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WORKSHEElFOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> OlvNER/OPERATOR SITE ADDRESS�_R sBB LOc no Ga ,.� _ <br /> CITY S i o�c:i o,i, COUNTY Si4nJ TC7flG? Jl <br /> MAILING ADDRESS (_L--j PE.R <br /> SITE AGENT R 01yAR'oIce, T LEPIIONT <br /> ARRIVED TEST SITE(? HOURS TANK LOCATION/NUMBeR J6' <br /> ;RODUCT_ J!4 VASO <br /> DATE/TIME STORAGE FILLEII_ -'--PRODUCT LEVEL AT ARRIVALsda'/zTNCHES BELOW TDP OF FILL NOMINAL TANK SIL 1P 0(.) <br /> TANK MATERI I c pROX. AGF-5--yRS. PILL 512E/TTpE`__L_•._� OVERFILL CONTAINMENT TYpB v O•"-t'5' <br /> API GRAVITY ;;-`6 AT S 5 DEC. F. - API GRAVITT OF 55 6OF - COEFFICIENT OF EXPANSION OP: -Oo �n <br /> COE OF �? O 3 <br /> VISAB[E VENTING APPEARS TD BE AT: FILL EMD, ILL OppCSITE HAS BURP TUBE, UNKNOWN, HAS A BALL CIIECK, OTIIE <br /> VISOLE VAPOR TRAPS TO Be BLED: BALL aft!CKS, MANNAYS, OTHER�1�2 Q,gjc <br /> PHASE 11 VAPOR RECOVERY SYSTEM TYPB!(TIA-L-&EM ASP-IRATOR ASSISTED LANG RUN HELLS MANIFOLDeD NONE OTHER — <br /> PIWING STSTi": SUCTION MME QG'D MODEL 314 H, P PIPE LINE LEAK DETECTORS (i)H <br /> CHARTED TANK SIZE 0":k3 ESTIMATED LINE QUANTITfPRODUCT ADDED TO FLOOD SYSTEM�SYSIEN GALLONS TOTAL._ 1011-2 <br /> _ <br /> AMBIENT WEATID?R CONDITIONS: TEMPERATURE PRETEST�POST TEST_61 RAINING CLOUDY NIGHT OT11E W <br /> SYSTE4 FLOODED_HOURS ,1 p51 DROP30HOURS PSI TO BE MAINTAINED ON TANK MOTION DURING TEST PERIL - <br /> A. GRAnF TO TANK BOTTOM ! S$ <br /> Q 14 ' M. GRADE TO TANK TOP t I C) <br /> 6 Pii.[7� C. TANK DIAMETER/77/7777 <br /> 1 I fS <br /> ..•a <br /> D. TEST LEVEL ABOVE GRADE 13IW <br /> " G 35 ` 1` 8 yOM1� E. EXTERNAL GROUND WATER ABOVE TANK /y <br /> F BOTTOM IM. K .0361 PSI « Y� <br /> 'l P. TOP OF FILL TO PROD. AT ARRIVAL 2{c�Ic <br /> A sa 1 <br /> G. TOP OF FILL TD TOP OF TANK J 5 <br /> I j B H. TPST I.BVEL'TO BOTTOM OF TANK <br /> �+ WATER 1NSITE PSI PER INCII OF PRADUCT <br /> I TANK _" - TEST HEIGHT pRESSURE FORMULA <br /> - <br /> -H. PSl e. PSI NEr PSI <br /> REMARKS : _ E ArE- <br /> TIIE FINAL TEST PERIOD AS SHOWN ON 'HIE ATTACHED COMPUTER GENERATED DATA REFLECTS A <br /> S / G/IIIV OF:_ Q5� GALLONS PER HOUR, WITH A 99% CONFIDENCE LEVEL OF cf;k:) l <br /> USING THE HORNER EZY CIIEK II MET1101) OF TESTING THE RESULTS AS SHOWN ARE WT711y / <br /> NOT WITHIN TIIE STATE OF CALIFORNIA AND TTIE NFPA 329 GUIDELINES OF A MAXIMUM LOSS OR <br /> GAIN OF .OS GALLONS PER HOUR FQR A TANK SYSTEM TO BE CONSIDERED TIGTIT. <br /> INTEGRITY TANK "TESTING SYSTEPIS, INC. 166 FRANK WEST CP. <br /> STOCKTON, CA 95206 (209) 46 8036 or (800) 262-8378 <br /> CERTIFIED TESTER �'�—FEST DATE / <br />