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WORKSHEL i FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> OWNER/OPERATOR ,- SITE ADDRESS—. t b`6� L oc+L17 C�Jrt <br /> CITY 5'C'z7c, COUNTY_ -- <br /> MAILING ADDRESS, Q-CSDF-6�'a- D <br /> SITE AGENT R«L,a TELEPHONE (Z�cS) 9J3 - <br /> O <br /> ARRIVED TEST SITE�C)D-"RS TANK LOCATION/N"ER=,! :] C� i cr•_. T PRODUCT /L- ��5�. _ T <br /> DATE/TIME STORAGE FILLE01 I I{3 j 4 i-4 RODUCT LEVEL AT ARRIVAL_1J�- INCHES BELOW TDP OF FILL NOMINAL TANK SIZE <br /> Y3 T�)q1.J ti <br /> TANK FUl1T:Rl PROX. ARS. PILL SIZE/TTPP ��1 OVERFILL CONTAINMENT TYPE - <br /> API f.RAVITV 5/.1 AT-53—DEG. F. - API GRAVITY OF-0-- U 16OF - COEFFICIENT OF EXPANSION OF: -OD0604 26 COE OF-(Q- -(Z-L Y- <br /> VISARLE VENTING APPEARS TO RE AT: FILL ENO, FILL OP TE ¢ HAS BURP TUBE, UNKNOWN, HAS A BALL CIIECK, UT11ER <br /> VISABLE VAPOR TRAPS TO BE %LED: BALL OIECKS. MAMWAYS, MEN �0 Aj 5' <br /> --- <br /> PHASE II VAPOR RECOVERY SYSTEM TYPE: BALANCED ASPIRATOR ASSISTED LONG RUN WELLS MANIFOLMD NON! CDR! <br /> Pt rmr SYSTEM: SUCTION / ZN MAKE flC Z Ll MODEL 3 / t P —PIPE LINE LEAK DETECTORS CH <br /> (11ARTED TANK SIZE I Q/::,.-. ESTIMATED LINE 9DANTITY 3 PRODUCT ADDP.D TO FLOOD SYSTEM_ I`-� SYSTEM GALLONS TOTAL <br /> AMIIENT WEATIER CONDITIONS! TEMPERATURE PRETEST't�POST TEST!' SUNNY RAINING CLOUDY WINDY NIGHT <br /> SYSTEM FLOODED O 1 3t7 HOUR9 .4 PSI DROP.LS7l4;)NOURS PSi TO BE MAINTAINED ON TANK BOTTOM DURING TEST PERIOD L L4 r a <br /> A. GRADE TO TANK BOTTOM / 5`{ - <br /> ( 6 /Zr <br /> t <br /> a. GRADE TU TANK TOP a�7 '` <br /> O C. TANK DIAMETER f�$ li4 <br /> D. TEST LEVEL ABOVE GRADE I IZ <br /> '. '"•= ; {, E. EXTERNAL GROUND WATER ABOVE TANK <br /> BOTTOM j.I99. K .031st PSI - <br /> P. TOP OF FILL TO PROD. AT ARRIVAL <br /> A « G. TOP OP PILL TO TOP Of TANK �� I <br /> H. TEST 1.1VEL'TO BOTTOM OW TANK L) l z- <br /> J, t <br /> CI I �� PSI PER INCH OF PRODUCT G.45� �7Lbi <br /> NATER INSIDE <br /> 4 TANK '�_^ - TEST HEIGHT PRESSURE FOR?IULA <br /> _ L '/7- ooZt. <br /> H. PSI B.. PSI NET F51 <br /> REMARKS : <br /> VIE FINAL TEST PERIOD AS SHOWN ON TIIE ATTACHED COMPUTER GENERATED DATA REFLECTS A <br /> LClS / G-ATN OF: !Q/ GALLONS PER HOUR, WIT11 A 99% CONFIDENCE LEVEL OF +/- . Q USiNG THE HORNER EZY CIIEK II ME1E10D OF TESTING TIIE 'RESULTS AS SHOWN A WTTIII.' / <br /> NOT WTT1fIN IE STATE OF CALIFORNI FPA 329 GUIDELINES OF ?CIMIRI L <br /> GAIN OF .05 GALLONS PER HOUR FQR TANK SYSTE TO BE CONSIDF.RE TIGHT. <br /> INTEGRITY TANK TESTING SYSTEMS, INC . 166 FRANK WEST CP,. <br /> STOCKTON, CA 95206 (209) )-8036 or (800) 262-8378 <br /> CERTIFIED TESTFR CZ_,TEST DATE 1�elvw <br />