Laserfiche WebLink
WORKSHEET FOR SUBMITTAL. TO GOVERNMENTAL AGENCY <br /> OWNER/OPFRATOR�/'T�����/_� /��-����jv�i �JG SITE ADDRESS <br /> Cin _ <br /> cOUNTT <br /> NAILING ADDRESS <br /> 527E AGENT TELEPNONE.(-GYJ' )_ <br /> ARRIVED TEST Si�Iy' p TANK LOCATIONL-2 v O� / <br /> ��-:L� YAQDDC: <br /> DATE/Tuff STORAGE FILLB: 19IA7 PRODUCT LEVEL AT ARRIVAL �^ <br /> INf7{LS BEx.057 TOP 7F FILL NOMINAL TANX SIZE G�itJ�j <br /> TANK MATER IAL /, / 1 /' / <br /> -7 .APPROI. TANK, ACLy/��/TRS. FILLSZZE/TYPE 7"� OVERFILL CONTAINMENT <br /> API C•t,AVI7T�V�`.� A7 7/ DEC. F. - API rRAVIZT OE5r/_Z P 60F <br /> COEFFICIENT OF EXPANSION OF ,000 <br /> vISADLL 7IIITINC APPRLIILS TO DL A7: FILL IIID, ZLL OPOSIIE ffiD� RAS BURP TUBE, RAS SALL CHECK. OMIOIOWN, OTHER <br /> 925ABLE VAPOR TARPS I9 DL DLID: FALL LWLCKS, MANWAIS, RETURN LINES. <br /> OIAYSSTv_ <br /> PHASE II VAPOR RECOVERY SYSTEM: BALANCED. ASPIRATOR ASSZSTED. LG RUN YELLS,}{A1tIPOLDID, N IR,� LR <br /> PUMPING SYSTEM: SOCZIOA, TORR LITE MODEL PIPE LINE LEAK.DetectoLB TES, <br /> NO 7 APPLIC <br /> CHARTED SIZE � EST. LINE QDANTZ77/=j PRODUCT ADDED TO FLOOD SISIai S � �J � <br /> �����SISTEM TORAL CALLGNACE chi Com/ <br /> AMBIENT CONDITIONS- TC4s fRL7TST7� P''03cc7L42 �mp0Dl. RAINING, AINDT/BRLEZY,INICR7, OTHER�� <br /> .A PSI W�OURS TEST TO 37ARKI,t57 p �-�� <br /> PSI TO BE MAINTAINED ON TANK BOTTOM DURING TEST PERIODL- <br /> i P51 <br /> A. tDUDe TO TANK mrlvl _/Z7y/Z <br /> 3. GRADE TO TANK TOP <br /> C. TANK OLUAr2R <br /> D. TEST LEVEL ADM CRUM <br /> E27BUUL GROUND RATER AEOTE TANK <br /> lCrrCM IN. I .036i ni <br /> N 4� N J�/ F. TO► OF FILL TO PROD. AT AMTAL <br /> Q` ` L_7'r— C. TOP OF FILL TO TOP OF TANK Z. <br /> H. TEST-43rEC'.70'lORol 07 TANK L <br /> RATER IPIDB C _. PSI PER INCH Or PIODULT <br /> E— TANK .. • / TEST``HE`IGTT PRESSURE FORMULA �/ <br /> REMARKS: H. FFZ � NE-`T nI <br /> RESULTS <br /> ' THE FINAL TEST PERIOD AS SHOWN ON THE ATTACHED COMPUTER GENERATED DATA REFLECTS A <br /> OSSA/ GAIN OFTtLI 7 -GALLONS PER HOUR, WITH A 99% CONFIDENCE LEVEL OF + - <br /> - / LCL',/�BPh. <br /> THE HORNER EZY CHIX II COMPLIES WITH EPA AND THE STATE OF CALIFORNIA P <br /> FOR TANK INTEG EAFORAAANCE STANDARD OF 0.05 GPH <br /> iHOWN ABOVE/ CN�`3 CALIFORNIA COAD OF REGULATIONS)BASED UPON THIS STANDARD THE RESULTS <br /> OES NOT KATE AN UNAUTHOR®RELEASE EQUAL TO OR GREATER THAN THE(105 GPH STANDARD <br /> INTEGRITY TANK TESTING DIV. OIL EQUIPMENT SERVICE P.O.BOX 950, SAN ANDREAS, CALIFORNIA 95249 <br /> (2 9)7541808 <br /> CERTIFIED TESTER f,//� C/�� UCENSE# =y�OZ DATE j <br />