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WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> DATE STORAGE FILLED TIME STORAGE FILLED PRODUCT LEVEL A .ARRIVAL PRODUCT 1A-'�'�,.Y•K.�'/L• <br /> TANK CAPACITY 0 00 l AMOUNT OF PRODUCT ,ADDED TO FLOOD SYSTEM TANK LOCATION <br /> _ r A <br /> REMARKS <br /> LIQUID LEVEL CALIBR4TIONS TOP OF ,"•ILL TO BTM dF TANK WATER PRESENT PRETEST POSTEST <br /> PRETEST POSTEST <br /> TOP OF FILL TO TOP OF TANK INCHES ABOVE GRADE 1 TEST START <br /> LINES _ ____ _ - <br /> TANK DIAMETER END <br /> OF — _— _ _ — TEMPERATURE CALIBRATIONS <br /> MOVEMENT—— — — — — A.P.I. PRODUCT GRAVITY S_ F - GRAVITY OF 260 F <br /> AVERAGE <br /> OOoo <br /> QUANTITY ADDED NE YgVTM¢AT -LIQUID CUVSTANT (:\) COEFFICIENT OF EXP.4N5ION x TA' CAP, TEMQ"EPAI'URE iC)i SAN <br /> LIT \3 <br /> START END GABI + TlidES LEVEL START END GA—nl+ TTYES TEAIP. FIYAL <br /> Ti."£ LEVEL LEVEL LOSS — CONS A = RESULTS TEMP. TEMP, LOSS — CONS B = RESULT RESULTS <br /> oo . '/ oc ' C3 <br /> zfo l .320 JDo a,b I oi5� -;,�oa3 1 <br /> LY <br /> ci `f I,'oc� ��! <br /> r- <br /> i <br /> _ I <br /> J <br /> THE FINAL HOUR OF <br /> OWNER/OPERATOR JZ6,4 TESTING REFLECTS A LOSS / GAIN OF: <br /> SITE ADDRESS �'?'O C� !J "{T'a f `Z USING THE HORNER EZY CHEK MEIHOD OF PRECISION TESTING OD: RESUL5: <br /> APE W1=171 / ARE 30T WIT77M THE STATE OF CALIFORNIA .AND THE .VFPA <br /> MAILING ADP 5 .,��O 329 GUIDELINES OF A MAXIMUM LOSS"OF .05 GALLONS PER ONE HOUR OF <br /> CITY �.A` Ca— � Q � �/� TESTING FOR A TANK SYSTEM TO BE CONSIDERED TIGHT. <br /> INTEGRITY TANK TESTING SY MS, INC 66 FRANK NEST CIRCLE <br /> COUNTY STOCKTON, CA. 95206 09) i666(G4DAj,�,1�'(8'00) 262-8378 <br /> Tx <br /> ELEPHONE ( ( ) 913 /03 CERTIFIED TESTER TEST+l L TEST DATE <br /> - AGENT i <br /> ��„ a �� <br /> U <br /> Wim;8S <br />