Laserfiche WebLink
WORKSHEET FOR SUBMITTAL TO GOVERMENTAL AGENCY <br /> NER/OPERATOR �� G1`Jk7�C��r �� SITE�ADI �f[Of ¢' <br /> OW <br /> li <br /> clrT r COON <br /> NAILING ADDRESS ��7 ��� PH 2; In' <br /> SITE AGENT 7?WM Y Al C 44,VoV TELEPHONE '(F)_ <br /> ARRIVED TEST 914 00 HOURS TANK LOCATION 6 / /9" TROD ICT C �G��(J�• <br /> DATE/IDM STORAGE FILLEDf /JV PRODUCT LEVEL AT ARRIVAL 2Z--[NCNES BELOtIlam! If + +TOT OF FILL NOMINAL LANK SIZE Lz2 <br /> TANK MATERIAL ,��„ArPROx, TANK ACAP 74TRS. FA <br /> ILLSIZE/TYPE 7' OVERFILL CONTAINMENT TTP <br /> Jr <br /> I E <br /> AFI GRAVITY .Q AT ,7 DF.G, F. - API CRAVIIT OFhZ 1 @ 6OF • COEFFICIENT OF ExrANSION OF ,000 Xf4f &, . COE p 7 <br /> VISABLE VENTING APPREARS TO BE ATT FILL ENO, FILL OPOSITE END, HAS BURP TUBE, HAS SALL CHECK UNKNOWN, OTHFR <br /> VISABLE VAPOR TRAPS TO BE SLED: FALL CHECKS, HANWAYS, RETURN LINES, OTHER <br /> PHASE II VAPOR RECOVERT SYSTENT BALANCED ASPIRATOR ASSISTED, LONG RUN <br /> A SIELLS, 11ANIFOLDEb, Pont, OTHER <br /> PUFIF'ING SYSTEMCtION: TURBINE HAKE j&_WNd&Tj ~ monn T�� FiPE LINE LEAK Detectors VES, No, NOT APPLIC <br /> CHARTED SIZE EST. LINE QUANTITY--! PRODUCT ADDM.TO rworO STSTM STSTEH TORAL GALLONAGE <br /> AMBIENT CONDITT4TONST TEND: PRETEST49 POSTESTSL SUNNI, CLOUD RAINING, SANDY, BREEZY, NIGHT, OTHER <br /> .4 PSI DROP/30NOM TEST`TO START(/So HOURS PSI TO It MAINTAINED ON TANK BOTTOM DURING TEST PERIOD i D PSI <br /> A. GRAVE TO TANK lulI <br /> D 8. GRADE TO TANK TOP QO yZ. <br /> C. TANK BIAVETER r� <br /> D. TEST LEVEL ABOVE GRADg 2 <br /> E. EXTERNAL CROtM WATER ABOVE TANK <br /> 80TTON 1». K .0361 PSI <br /> F. TOP OF FILL TO POOR. AT ARRIVAL <br /> AI s G. TOP OF FILLTO TOP OF TANK <br /> H. l"l'LRVEL•TD''eOTTW OF TANK <br /> WATER NSIGE <br /> C PSI PER mal of PROOULT O GtZ6/ <br /> TEST HEIGM PRESSURE POR}MA <br /> 1�E Ly/ <br /> PSl MET PSI <br /> REMARKS: . <br /> RESULTS <br /> IIE FINAL TEST PERIOD AS SHOWN ON THE AxTACT]ED COPTPUTER GENERATED DATA REFLECTS A <br /> g <br /> / GAIN OF: �-47pGALLONS PER HOUR, WITTY A 99% CONFIDENCE, LEVEL OF +/— .VW gph, <br /> THE HORNER EZAf�E <br /> D COMPLIES WITH EPA AND THE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 GPH <br /> FOR TANK INTEION 2643 CALIFORNIA CODE OF REGULATIONS) BASED UPON THIS STANDARD, THE RESULTS <br /> SHOWN ABOVE: ICATE AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER THAN THE 0.05 GPH STANDARD. <br /> INTEGRITY TANK-TESTING5 VICES, 41 WEST YOKUTS ST. STOCKTON, CA., 95207, (209) 474-1375 or (800) 262-8378' <br /> CERTIFIED TESTER STATE LICENSE # Zj TEST DATE <br />