NOT INDICATE AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER THAN THE 0.05 GPM STANDARD. <br /> INTEGRITY TANK TESTING SERV CES, 41 WEST YOKUTS ST. STOCKTON, CA.,//yy 95207, (209) 474-1375 or (800) 2c2-83378 <br /> CERTIFIED TESTER STATE LICENSE 0 yd-/OZ3 TEST DATE 6 O 7 L <br />