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]'WORKSHEET FOOR' SUBMITTAL TOf�GOOVERNMENTAL AGENCY <br /> OWNER/OPERATOR �a ��. L/ G�I�IO (��Jl'�SYTE ADDRESS 6G/ A 7Z:Zrf <br /> CITY COUNTY <br /> NAILING ADDRESS/ <br /> SITE AGEN .,,.!T t),V TELEPHONE <br /> ARRIVED TEST SITIQFMAOURS TANK LOCATION -<4:F FRODUCT / � c.� —z <br /> DATE/TYRE STORAGE FILLA"RODUCT LEVEL AT ARRIV Z 414CHES BELOW TOP OF FILL NOMINAL TANK SIZE ,s 4200 Q <br /> TANK HAIERI L 1001 PROX. TANK AG$�Q�YRS. FIGLSIZE/TYPE _4�f OVERFILL CONTAINtM TYPE <br /> API GRAVITY; AT _7& DEC. F. ® API GRAVITY OF3&5 @ 6OF ® COEFFICIENT OF EXPANSION OF .000 7 7 ,� • COE!�/ 7 7 <br /> VISABLE VENTING APPREARS TO BE ATs FILL END, ILL OPOSITE END RAS BURP TUBE, HAS BALL CHECK, UNKNOWN, OTHER <br /> VISABLE VAPOR TRAPS TO BE BLED: BALL CHECKS, MANWAYS, RETURN LINES, OTHER <br /> PHASE II VAPOR RECOVERY STSTENi BALANCED. ASPIRATOR A <br /> sSS <br /> —IS <br /> TED. LONG RUN WELLS. MANIFOLDED. NONE, OTHER <br /> PUMPING SYSTEM-: UCIY�/, TURBINE MAKE�it���G/ MODEL PIPE LINE LEAK.Detecto rs TES, No NOT A'PPLIC <br /> CHARTED SIZE Z��`f EST. LIKE <br /> �Q+UANTITT� PRODUCT ADDED "'FLOOD SYSTEM 5 STSTEI4 TORAL GALLONAGE g 7, <br /> AMBIENT CONDITIONSs TEMPI PRETEST/e5 POSTEST CLOUDY, RAINING, WINDY, BREEZY, NIGHT, OTHER <br /> .4 PSI DRQeoy ROURS TEST TO STAR' G�NOURS PSI TO BE MAINTAINED ON TANK BOTTOM DURING TEST PERIODj l„ FSI <br /> A. GRADE 70 TANK IMMM f <br /> t. CRAM TO TANK TOP .S <br /> C. TANK DIAMETER <br /> 6.�i4.OE <br /> � 0. TEST LEVEL ABOVE CAADE <br /> 1F.7 ® 8. EXTER?tAL CRDUNO MATER At0V8 TANK <br /> -[_ COTTON-l". K .0361 PSI . <br /> ^'-L F. TOP OF FILL TO PAW. AT ARRIVAL T Z <br /> A� C. TOP OF PILL TO TOP OF TANK <br /> N. TlST:LBVEC'.TO'tOTTQN OF TANK ___1_ZZ <br /> � , <br /> C PSI PER INC" OF PRODUCT _L_ <br /> MATER IOM <br /> LANK a / TEST HEIGHT PRESSURE FORMULA <br /> E �ZH.! K P - - NE <br /> T PSI <br /> REMARKS <br /> RESULTS <br /> THE FINAL TEST PERIOD -AS SHOWN ON THE ATTACHED COMPUTER GENERATED DATA REFLECTS A <br /> OS / GAIN OF*--.- jff7 GALLONS PER HOUR, WITH A 99% CONFIDENCE LEVEL OF +/- gph. <br /> THE HORNER EZY CHEK %il <br /> OMPLIES WITH EPA AND THE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 GPH <br /> FOR TANK INTER TING. (S CTION 2643 CALIFORNIA CODE OF REGULATIONS) BASED UPON THIS STANDARD THE RESULT <br /> SHOWN ABOVE: DES N v <br /> NDICATE AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER THAN THE 0.05 GPH STANDARD. <br /> INTEGRITY TANK TESTING CES, P.0-BOX 691376 STOCKTON, CALIFORNIA, 95269 (209) 474_1375 or (800 2f6�2- 378 <br /> CERTIFIED TESTER STATE LICENSE M ! TEST DATE h / <br />