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c, WORKSHEET FSLSY.BHITTAL TO GOVERNMENTAL AGENCY <br /> OStNER/OPERA%OR SITE ADDRESS <br /> CITY COUNTY f <br /> NAILING ADDRESS <br /> SITE AGENT �D�-�� / JDfs% f " <br /> �-C �� TELEPHONE ) .E�(J <br /> ARRIVED TEST SITT�^ ROURS TANK LOCATION_gj{I,,, -- -1-7x PRODUCT <br /> DATE/TIME STORAGE FILLED zZ � PRODUCT LEVEL AT ARRIVAL II:GRES B== T'Op OF FILL NOKYNAL TANK SYZE ,ef4:yjr , <br /> TANK NATERI.4S, APPROX. TANK . FILLSIZE/TYPE L OVERFILL CONTAINMENT TTPE­,g5L4=2Cle <br /> APT GRAM .Jt AT 77 DEG. F. ® An GRAVITY o,3 @ 6OF • COEFFICIENT OF EXPANSION OF .000 7ti�'��® COE p� <br /> VISABLE VENTING APPREARS TO BE AT: FILL END, FILL OPOSITE END, RAS BURP TUBE, RAS BALL CHECK OTHER <br /> HANWATS, RETURN LINES, OTHER <br /> VISABLE VAPOR TRAPS TO BE BLED: BALL CHEM. Z14�`F Tom? <br /> PRASE II VAPOR RECOVERY STSTEM: BALANCED, ASPIRATOR ASSISTED, LONG RUN IIELI.S, MANIFOLDED, TTIPR <br /> PUMPING SYSTEM: SUCTION, TORS MODEL PIPE LINE LUX.Detectoss TES, NO; OT APPLIC <br /> CRARTFD SIZE EST. LIRE QUANTITY I- PRODUCT ADDED TO*FLOOD SYSTEM STEM T'ORAL GALLONAGE_`® CJ <br /> AMBIENT CONDITIONS: TEMP: PRETESPOSTES% CLOUDY, RAINING, WINDY, BREEZY, NIGHT, OTHER <br /> .4 PSI DRO/ OURS TEST TO STAR7/�l aOURS PSI TO BE MAINTAINED ON TANK BOTTOM DURING TEST PERIOD - '34 PSI <br /> A. GRADE TO TANK BOTTOM ---.G® <br /> ®— 1. GRADE TO TANK TOP <br /> d.Pit.DE C. TANK D <br /> . <br /> U. TEST LEM ABOVE GRADE <br /> ® E. ER7ERNAL CROOND MATER ABOVE TANK <br /> BOTTOM IN. K .0361 PSI 7 <br /> F. TOP of FILL TO PAW. AT ARRIVAL <br /> 0. TOP OF FILL TO TOP OF TANK _oollpT1 _ <br /> �-J A <br /> /�Q7-�- H. TESTZt3VW.T�lOTTOM OF TANK Z <br /> MATER I M C PSI PER INCH OF PRODUCT <br />' E TANK n � TEST HEIGHT PRESSURE FOR1tILA <br /> REMARKS '0/ H. PSI E PSI NET PSI <br /> RESULTS <br /> THE FINAL TEST PERIOD -AS SHOWN ON THE ATTACHED COMPUTER GENERATED DATA REFLECTS A <br /> LOSS / GAIN OF: GALLONS PER HOUR, WITH A 99% CONFIDENCE LEVEL OF +/— <br /> gph. <br /> THE HORNER EZY CHEK 11 METHOD COMPLIES WITH EPA AND THE STATE OF CALIFORNIAP ANCE STANDARD OF 0.05 GPH <br /> FOR TANK INTEGRITY TESTING(SECTION 2643 CALIFORNIA COAD OF REGULATIONS)BASED UPON THIS STANDARD THE RESULTS <br /> ABOVE' DOES DOES NOT INDICAT <br /> SHOWN E AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER THAN THE 0.05 GPH STANDARD <br /> INTEGRITY TANK TESTING DIY. OF OIL EQUIPMENT SERVICE, P.O.BOX 950, SAN ANDREAS,CAUFORNIA, 95249 (209)754-1808 <br /> CER I W-ED TESTER _ uCEVSE DATE 6 Z 7 <br />