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OIL EQUIPMENT SERSE <br />Division of Keith A. Tallia, Inc. <br />• <br />STATE LICENSE No. 323417 <br />CLASSIFICATION: A-HAZ., C61D40 <br />STATE ENVIRONMENTAL ASSESSOR No. 0'1781 <br />Teiephone: (209) 754-1808 <br />Fax: (209) 7545726 <br />Post Office Box 950 <br />USTest 2000IP 750 Industrial Way <br />SAN ANDREAS. CALIFORNIA 95249 <br />PRECISION TANK TEST(S) EVALUATION REPORT <br />THE US Test 2000 $vstem declares a tank to be leaking when the measured lean rate exceeds the threshold of .05 gph and has a probability of false <br />alarm of <1% and a probability of dztection of> 99°/a. Champion assumes no responsibility for product leakage. Our responsibility extends only to <br />the testing of tanks as to tight or not tight, as of the date and levels tested. <br />Date: I - o ' <br />Site ID: CM �ti3 <br />Operator: <br />Site Address: i-st-IC I n :� r` <br />City: ''771:111 LIL V State: W , On Job Site Time: y�CsU <br />zip: Phone: Off Job Site Time: <br />TEST TEST <br />LEVEL RESULTS <br />i -»- Pass,�Fail ❑ <br />2 <br />% Pass IJ Fail ❑ <br />3. % Pass ❑ Fail ❑ <br />4. % Pass ❑ Fail ❑ <br />TEST <br />TEST <br />ULLAGE <br />RESULTS <br />1. % <br />l,t ; 1 -L-Pass 'Fail ❑ <br />2. % <br />Pass ❑ Fail ❑ <br />3. % <br />Pass ❑ Fail ❑ <br />4. % <br />Pass ❑ Fail ❑ <br />LINE TEST RESULTS <br />Amount of Product <br />Wait Time Before Precision <br />LINE LEAK DETECTOR <br />To Be Delivered <br />Tank Test <br />1. Pressure <br />❑ Suction m <br />Pass X Fail <br />❑ <br />- <br />1- til 1 P► Pass <br />❑ Fail <br />❑ <br />2. Pressure <br />❑ Suction ❑ <br />Pass ❑ Fail <br />❑ <br />2. Pass <br />❑ Fail <br />❑ <br />3. Pressure <br />❑ Suction ❑ <br />Pass ❑ Fail <br />❑ <br />3. Pass <br />❑ Fail <br />❑ <br />4. Pressure <br />❑ Suction ❑ <br />Pass ❑ Fail <br />❑ <br />4. Pass <br />❑ Fail <br />❑ <br />TANK INFORMATION <br />Any <br />Amount of Product <br />Wait Time Before Precision <br />TANK # 1. 2. 3. <br />To Be Delivered <br />Tank Test <br />DIAMETER Q �'' <br />75%-90% <br />20 - 36 hours <br />VOLUME <br />50%-75% <br />14 - 20 hours <br />PRODUCT <br />25%-50% <br />8 - 14 hours <br />TANK TYPE <br />5%-25% <br />6 - 8 hours <br />PROD LEVEL <br />Amount of Last Deliyery = <br />%of Tank Capacity - Time - Date <br />DIFF'/ VOL ': 1 <br />Tank 1 `I (moo <br />] _ <br />WATER IN TANK <br />Tank 2 <br />WELL POINT <br />Tank 3 <br />GRND WATER _ <br />Tank 4 <br />Minimum Test Time From Differential Volume Chart - ( Min.) <br />Tank 1:40 Tank 2: <br />Tank 3: Tank 4: <br />COMMENTS.- <br />OMMENTS: <br />Any additional tank testing information requested by your office is on file at Champion Precision Tank Testing_ Fuel delivery slips are <br />on file R7th Tank Owmer. <br />TECHNICIAN: William Campbell CA - LIC. 98-1324 - SIGNATURE. DATE: <br />