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WORKSHEF.�'OR SUBMITTAL TO GOVERNMENTAL e.�NCY <br /> 04RIF.R/OFFJtA70R�G' I'd O�� � �j �G.SITE ADDRESS 2,191 <br /> ctn <br /> POif/ LJ Sr 'S� <br /> p COUNTT � �pjl�J <br /> MAILING ADDRESS <br /> SITE ACENr <br /> q q' ' TELEPHONE <br /> ARRIVED TEST sIrovRs TANK LocAnOR <br /> V 7,�gl <br /> SRODOCT if/ /— <br /> DATE/TINE STORAGE F�/IL--LEU7lO � pRODUCT LEVEL AT ARRITA1,r�IRCHES Inctow/Tor OT TILL RUMINAL TANK SIZE 00 <br /> TANK MATERIAL ,6#- ArPROX. TARR ACE�7 M5. TILLSt t[/ITI'E 7- <br /> �� 07ERFILL CONTAIRMEE/NI ITPE� <tf- , L� <br /> S <br /> AFI GRAVITT 2AT ja DEC. T. - Art GRAVITY OF 1 60F - COEFFICIENT OF EXPANSION OF ,000 'y�-sc�3 COE ¢�`7 S <br /> VISABLT VF.TTTING ATPRRARS 70 BE ATI FILLEtID, FILL OPOSITE ETID NAS BURP TUBE, HAS SALL CRECK, DNKNOWN, OTHER <br /> Vt SABLE VAPOR TRAPS TU It BLEDU BALL CHECKS, MANWATS. REIM LINES, OTHER �-� <br /> PHASE II VAPOR RECOVERT STSIEM, BALANCED, ABPIOOPIIATOR ASSISIED, LONG Rimes WELLS. MANIEDLDED, CNONE.J OTHER <br /> PING STS CTIOR TURAIRE MARE T-0,lW-17n--1 MODEL `Clp� _C' <br /> PIPE LIRE LUX Detectorg TES, NO; I APILLC <br /> CHARTED SIZE a20 EST. LINE QOAIPTI IT C PRODUCT ADDED TO nAD, STSTQI� RiSTtt1 TOME GALLONAGE- <br /> ':�EoO S <br /> AMBIENT CONDITIONS! ITHP, PRETEST/YPOSTEST-_EUM�")CLOUDT, RAINING, "HOT, BREM, NIGHT, OTHER <br /> .4 PST DPbR7 ROOKS TEST TO STAAWIJ.T HOURS PSI TO BE MAINTAINED ON TANK BOTTOM DURING TEST PERIOD � <br /> de � T9I <br /> // A. OAAtR. TO TALAR ImiTm <br /> 0_/_L- I. GRANT TO TANK TOP <br /> 72�Z C. ?MR OMARIeTlR <br /> 6.G1,p / <br /> �- - D. TEST MEt AAOV! GRADEA. <br /> l� <br /> E. EXTERNAL GROUND RATER MOVE TMR <br /> V� F /�� IOrT(N IN. K .0761 rst <br /> _ 4 N F. ITT OF FILL TO P000. AT ARRIVAL <br /> //J/�• G. TOP OF FILL TO TOP OF TMK <br /> R. TEST.tam TO IORDI OF TANK /70 <br /> RATER IN tA! rii rPK IMpi or PIOg1CT — 1-_ <br /> 1 <br /> ,MR » / RST NElarr PRESSURE FORMULA <br /> REMARKS! -_ LiO.E3 / LiB�.O TiEQtJxFit NET rsi <br /> coNN <br /> RESULTS <br /> TIIE,FAWL TEST PPYIOD AS SHOWN ON TIIE ATTACHED COMPUTER GENERATED DATA REFLECTS A <br /> LOSS / CAI OF: -Idk GALLONS PER HOUR, WITH A 99% CONFIDENCE LEVEL OF +/- ! CO-Z'-gph. <br /> THE HORNER EZY CHER II IEST METHOD COMPLIES WITH EPA AND THE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 GPH <br /> FOR TANK INTEqAITY TESTING. (SECTION 2643 CALIFORNIA CODE OF REGULATIONS) BASED UPON THIS STANDARD, THE RESULTS <br /> SHOWN ABOVE: l6fW DOES NOT INDICATE AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER THAN THE 0.05 GPR STANDARD. <br /> INTEGRITY TANK TESTING 6 RR'VIlICES, 166 FRANK WEST CIRCLE, STOCKTON, CA., 95208q6, (209) 666-8036 or (Bog) 263-8378 <br /> CERTIFIED TESTER V'l/ STATE LICENSE / qD�/�v3 <br /> TEST DATE <br /> 1 <br />