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WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> OWNER/OrERATOR �Q'yLQL/� �iQI�C�C/���y SITE AD�NAA�t�,,../1 , <br /> CITY S>roCK ) f,.. <br /> t t ic/ <br /> ,J COUNTY <br /> 0�b <br /> NAILING ADDRESS �D/��' aQ�O ,., I <br /> _ 9rzc�5 0, tt' i 22 PSH/ 2: 03 <br /> SITE ACETO' (J G �ft>� TELEPHONE <br /> ARRIVED TEST SIvbHOURS TAANNKK LOCATION <br /> DATE/TME STORAGE FILLED{�'( `//pRODUCT LEVEL AT ARRIVALjINOUES BELOW TOP OF FILL NOMINAL TANK Si ZE_ /ZOO D <br /> TANK MATERIAL ��AFPROI. TANK A94-4-TRS. FILLSTZFITTFE_OVERFILL CONTAI@fM TTFF.-y A�� <br /> Art GRAVITY it AT� DEC. F. - Art GRAVITY OF�� @ 6OF - ODEFFiCTFNT OF EKFANSION OF .OD0 7SS.ly COE-6, "C' <br /> VISABLE VENTING ArPREARS TU BE AT, FILL L_L OPOSITE EI HAS BURP TUBE, RAS BALL CHECK, UNKNOWN, OTHER <br /> VISABLE VAPOR TRAPS To BE BLED: BALL CHECKS, MANWAYS, RETURN LINES, OTHER <br /> PHASE II VAPOR RECOVERY SYSTEM: BALANCED. <br /> J�AAS_�PIRATTO-R ASSISTED, LANG RUN WELLS, MANIFOLDED, �TNFR <br /> PUTU�tNC SISTEMI SUCTION, fNE HARE AC�z `i144c-p- MDEL ! PIPE LINE LEAK Det.OtoK T NO; NOT ArPLrc <br /> CRAFTED SIZE/tdqVU EST. LINE QUANTITTLO PRODUCT ADDED TO FLOOD STST@I ( SYSTEM TORAL GALLONAGE �ZO <br /> AMBIENT CONDITIONS: TEMPI PRETESIA( POSTEST�OUDY, RAINING, WINDY, 4EEZT, IGRT, OTHER <br /> .4 PSI DRO��IpURS TEST TO STAR1yZJ!L>AOURS PSI ID BE MAINTAINED ON TANK BOTTOM DURING TEST PERIOD �11b PSI <br /> A. GRADE TO TANK BOTTIN /Z <br /> 43. GRADE TO TANK TOP <br /> m <br /> C. TANK DIAHFTERD. TPST LEVEL ABOVE GRADEE. YIlTERNAL CPDUID RATER ABOt2 TANKYBOrtQIIN. 1 .0161 rs1 . �/F. TOP OF Fitt, TO PROD. AT ARRIVAL 6C. TOP OF FILL TO TOP OF TMRTETT7,t% C-TO IO1TOM OF TANK /4&PSI PER INOI OF PIDDUCT TES_TT HHEE�I�fGHT PRESSURE FOPMMA 4 6� <br /> REMARKS: "• 1oPsi/ � NET rsT <br /> RESULTS <br /> THE TEST PERIOD AS SHOWN ON 1119 ATTACHED COMPUTER GENERATED DATA REFLECTS A <br /> LOSS / AIN OF:,h V GALLONS PER HOUR, WITH A 99% CONFIDENCE LEVEL OF +/-.,OOZ Rph. <br /> Gc�..-rtrlicJr�o —. 00-3 <br /> THE HORNER EZY CHER II ST ITHOD COMPLIES WITH EPA AND THE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 GEN <br /> FOR TANK INTEGR IN . (SECTION 2643 CALIFORNIA CODE OF REGULATIONS) BASED UPON THIS STANDARD, THE RESULTS <br /> SHOWN ABOVE: DOES N INDICATE AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER THAN THE 0.05 GPH STANDARD. <br /> INTEGRITY TANK TESTING S VICES, 41 WEST YOKUTS ST. STOCKTON. CA., 95207, (209) 474-1375 or (800) 26 8376 <br /> CERTIFIED TESTER STATE LICENSE 0 AU�Jo2) TEST DATE <br />