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WORKSHEET FOR SUBI(ITTAL TO GOVERNMENTAL AGENCY <br />OUTiER/orER11tOR ®I / S // ,Ge�Q7' ME ADDRESS <br />CITY '� • T / �- �/ * COUNiI <br />MAIttNc ADDRESS -1/p�^///1t3tJiVj��. s _ g <br />SITE AGENT �/-AW 4d.A 7_A44^_1 iELRPNONE ( ) f p 2 • <br />ARRIVED JEST S145149 HOURS TALAR LOCATION <br />640.6 75— rRODU,, <br />ORYF,/tlttE STORAGE FILLED ODUCt LEVEL AT ARRIVALINCpP.S EELOW TOA bF $ILL NOltIRAL TALAR Silt <br />TANK MATERIAL APPROR. TANK MjO� jrS. FIII.SI7.E/2TPE OVERFILL CONTALNIfENt TTPF. <br />Art CRJiVLTY 33 e(. AT -a DEC. F. • Art CRAVITT OF R 60F • COEFFICIENT OF MANSION OF •000 tot y S� <br />VtSARLE VENTING ArFRP.ARS 70 BE Att FILL END. FILL OPOSITE END, HAS BURT JURE. HAS BALL CHECKe OTHER <br />VISAELE VAPOR TRAr3 To BE BLED: BALL C71ECR.4, t1ANWATB, RETURN LINES, OTHER,Q �'� ,C/ c-= --- <br />"ASE It VAPOR RECOVERY BTSilNt BALANCED, ASPIRATOR ASSISIED, LONG RUN HELLS. MANIFOLD". NONE OTHER <br />rUHPtHC SYSTQf: SUCito TURBINE MARE— <br />�/ L PIPE LINE LEAR Detectors TES. M. NOT AFPLIC <br />CHARTED SILt,. X 959 EST. LINE gUANttTY Y6 RODUCT ADDED TO •Ft000 StsTEM S BTSTM TORAL OALtONACE ¢ate S <br />AMBIENT CONDITIONS, iT]trt'PRETEST POSTEST (SUNNt� CLOUDY. 1tAININC.. WLNM, BREEZY, NICHT, OTHER <br />4 TSI DROdTimms R3 IEST TO START// <br />-----T-O-�`'H'E MAtNTAtNED ON JAM BOTTOM DURING TEST PERIOO o�v® rst s <br />A. cMOF TO YANK 4 <br />® R. GRAVE TO YANK M <br />Sfi1Ac�' C. TANK DIAVMR <br />0. TEST LEM A BRADS <br />e. eKieurAL CMW9 MAYER A,ROYe TANK <br />6trlTcf: 1q. x .0361 PSI <br />r. "P 0r FILL TO PROD. AT ARRIVAL <br />13 <br />MTV, <br />O. TOP OF FILL TO Tor Or TANK z;1 <br />H. Tt4T".1.RIEC•TiV IWIt" OP TANK�'"�I PSt PER /tpT1 OF PADtA1CT <br />Test 11e1a1T ►Rtallo MMA <br />RESULTS <br />cs <br />1'119 FINAL TEST PERIOD AS SHOWN ON THE ATTACHED COMPUTER GENERATED DATA REFLECTS A <br />/ GAIN OF: D.3 GALLONS PER HOUR, WITH A 99% CONFIDENCE LEVEL OF <br />lY1E HORl1ER EZY Cj�ESTITEST TiIOD COMPLIES WITH EFA AND THE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 GPH <br />FOR TANK INTF I <br />ON 2643 CALIFORNIA CODE OF REGULATIONS) BASED UPON THIS STANDARD, THE RESULTS <br />SHOWN ABOVE: ICATE AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER THAN THE 0.05 GPH STANDARD. <br />INTEGRITY TANK TEST 166 FRANK WEST CIRCLE, STOCKTON, /CA., 95206, (209) 466-8036 or (800) 26 -8318 <br />CERTIFIFD TESTER STATE LICENSE I %� ®JV TEST DATE <br />