Laserfiche WebLink
WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> OWNER/OPERATOR �7U//Tj dfj�jLC� �7-�� <br /> 527E ADDRESS <br /> CITY /,�vilJ Cin 9�;3E� COUNTY <br /> �y <br /> NAILING ADDRESS <br /> SITE AGENT CCs c�e4 y`Jj��J cl�� 7 <br /> �yc TII.EPifONE �) �J � -/moo <br /> ARRIVp TEST SItrG"3 RD{Dt5 rA27[ LOCATION FROM /iiE Z xc� <br /> DATE/TINE STORAGE FILLED PRODUCT LEVEL AT ARRSvAL f71NCXES BELOW TOP OF FILL NOMINAL TANK SIZE le C5 �? <br /> TANK NATEALAI, a APPROX. TANK ACE . FILLSIZE/TYPE 41 OVERFILL CONTAI}>fU= TTPE <br /> API �` i <br /> 4itAVITT•�AT7� DEC. F. - API GRAVITY or!2_,_Z P 6OF - COEFFICIENT OF EXPANSION OF .000471--<, <br /> COC 73 <br /> VISABLE VENTING APPREARS TO-BL : FILL END, FILL OPOSIIE END, RAS BURP TUBE. HAS BALL CREpC, DIIRJOWIH, IHER <br /> i / <br /> vZSABLE VAPOR TRAPS 2D BE BLED: BALL CHECKS, NANWATS. RETURN LINES, DINER �- <br /> PHASE II VAPOR RECOrM SYSTEM: BALANCED. ASPIRATOR .ASSISTED. IANC RUN WELLS, HANIFOLDED. NONE. OTHER <br /> PUMPING SYSTEM: SOCTIOA, YORE IIiEi 1l.V¢ fin• PIPE L21IE LEAK DeteCtoLa.YES, TION <br /> /}� NOT APPLIC <br /> CRARITD SIZE %�90 EST. LIRE QUANYIIT/-::' PRODUCT ADDED TO.FLOW SYSTa1 STEM IDEAL CALLONACE <br /> AMIENT CONDITIONS: Ta@: PRETEST' POSIES? CLOUDY, RAININC. WIND BRE , IGRT, OTHER <br /> .Z PSE DROuyyC.�y���HOUES <br /> - <br /> TEST TO START,4. 1 _J -- <br /> OURS PSI TD BE MAINTAINED ON TANK BOTTOM DURINC TEST PERIOD - Si m PSI <br /> R. GRADE TO TANK IOrMN <br /> O� I. GRADE TO TANK TOP Tz- <br /> 6.tAOF C. TANK OIAWE7ER <br /> D. TEST LEVEL AIM CRAM <br /> • G /j e^ E. EKTERNAL CROUM WATER ABOVE TAKE <br /> F— IO/TCR .IN. Y AI{I PSI - '-J( <br /> F. TOP OP FILL TO PECK. AT ARRIVAL '-'/ <br /> TZ C. TDP OF FILL TO TOP OF TNR /^ <br /> H. TLST.'S VM_TV70ROw OF TAKE <br /> RATER I 17l C PSI PER IwO1 OF PRODUCT O <br /> TAM ... <br /> E / TEST/H/EIG(HT PRESSURE mm" nn/ <br /> REMARKS IZZZ,)17 � <br /> N. PSIa. ns Kar psi <br /> RESULTS <br /> E FINAL TEST P IOD AS SHOWN ON THE ATTACHED COMPUTER GENERATED DATA REFLECTS A <br /> OS / GAIN OFI--0Z GALLONS PER HOUR, WITH A 99% CONFIDENCE LEVEL OF &ph. <br /> THE TANNER EZY CHEK"METHOD COMPLIES WITH EPA AND THE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 GPH <br /> FOR TANK ANTECAUFORNIACOADREGULATIONS) STANDARD THE_THIS <br /> LTS <br /> SHOWN A 90 DES NOT DICATE AN UNAUTHORIZED RELEASE EQUAL TO BASED <br /> ®EATER THAN THE 0.05 GPH STANDARD <br /> INTEGRITY TANK TESTING DI OF CIL EQUIPMENT SERVICEP.O.BOX 950, SAW A NDREAS, CALIFORNIA 95249 (209)754-1808 <br /> CERTIFIED TESTER_��, i /�� LICENSE N_ DATE <br />