Laserfiche WebLink
WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br />/7•� "--� 7 /V�cc.!/%G� .6iN�T/�S SITE ADDRESS/vol <br />S Ta Cs��JTt,cJ � <br />M11ILtRC ADDRESS_ <br />SITE ACOVT Tit, MA X=�)n-b <br />TELEPHONE O!QV _,0/1 <br />ARRIVED TEST SIyK�OROURS TANK LOCATION Zzo'CJ-1-VL <br />D PRODUCT <br />DATE/TIM S70MCL FIL Q Z7PR000CT LEVEL AT AAM/IVAL�2NCRL3 SEIAOATOP Or FtLL ROMIRAL TANK SrzP <br />TANK MATERIAL o�i � APPROR. TANK ACr/�T TRS. FILLSIZE/TTFE Y' <br />OVERFILL <br />CONTAIRtR/NT tTpE <br />API CMVITT S9 AT O 7 DEC. F. - AFI CRAVITT OF��% ! 6OF - GOEFFICILNT O! EKFARSION Of .000 rPSf FZ- <br />VISABLE VENTING ArpREARS TO RE AT <br />� cot <br />L EBD, ILL OPOSITE END. RAS SORT, TUBE, NAS BALL CHECK, ONKNOyN, OTHER <br />VISABLE VAPOR TRAPS t0 BE SLID: BALL cRECFS. MANWATS, RETURN LINES, OTHER I,+A04 r- <br />PRASE II VAPOR RLCOVERT STSrO{��>spIMTOR ABSISTED, <br />LORC RUN <br />W[L1.3, MMiFOLDED, ROME, OTHER <br />P"tRC SYSTEM C7t TURBINE MAKE I�D•C�✓E/!t/) MODEL 7?;� <br />IPC LIRE LPAK Detectors TES, RO AFIL <br />CHARTED SIZE EST. LI/wr gDARTITT /O PRODUCT ADDED TD MOM SYSTEM � St3TCN ttnw. GALLONAGE A!O LS <br />AMBIENT CONDITIONS, 7PlR: PRETEST t'p���JP��OS�TLST� CLOUDY, MINING. WINDT. SPERM( OTHER <br />4 PSI DRpr�ROORS TEST TO STAA;4; c rOpRq PSI TO BE MAINTAINED ON TAMC BOTTOM DORIHC TEST PERIOD _ 3 ._ _ <br />PST <br />. 4 / A. CRATA[ TO TANK BOTTOM <br />O B. EXAM TO TANG TOP E <br />s �,poF C.TANK DIABETES 4 S <br />.p -'I !/ D. TEST LEVEL ABOVE CRAM <br />{ _ _ R. ni"AAL CROWD RRTTR ABOVE TANK <br />7yz�3- Bona IR. K .0161 n1 . <br />,SAV d / r. TOP OF Flu TO PROD. AT ARRIVAL <br />A C. TOP of Flu TO TO► of TARE 4J 7 <br />I <br />7•S I R. TEST-3AM TRIOTTMI OP TAN/Kx�_, <br />RAISE L PSI PER INO1 OF ►RDOM. QCb� <br />RQIARKS: <br />TEST "EIGHT PRESSOR! FORMULA <br />N. ISI r51 NET PST <br />RESULTS <br />11E FINAL TEST P,5,RTOD AS SHOWN ON THE ATTACHED CONFUTER GENERATED DATA REFLECTS A <br />OS / GAIN OF;/'Lal I GALLONS PFR HOUR, WTT)1 A 997 CONFIDENCE LEVEL OF +/- I�b mph. <br />THE HORNER EZY CHER II OD COMPLIES WITH EPA AND THE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 GPM <br />FOR TANK INT! !NG. ( ECTION 2643 CALIFORNIA CODE OF REGULATIONS) BASED UPON THIS STANDARD, THE RESULTS <br />SHOWN ABOVE; NO INDICATE AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER THAN THE 0.05 GPM STANDARD. <br />INTEGRITY TANK TESTING SERVICES, 41 WEST YOKUTS ST. STOCKTON, CA., 95207, <br />(209) 474-1375 or (800p) 262--78/3J6 <br />CERTIFIED TISTER� STATE LICENSE 0 96 —/d 2,j TEST DATE O L / / / Q2- <br />