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WORKSIIEL: .-OR SUR)IITTAL TO GOVERNMENTAL j,.,..eNCY <br /> ov 1Ea/orcRATOR ���CZS /PlJC%G �!� � a0/ <br /> Cin siTE ADDRESS <br /> q� COOI7 T / �OQcJ/ <br /> NAILING ADDRESS PO„dU &�J <br /> _ q�4 <br /> SITE AGENT _J«. !! <br /> TELEPHONE )_ '!_.. 7"Z7 <br /> ARRIVED TEST SI U9 < p017R5 TAMC LOCATION .Qj7f. �j¢t,/�. 7 <br /> /,y� � 1RfIDpCT �//c..,IEZ. <br /> DATE/?ME STORAGE FILLED �� l�PRODUCT LEVEL AT ARRIv p <br /> . AU�INCRES BEf.Oti TOP OF FILL MAY <br /> E ��0 <br /> TAIN( MATERIAL APPROX. TANK ACF ' ^ <br /> TRS. FILL512E/TYPE_-'r OVERFILL COHtAipN,E/Ni TTTF. �- <br /> API GRAVITY 3y AT 7L DEC. F. - Ari GRAVIn OF�_i� � 6OF - COEFFICIENT OF EIrANsiON OP .000 <br /> � - cut gS5 <br /> VISABLE VENTING AFFREIRS TO BE AT, FILL ENDILL OrOSITE tND HAS BORT ME, HAS BALL CHECK, UNKNOWN, OTHER <br /> VISABLE VAPOR TRAPS TO BE BLEDt BALL CHECKS. HARRAYS, RETURN LINES, DINER <br /> rRASE II VAPOR RECOVERY "STE”! BALANCED, ASPIRATOR ASSISTED, Lose RUN WELLS, MAMIFOLDED, MORe, OTHER <br /> rOSt7R: SYSTEM SUCTION TURBIDE MARC 7��f/tfZ�?/S/) MODEL ('/ ; <br /> NN•'� ` PIPE LIRE LUIC Detectors TGs, NO; 07 APPLi <br /> CNARtEO SIZE rN0 EST. LINE <br /> pQOAMTITTS PRODUCT ADDED TO FLOOD SYSTEM J BTSTQI TONAL GALLONAGE �0 <br /> AMBIENT CONDITIONSt TEMPI rRETLS7T P057ES7� HIM". CLODDY, RAINING, WINDT, BREEZY, MIGHT, OTHER <br /> •4 PSI DROP O �pOORs TEST 7O stAR��ppURS PSI TO BC MAINTAINED ON TANK BOTTOM DURING TEST PERIOD SiZ� PSI <br /> A. GRANS To TANK BOrTON 14-M <br /> Q B. MANY TO TANK TOP Ja <br /> 6•P.vAE C. TARR DIA"It <br /> D. TEST LBPEL ARM ORAOE <br /> ••• r--�- <br /> WATER R <br /> G qy. B t I E. 2XIEWAL A.0TANK <br /> 36 <br /> &3AF. TOP OF FILLOW. AT ARRIVAL i '-7 �- <br /> U� A� C. TOP OF FILL TD Tor of TANK -53'T <br /> TPSI.:IIIm TO""ON OF TIM�� ���/ <br /> RATER <br /> CC C PSI PER INCH of PRDOOCT <br /> •.� <br /> I TMY <br /> ItR10e.// / TE37 NElliff PRESSURE PommuLA <br /> - PEI <br /> REMARKS! %�7Y/��,—�'i9TU�� H• PSI e. rsI NeI rsl <br /> RESULTS <br /> IIE FINAL TEST PERIOD AS SHOWN ON TIIE ATTACIIED COMPUTER GENERATED DATA REFI,ECT'S A <br /> OS. / GAIN OF:„�,&?T GALLONS PER HOUR, WITH A 99% CONFIDENCE LEVEL OF +/— , 00 RPh• <br /> THE HORNER EZY CHEK II TEST METHOD COMPLIES WITH EPA AND 'IME STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 CPH <br /> FOR TANK INTEGRITY TESTING. (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 TRAM THE 0.05 GPH STANDARD. <br /> INTEGRITY TANK TESTING SE ,IAC/E/1S,E 166 FRANK WEST CIRCLE, STOCKTON, CAO, 95206,,, (209) 466-8036 or (�8r00) 2962-8378 <br /> CERTIFIED TESTER N/” 6`y� STATE LICENSE I /a ��o v� TEST DATE <br />