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WORKSHEE 'OR 3UBMITTAL TO GOVERNMENTAL AGCY I I V r-41 <br /> - _ " <br /> OWNER/OPE TO SITE ADDRf#S `�a? <br /> CITY r COUNTY <br /> • MAILING ADDRESS N S <br /> SITE AGENT TELEPHONE (") <br /> FNI HEALTH <br /> ARRIVED TEST SITFj0j?Q URS TANK LOCATION/NUMBER ISRODUCF r <br /> DATE/TIME STORAGE PILLS64-29' PRODUCT LEVE�L/XATT"Al(Q�//t 1 S BELOW T0P OF FILL. NOMINAL TANK S tR /OBD©Com}TANK MATERI PROX. AGP�e �� �PILL SIZE/TYPE OVERFILL CONTAINMENT TYPE <br /> API GRAVITY�AT-Z�DEG. F. • API GRAVITY OP",�_B 60F • COEFFICIENT OF EXPANSION OF: 000 ✓c! . COE OF-%L _L 3 <br /> VISABLE VENTING APPEARS TO BE AT: FILL END, FILL OPPOSI �p HAS BURP TUBH UNKNOWN, HAS='A//SALL CHECK, 07HER <br /> VISABLE VAPOR TRAPS TO BE BLED: BALL CHHCRS MANWAYS, 07NERj2Z 4:z 1 �Qu �• <br /> PHASE II VAPOR RECOVERY SYSTEM TYPE: ALANCBD ,AJSMRATOR ASSISTED LONG RUN WELLS MANIFOLDED NONE OTHER <br /> PUMPING SYSTEM: UCTId1 TURBINE MAKE x/Cil).'dJf B 10 MODEL�o?®Q CC�i PIPE LINE LEAK DETECTORS Yin <br /> CHARTED TANK SIZVSTIMATED LINE QUANTITY�PRODUCT DED TO FLOOD SYSTEM 91 GALLONS TOTAL <br /> AMBIENT WEATHER CONDITIONS: TEMPERATURE PRETES7�POST TES7.g� RAINING LOU WINDY NIGHT OTHER � <br /> SYSTEM FLOODED I�L ,HOURS .4 PSI DROPL. HOURS PSI 10 BE MAINTAINED ON TANK BOTTOM DURING TEST PERIOD <br /> A. GRADE TO TANK BOTTOM /�3���'� <br /> O jgc:-- B. GRADE TO TANK TOP <br /> C. TANK DINAMR <br /> 6.Pi9AE <br /> f.� r � �� •�' D. TEST LEVEL ABOVE GRADE <br /> a 8 B. EXTERNAL CROWD NATER ABOVE TANK . <br /> F- BOTTOM N. X .0361 PSI • <br /> N P. TOP OF FILL TO PROD. AT ARRIVAL -�6 r <br /> =.- <br /> • A,✓. G. TOP OF FILL TO TOP OF TANK c2 9`%/ <br /> NK y� <br /> H. TEST LEVEL'TO'BOTTOM'OR TA <br /> NATER I SIDE C PSI PER INCH OF PROD(ICT <br /> TANK n - <br /> E TEST HEIGHT PRESSURE FORMULA <br /> H. PSI E. PSI NET PSI <br /> RE S <br /> i r r <br /> THE FINAL TEST RIOD AS SHOWN ON THE ATTACHED COMPUTER GENERATED DATA REFLECTS A <br /> LOS / GAIN OF: , GALLONS PER HOUR, WITH A 99% CONFIDENCE LEVEL OF GPH. <br /> USING THE HORNER EZY CHEK II METHOD OF TESTING THE RESULTS AS SHOWN RE WITHIN <br /> NOT WITHIN THE STATE OF CALIFORNIA A 29 GUIDELINES DF-4c4aXIMUM LOSS OR <br /> GAIN OF .05 GALLONS PER HOUR FQ TANK SYSTEM BE CONSIDERE TIGHT. <br /> INTEGRITY TANK TESTING SYSTEMS, INC. 166 FRANK WEST CR. <br /> STOCKTON, CA 95206 (299) 466 8 or (800) 2662-8378 Q <br /> • <br /> &4&T � <br /> CERTIFIED TES.TE DATE <br />