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WO,RQKSHHEEE�T�FOR <br />ASUBMITTAL TO GOVERNMENTAL AGENCY '/ <br />• OWNBR/OPERATORJ&0XS 4` r'�G1GJ'+'!I�% SITE ADDRESS z&' C- 1�'C!zwej '4ID <br />1 <br />CITY 404 / COUNTY .S-A_c <br />MAILING ADDRESS -06-;S A04:30x A-vewe'e-w q�'Z4 <br />SITE AGENT ev&A� TELEPHONE (•-vQ)_ <br />ARRIVED TEST SIinnY�N TANK LOCATION ln�C3%�/� '�'L PRODUCT_ <br />�/ "t) <br />DATE/TINE STORAGE FILL►>Y� Z /d�pRODUCi LEVEL AT,�ARRIV INCRES BELOW TOP OF FILL NOMINAL TANK SIZE <br />TALAR MATERLlttL6✓ /C/B APPROX. TALAR AGR��Jpp . FILLSIZE/TYPE,�OVERFILL CONTAINMEENT�fTTPEp4�%41i�"L <br />API GRAVITY0,7AT / DEG. F. - API GRAVITY Oraj ! 60F • COEFFICIENT OF EXPANSION OF .000 47424 • COE 6 7g <br />VISABLE VENTING APPREARS TO BE AT, Frit END, FILL OPOSITE END, RAS BURP TUBE, GRBALL CHECK UNKNOWN, OTHER <br />VISABLE VAPOR TRAPS 70 BE BLED: BALL CHECKS, CiEeRETURN LINES, OTRER %L/%72K%/TLS ��►►✓✓,�' <br />PRASE II VAPOR RECOVERY NTSTOt: Q2R2!gr,> ASPIRATOR ASSISTED, LONG RUN RMLS, MANIFOLDED, NONE, OTHER+ <br />PUMPING SYSTEM: SUCTION, trgfi" MAKE %7�/�C,/MODEL'+ _- E LINE LEAK .Detector<( )110; NOT APPLIC <br />CHARTED SIZE 14 2 7 EST. LINE QUANTITTA PRODUCT ADDED TO FLOOD STSTEH ISSISTEM TORAL GALLONAGE / 1671? <br />AMBIENT CONDITIONS: TENPt PRETEST gIvrOSTEST (;ENT)CLOUDY, RAINING, WIND DRE , IGRT' DINER QQ <br />.4 PSI DRO14W49 YOURS TEST TO STAR'l14920pOUBB PSI TO BE MAINTAINED ON TANK BOTTOM DURING TEST PERIOD PSI <br />REMARKS: <br />L/"- <br />R. GRADE TO TANK BOT70N_ <br />B. GRADE TO TANK TOP Slyz.. <br />C. TANK DIAMETER <br />B. TEST LEVEL ABOVE GRADE 2L <br />E. EKiERNAL CRDUND WATER ABOVE TANK <br />B01i0N IN. K .0361 PSI • ' Q <br />F. TM OF FILL TO POW. AT AMVAL 17L <br />0. TOP OF FILL TO TOP OF TANK <br />1t. Tm:,j2►'EC'.TGr'BO/TIN OR TANK r -I 71 <br />PSI PER INCH OF PbOUCf �._ _ 0461 <br />�/ .row -• / TEST NEIfi1T PRESSURE FORMULA <br />H. PSi E. PSI NET PSI <br />A1,4 Tiy r/ Ov <br />RESULTS <br />THE L TEST PERIOD AS SHOWN ON THE ATTACHED COMPUTER GENERATED DATA REFLECTS A <br />LOSS / AI OF: -/-, a64f GALLONS PER HOUR, WITH A 99% CONFIDENCE LEVEL OF +/- ± Fgph. <br />THE HORNER EZY CHEK II TEST METHOD COMPLIES WITH EPA AND THE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 GPH <br />FOR TANK INTEL I T STING. (SECTION 2643 CALIFORNIA CODE OF REGULATIONS) BASED UPON THIS STANDARD, THE RESULTS <br />SHOWN ABOVE: DOES NOT INDICATE AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER THAN THE 0.05 GPH STANDARD. <br />INTEGRITY TANK TESTING TVICES, 166 FRANK WEST CIRCLE, STOCKTON, CA., 95206, (209) 466-8036 or (/800) 262-8378 <br />CERTIFIED TESTER STATE LICENSE 0 "IN too TEST DATE LG / <br />