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WS/OS z - - - <br /> WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY �((TANR LAYOUT ON REVERSE SIDE) <br /> < !J:/' yli rr ' fes i- <br /> TE1;::Rc F/I FIG iDLI: ,1 PDY.TQ° F___ :ANi: LocL::Oi /.(//,/7/✓-' 9 <br /> y /l//>! tY"CJ,Pc G.bt-? A��U.y1�J��T/�J•s ,�� ',�-Y �i1 w/� Ll7a��•�T rG <br /> /ac uG fv <br /> ��� PRODUCT <br /> :ANE WA::^. <br /> L:OE:P LLTL: CAL'EAd:I0N5 _ AMBIENT TEMP. PRETESTPOSTEST__ <br /> PEELS: POSIES. TOP 07 7:.1. TO LTn 07 :Litt �`- ��// <br /> l0 4� �.- (' WATER PRESENT PRETEST T POSTESTT <br /> LINES _3 TOP OF TILS. TO TOP Or TA3M ��Q� INCHES ABOVE GRADE @ TEST START <br /> Or :jf 11 — — — :AIM DIAHE:L[ -1- - <br /> novEnENz27 26 _ _ _ TL!PLSLTDu u Tsu'ToNs <br /> G U r - GNArZTY Dr�A, 9e6o: <br /> ZSR A.P.Z. ?RODDG: GIIAr:TPJL�,.��,._� qZ7 <br /> pz$ _ ys-G a voy 7G OOv Aczs :EHPEEYIIIIZ cuNSIAs (E) • <br /> 1 <br /> : <br /> — COEFFICIENT OF LZPANS ZON Lill LLP <br /> QLAR:::I ADDED LZNi nOTEMEAZ � LIOII ZD CONSTAR: (A) <br /> FI!CEL <br /> ��/ZS TrVEL LEVEL GAIN+ TlXrS jrVrI• TEMP. TEMP. GAIN+ TIKES TEMP- RESULTS <br /> T cMART END LOSS- CON A tSVLT START END LOSS- CON B RESULT <br /> TIME ¢ d//dYZ. EE <br /> EEO <br /> 90 I / 1- 7/ .,'.26M - 42614 3y /�/'o I . 84 I ooG I/, ,7 ' /4 s <br /> O 3S _ -o5�7 <br /> I7¢ -1--00 <br /> 1 . 7,p I-,vo9 00�7�8 o3L' <br /> /oz's I I I I I I 1 I <br /> THE If KJA fiaIIx =OF <br /> TES"T_TZG REFLECTS A LOSS/GE_F OF : <br /> OWNER/OPERATOR <br /> SITE ADDRESS /.3.z-1% <br /> HAILING ADDRESS USING THE SO ARE <br /> EZY GHEE METHOD OF PRECISION TESTING THE RESULTS <br /> A` ARE WITEIF / ARE NOT FZTEIR THE STATE OF CALIFORNIA AND THE NFPA <br /> CITY ,fT'-li✓ / / 329 GUIDELINES OF A MAF.IMUYY. LOSS OF .05 GALLONS PER ONE BOOR OF <br /> TESTING FOR A TIGHT TAREIS_S. 66 FRANK WEST CIRCLE <br /> 1 <br /> EC. _ <br /> COU):"Y /T4 fi�w� <br /> � INTEGRITY TAN): TESTING SYS:SY.S. INC. <br /> TELEPHONE ( ) -STOCKTON, CA. 95206 (20 466p-8036 (800) 262-8378 / / /� -) - • <br /> AGENT <br /> CERTIFIED TESTER. ,�/ TEST DATE <br /> . is <br />