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• <br />• <br />Central Coast Tank Itting <br />POST OFFICE BOX 2155 <br />SANTA BARBARA, CA 93120 <br />TEL 805.966.9915 <br />FAX 805.687.0883 <br />q1NE INTEGRITY TEST REPORT <br />JOB NO <br />DATE <br />TIME <br />PETROTITE <br />h <br />NAME: CONTACT: DISTRICT: <br />~ <br />❑ +/- 0.025 GPH @ 15 PSI MAX <br />J <br />Q <br />LOCATION: A-1 f+ PHONE NO: REFERENCE NO: <br />LL <br />_�,,jj'�ll <br />S wToh WITNESS: PERMIT NO: <br />h <br />PETROTITE TEST CRITERIA: <br />+/- 0.01 GPH @ 1-1 /2 X <br />❑ +/- 0.025 GPH @ 15 PSI MAX <br />uz <br />REQUESTED BY: <br />TYPES OF PUMPS: <br />NO OF FLEX CONNECTORS: <br />2L <br />TANK TEMPS: <br />WEATHER CONDITIONS: <br />SURFACE/BURIAL DEPTHS <br />SPECIAL INSTRUCTIONS: ISVI v1 " CA <br />LINE <br />NO <br />TIME <br />TEST LOG <br />PRESSURE <br />VOLUME <br />NET <br />CHANGE <br />RESULTS <br />BEFORE <br />AFTER <br />BEFORE <br />AFTER <br />START TEST <br />wo <br />COMMENTS: <br />4PASS <br />S <br />INT 1 <br />(p(7lop <br />u2m <br />00 <br />Q <br />INT 2 <br />INT 3 <br />60 <br />0 <br />O= <br />INT 4 <br />0 <br />O= <br />vNET CHANGE SUMV <br />GPH <br />-OR- <br />FAIL <br />START TEST <br />COMMENTS: <br />PASS <br />INT 1 <br />INT 2 <br />INT 3 <br />Q <br />INT 4 <br />vNET CHANGE SUMv <br />GPH <br />-OR- <br />FAIL <br />►- <br />N <br />START TEST <br />COMMENTS: <br />PASS <br />INT 1 <br />INT 2 <br />INT 3 <br />INT 4 <br />vNET CHANGE SUMv <br />GPH <br />-OR- <br />FAIL <br />START TEST <br />COMMENTS: <br />PASS <br />INT 1 <br />INT 2 <br />INT 3 <br />INT 4 <br />vNET CHANGESUM• <br />GPH <br />-OR- <br />FAIL <br />TESTED BY, Robert P. Hankenson , CA91-1169 0507931_1222 %0_�)006� <br />UST Tester Lic. No PetroTite Lic. No Signature <br />CcTT <br />CC: <br />CC: <br />CC: <br />ONLY <br />❑ INITIAL ❑ PERIODIC ❑ MAINTENANCE ❑ MODIFICATION ❑ RETEST <br />* REQUESTS FOR ADDITIONAL COPIES WILL INCUR AN UNARCHIVING AND DELIVERY FEE OF APPROXIMATELY $55, PER EACH PG ___OF <br />