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WORKSHEET roiz SU1Iilt'I"I'A T'0 GOVERNMI:NTN, M,,,�iCY <br /> OWNER/0!'E T R _ -S i'I'E MDRii 1 <br /> C IT) >O COUNTY <br /> MAILING ADDRESS <br /> S FI E AGENT I'T'LE P IONI? (_) <br /> r ARRIVED TEST SITIZ&HOURS iANK LOCATION/NUIBPR _ .7*'3 <br /> DATE/71F1E STORAGEFIL Q�-ic ir�rRDTRtcT LEVEL AT ARAfYA ` NOTES BELOW TOP OF FILL NOMiNAL 'TAN[ SIZE D 6ltU <br /> TANK HATERI 7 APPROX. AGPlidiRS. FiLL SL2P./TYPll--Y-- DVP.REII,L CONTAINFfNTt/TYYPPEE <br /> API GRAViM-35 AT� ✓J <br /> DEG. F. - AP1 GRAVITY OP , • • 60F - COPFF[CiPNT OF EXPANSiON or: JIDDA . ME OFy <br /> VISARIP. VENTING APPEARS TO RP AT: FILL PND -1 FiLL OPPOSITE END, IIAS BURP 1� P, UNKNOWN, IIAS A BALL OIECK, OILIER _ <br /> ViSAR1.P• VAPOR TRAPS TO ME BLED! MALL CHECKS, MANMAYS, OTIIPR <br /> PUASP. If VAPOR RECOVERY SYSTEM TYPE: BALANCED ASPIRATOR ASSISTED LANG RUN WELLS MANIPOLDEDON OTTtER <br /> PIIItPING SYSTTTi: SUCTION RMI MAKE. MODEL PiPE LiNE• LEAK DP.TP.CTOPS r <br /> CfIARTED TANK SI2PP.SiiHAIEb LiNE QUANTITY PRODUCT ADDED 10 FLOOD SYSTPM, -0 .RYSTEM GALLONS 1DTAL �Tt.L <br /> AIMIENT MEATIMA CONDITIONS! TEMPERATURE PRPTESI6/OST TPS�� tRl•t RAINING CLOUDY WiNDY N1(YIT OTTIER __ <br /> SYSTEM ELOODEDOYL5 LIt0UP3 .1 PSI DROp`.{L�IIOURS PSI TO RE MAINTA111Pb ON TAP <br /> BOTTOM DURING TEST PERtOn si <br /> A. GRADE TO TANK MOTI'OM _ Ijj <br /> A) M. GRADE TO TANK TOP V <br /> C. TANK OTA11PTPR y� <br /> 6,Pi9AE' <br /> ,77/777, - D. TPST LEVEL ABOVE GRADE <br /> • G� 1(L.Z t E. EXTERNAL GROUND P.R RIIOVE TANK <br /> MOTTQI�,. itN. X .0361 PSi • <br /> 1 L3r P. TOP OF FILL TO PROD. AT ARRIVAL '_ <br /> A1J G. TOP OF FiLL TD TOP OF TANK <br /> < Ii. TPST T.EVPT. TO MOITOM OR TANK <br /> C PST PPR iNCU OP'PRODUCT <br /> WATER 1N tDE <br /> I TANK RM <br /> ° - TEST HPIGIIT PRESSURE FOITLA <br /> E <br /> H. FSi E. PSI NEi PSI <br /> REMARKS : <br /> Illi' L 'II s,r P RIOT) AS SHOWN ON TiIE ATTACHED COMi'UI'ER GENERATED DATA REFLECTS A <br /> LOSS / CAIN Foy/ GALLONS PER HOUR., WITTI A 99% CONFIDENCE LEVEL OF <br /> USING THE HORNiiR EZY CHH II MT-11101 OF 'T'EST'ING 'Illi'' RESULTS AS SI10T ARE (v'1TTI1N <br /> NOT W1T11JN 'illi; STA'L'E OF CALIFORNIA A 329 GUIDELINES IM 0 <br /> GAIN 01' .OS GALLONS PER HOUR FQR TANK SYSTEM RE CONSIDERS TIGHT. <br /> INTFGRITY TANK T'E;ST'ING SYSTI-11.S, INC. 166 FRANK WEST CR. <br /> ST'OCKTON, CA 95206 (2�9) G6 8036 or (800) 262-8-3778 C, <br /> ST'iiR ,/1 _ TEST DATE ���/�"5'd <br />