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ITTS <br />Integrity Tank Testing Systems, Inc. <br />HORNER EZY CHER PRODUCT LINE TEST <br />OWNER/OPERATOR.AW�0/ SITE ADDRESS__4U,3 ll!F-. k11er4'v__A <br />CITY /1 COUNTY / <br />SITE AGENT ®Cry <br />-L�7Tix�T/TELEPHONE) <br />LINE CONNECTED TO <br />TANK NUMBERAOCATI ON <br />l'w� (/,<G <br />I'�� fc-r• <br />PRODUCT LINE DISPENSES�� 4jk APPROXIMATE LINE LENGTH a�O FEET <br />LINE MATERIALf7�4'_NE HAS PLLD YES' NO SUCTION LINE <br />TURBINE MAKE/MODEL__,ZZ iC',� ZZV4-7 DISPENSERE/MODEL T�� ?.r ^� J <br />TANK TEST EQUIPMENT TO BE IN PLACE DURING LINE TEST YES NO <br />LINE TO BE TESTED WITH A LINE BLOCK IN PLACE OF PLLD YES NO <br />TURBINE OUTPUT PRESSURE o T PSI TEST PRESSURE TO BE or -e PSI <br />APPLIED TEST PRESSURE AT/,44_5'11OURS IMMEDIATE LINE CHANGE OF LINES <br />TIME LINE START LINE END = +®- LINES X .003 RESULT ACCUM• RESULT <br />90�r <br /><4ss <br />ro <br />r <br />w <br />LINE CHANGE WHEN PRESSUREREMOVED <br />-`% DO NOT ALLOW <br />�- <br />.003 <br />.003 <br />.003 <br />8z <br />.003 <br />.003 <br />.003 <br />.003 <br />_LINES <br />TEST MUST BE CONSIDERED INCONCLUSIVE BECAUSE: <br />TOTAL WGPH <br />TEST O. tLICENSE NUMBER TEST DAT <br />eW 262-8378 166 Frank West Circle Stockton, CA 95206 (209) 466-8036 <br />