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WORKSIIEEYFOR SUfBMITTAL TO GOVERNIIEN'TAL A-5tNCY <br /> DWHIAlOr ERATOR ���-/ v //Py« '-//�� :9,0/ � <br /> SITE ADDRESS <br /> CITY gy"aa'J coup ry <br /> NAILING ADDRESS .�y� P-Q)+Bo <br /> SITE AGENT L Z-k,4�1 ALT- TELEPHONE <br /> ARRIVED TEST SI / RCM TANN�E, LOCATION pp�/��'/�- PRODOCT <br /> DATE/IDLE STORAGE FILLED 29 <br /> // �P"pRODDCT LEVE, AT ANRIVAUYINCHES BELOW TOP OF FELL NUMIHAL T SIZE OOH <br /> TANK MATERIAL APPROX. TANK AGE�TRS. FII.LSIZE/TTFE49 <br /> �OVFJIFE STA ,//`f�g <br /> Ari GRAVITY 3q AT y 'DEC. F. - Art GRAVITY OF_.I,jT� ! 6OF . COEFFICIENT OF EXPANSION OF .BDo `fp�l,?3 . COE gSS <br /> VISABLE VENTING ATPREARS TO BE AT: FELL EMD ILL OTOSITE LND HAS BURr TILDE, HAS BALL CHECK, UMUIOWN, OTHER <br /> VISABLE VArOR TRAPS 70 BE BLED: BALL CHECKS, HARWAYS, RETURN LINES, OTHER <br /> PRASE II VAPOR RECOVERY "STEM: BALANCED, ASPIRATOR A86ISTED, LONG RUN WELLS, HANIFOLDED, NOIrCl OTHER <br /> PUMPING SYSTEM SUCIIDH TURBINE MAKE MODEL PIPE LINE LEAR Detectors TES, NO;; OT APPLY <br /> CHARTED SIZE �� EST. LIRE QHARTITf S PRODUCT ADDEDTO FLOOD SYSTEM �.J SYSTEM TORAI. GALLONAGE Al'05 <br /> AMBIENT CONDITIONS: TENT: rAETESTze-'-POSTESTJ± BUNNY, CLOUDY, RAINING, WINDY, PERM. NIGHT, OTHER <br /> .4 PSI DROrowHOURS TEST TO STARV&V MONKS PSI 70 BE HAINTAINED ON TANK BOTTOM DURING TEST PERIOD ,S•19 T ST <br /> A. CMrE TO TAME BOTTOM <br /> 1. CMDF TO TANK TOP J~GJa�f <br /> C. TAME OIALEILR _1 <br /> D. TEST LlYl1, A110V! OMD! <br /> eye — <br /> KTERNAL RATER MOVE TANS <br /> • !. E <br /> 1orTO7� IN. E .BSS: rst <br /> E. TOT OF FILL TO Mob. AT ARRIVAL t <br /> A� G. TOP OF FILL TO TOP OF TAME J� <br /> (CI\�J L � N. TTST.:12TEL'TO MTTOI OF TAM <br /> TT��// <br /> RARER I its C rSt PER TROT OF PAOPART D� <br /> TEST /RIGHT PRESSURE FORMULA <br /> N. rsl !. CSI NET rsi <br /> REMARKS: _%G IYJ���.9TUiPG' �,�l��JGS /'Ud�•'eT� � Tie!/ `/ j <br /> S�'A�D.o/.�C T1✓�Qt/ ,C/�L, <br /> RESULTS <br /> HE FINAL TEST PERIOD AS SHOWN ON THE ATTACU D COMPUTER GENERATED DATA RF,FLECIS A <br /> OS, / GAIN OF:/, 2, <br /> T GALLONS PER HOUR, WITH A 99% CONFIDENCE LEVEL OF +/— .00Z gph. <br /> THE HORNER EZY CIIEK II TEST METHOD COMPLIES WITH ETA AND TILE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 CFH <br /> FOR TANK INTEGSITY TESTING. (SECTION 2643 CALIFORNIA CODE OF REGULATIONS) BASED UPON THIS STANDARD, THE RESULTS <br /> SHOWN ABOVE: 1W DOES NOT INDICATE AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER THAN THE 0.05 GPM STANDARD. <br /> INTEGRITY TANK TESTING SE ICES, 166 FRANK WEST CIRCLE, STOCKTON, CA., 95206,,, (209) 466-8036 or (8-r00) 262-8378 <br /> CERTIFIED TESTER j a/1qy STATE LICENSE J /a ��O v-/ TEST DATE <br />