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Afforda Test <br /> OVERFILL WORKSHEET <br /> r Facility Name: _ /0/,r" r INFORMATIONAL ONLY <br /> Facility Address: S C; <br /> Facility Contact: <br /> OVERFILLS: A . <br /> i <br /> 'Tank Charts Used: JJ� <br /> it <br /> 1. TANK INFORMATION <br /> Tank Chart X Tank Manufacturer Industry Standard Chart <br /> t Tank# 1 Tank#2 Tank#3 Tank#4 Tank#5 Tank#6 <br /> ,3 4 <br /> Tank Capacity: 3o (7 <br /> Tank Material: <br /> an Manufacturer: <br /> Product Stored: <br /> Diameter: <br /> Inches to the bottom <br /> of Tank: "( 1 <br /> Volume of Overfill 2715. t(0 (Q <br /> o io LJ U <br /> Test Result: Pass Pass Pass/Fail Pass/Fail Pass/Fail Pass/Fail- <br /> 9a -- 7 <br /> 17 ) 71/6 , 9 110 7t3. G i - <br /> Comments— (include information on repairs made prior to testing, and recommended.follow-up.for.failed tests) <br />