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WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> DATE STORAGE FILLED -( I✓TIME STORAGE FILLED :�^ PRODUCT LEVEL a ARRIVALef? .oT,r PRODUCT <br /> TANK CAPACITY AMOUNT OF PRODUCT .ADDED TO FLOOD SYSTEM a - <br /> ANK LOCATION <br /> REMARKS Jep*-:.t 'i y(j•KJG 7 ` <br /> v <br /> LIOUIO LEVEL CALIBRATIONS TOP OF FILL TO BTM OF TANK /6(O WATER PRESENT PRETEST POSTEST�_ <br /> PRETEST POSTEST ✓ <br /> LINES % CJD Q(p TOP OF FILL T'0 70P OF T.1C7K �Q� � INCHES ABOVE GRADE 8 TEST START- <br /> LINES 1L , —_ /L TANK DIAMETERTEMPERATURECALIBRATIONS <br /> /..�jJ'- ENO <br /> OF LLL— _ L/ <br /> MOVEMENT 76 zg'2j — — A.P.I. PRODUCT GRAVITY /t 8 7'? F - GRAVITY OF.I •le86B F <br /> AVERAGE <br /> 3 77 <br /> ,o�S X5.3 ��0 33�c soaYY96� <br /> QUANTITY ADDED LLNE }K)VEMENT =LIQUID CONSTANT (A). COEFFICIENT OF EXPANSION x T CAPACITY = TE:'� RA C.N Ai (B <br /> G/7 START END GAIN + TIMES LEVEL START END GAI9+ Tins TE,%D. F.P7AL <br /> _ml;g LEVEL LEVEL LOSS - CONS A = RESULTS TEMP. TEMP, LOSS - CONS B = RESULT RESULTS <br /> 9 00 1 . 7 97 ,00f0359 o05zy <br /> sl 1cy -� - -�- .97/ 7� tool t00.3S9 <br /> v � .00359 <br /> ' "� d .00 J� 70? ,97 ''o03 to/o 78 �o i,2 I <br /> -o Sl t000�k3 7 76 'oo / I o03�9 oo3a6 <br /> /oA r '/C} I 'fl033 976 Jg f �� *oa7/9 ' o/ay9 <br /> /O?e 'y/ -.510 1 .3 ,qe , 973 -f- <br /> 7.2 <br /> 7.2 4eo,5- '7 1 79 . 97 rood oo3S9 ;ooS9' <br /> - '00 3 79 t 719 ac <br /> HOUR OF <br /> OWNER/OPERATOR�2 f►QnI ' l c.lN .1�,�Jn TESTING REFLECTS L / GAIN OF: <br /> SITE ADORESS Bio / W I .�, y �� RNER EZY CHEK METHOD OF PRECISION IESTLYG TI¢ RESULTS: <br /> / .� / ARE +SITE / ARE i107 WI_:7 7 THE STATE OF CALIFORNIA AND THE NFPA <br /> t�Qr / <br /> MAILING ADDRESS �} �LLYES OFA MAXIMUM LOSS OF .OS GALLONS PER ONE HOUR OF <br /> CITY �� <br /> TESTING FOR A TANK SYSTEM TO BE CONSIDERED TIGHT. <br /> �_ 31 � �� <br /> DINTEGRITY TANK TESTING SYSTEMS, INC 166 FRANK WEST CIRCLE <br /> COUNTY .c4r tl.-.�.. STOCKTON. CA. 95206 f:B9) 46 -80366 (800) 262-8378 <br /> TELEPHONE ( I ) 9 CERTIFIED TESTER f / �`yZa,�.t- TEST DATE (> ✓`� <br /> AGENT <br />