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• <br />• <br />Additional Info <br />i <br />1. Net Volume Change i ion Test _ p <br />Signature of Tester: - <br />Date: --r <br />2. Statement: <br />Tank and product handling system has been tested tight <br />according to the Precision Test Criteria as established by <br />regulatory agency. This is not intended to indicate permission <br />of a leak. <br />OR <br />❑ Tank and product handling system has failed the tank tightness <br />test according to the Precision Test Criteria as established by <br />regulatory agency. <br />OR <br />❑ Test invalid due to environmental or mechanical factors beyond <br />control of the testing equipment. <br />It is the responsibility of the owner and/or operator of this <br />system to immediately advise state and local authorities of any <br />implied hazard and the possibility of any reportable pollution to <br />the environment as a result of the indicated failure of this <br />system. The manufacturer of this test method does not assume <br />any responsibility or liability for any loss of product to the <br />environment. <br />Tank Owner/Operator <br />Date <br />MIM/I <br />► � <br />®I�ml <br />� � <br />IL�'���I <br />� , ; lig <br />011 <br />IMani <br />I <br />I�mll_IIBM <br />I <br />NMI <br />-t I <br />• <br />® . <br />IBM, ISI <br />/ <br />ISIOnKMMI�V1 <br />MIll <br />• <br />®I��lM <br />I�mlrAr <br />no <br />M �, r %� <br />IM_ <br />11MUMCMI <br />I <br />MI -11133 <br />M <br />IMMI <br />I <br />( <br />lima <br />�I <br />IIIIIIIIIMI���I��I�I <br />Additional Info <br />i <br />1. Net Volume Change i ion Test _ p <br />Signature of Tester: - <br />Date: --r <br />2. Statement: <br />Tank and product handling system has been tested tight <br />according to the Precision Test Criteria as established by <br />regulatory agency. This is not intended to indicate permission <br />of a leak. <br />OR <br />❑ Tank and product handling system has failed the tank tightness <br />test according to the Precision Test Criteria as established by <br />regulatory agency. <br />OR <br />❑ Test invalid due to environmental or mechanical factors beyond <br />control of the testing equipment. <br />It is the responsibility of the owner and/or operator of this <br />system to immediately advise state and local authorities of any <br />implied hazard and the possibility of any reportable pollution to <br />the environment as a result of the indicated failure of this <br />system. The manufacturer of this test method does not assume <br />any responsibility or liability for any loss of product to the <br />environment. <br />Tank Owner/Operator <br />Date <br />