Laserfiche WebLink
WORKSFOR SUBMITTAL TO GOVERNMENTA*NCV <br /> OWNER/OPERATOR %�� /� �TSITE ADDRESS <br /> CITY .l. 7-z? _�7rf - COUNTY --�'V�f CLQ1�✓�/L1 <br /> HAILING ADDRESS <br /> SITE AGENT /�/v� Pl G�. 4�/C•f TELEPHONEll <br /> ARRTVF:D TEST SIQSll�HOURS TANK LOCATION O,QT //v'�- PRODUCT <br /> DATE/TIME STORAGE FILLED RODUCT LEVEL AT/ARR1VAL INCHES BELOW TOP OF FILL NOMINAL TANK SIZE <br /> TANK MATERIAL - � A.PPROX. TANK AGf?' 7/1TRS. FILLSIZE/TYPE 4 OVERFILL CONTAIN= ME /- <br /> AFT GRAVITTB/Z'G AT,&,Y DEG. F. - API GRAVITY OF ire � @ 60F - COEFFICIENT OF EXPANSION OF .000 z-=f 2-/`f t - COE6 <br /> VISA-BLE VENTING APPREARS TO BE AT: FILL END, ILL OPOSITE END, NAS BURP TUBE, HAS BALL CHECK. UNKNOWN, OINF_A <br /> V£SAELE VAPOR TRAPS TO BE BLED: BALL CHECKS, HANWAYS, RETURN LINES, OTHER <br /> PRASE II VAPOR RECOVERY SYSTEM: ALANCED. ASPIRATOR ASSISTED, LONG RUN N'EI.LS, MANIFOLDED, NONE, OTHER <br /> PUMPING SYSTEM. SUCTION, TTIRBINE HAKE /'� 2 /TJ r NODE) PIPE LINE Lux Detectors YES, NO 44OT APPLTc <br /> CHARTED SIZE 13 EST. LINE QUANTITY/61 PRODUCT ADDED TO FLOOD SYSTEM & STST TORAL GALLONAGE <br /> ..J <br /> "I ) <br /> AMBIENT CONDITIONS: TEMP: PRETEST. POSTEST l SUNNY CLOUDY, RAININ , INDY NIGHT, OTHER. <br /> .4 PSI DR nOURS TEST TO STARYT�DHOURS PSI TO BE MAINTAINED ON T BOTTOM DURING TEST PERIOD -�, MPSI <br /> �L9 <br /> A. GRADE TO TANK BOTTDH <br /> - <br /> D � b. GRADE TO TANK 'COP <br /> C. TANK DIPAMrER <br /> E' <br /> D. TEST LEVEL ABOVE GRADE <br /> 8 � _ E. EXTERNAL cRf1I1HD WATER At1aVE TANK - <br /> G� /3� BOT-rp{ IH. x .0361 r5I - <br /> /�/ L F. TOP OF FILL TO P900. AT ARRIVAL <br /> G. TOP OF PILL TO TOP OF TANK �� <br /> �r <br /> H. TM7.L8VEC'T0"bOTIOM OF TANK --,c . <br /> C r+ PSI PER INOI OF PROWCT - . <br /> HATER INSIDE <br /> TANK •.. " J TEST HEIGHT PRESSURE FORMULA <br /> E f 3� <br /> / % x <br /> H. PSI E, FS[ NE7—Ps <br /> RMARKS <br /> RESULTS <br /> E FINAL TEST P -RIOD AS SHOWN ON THE ATTACHED COMPUTER GENERATED DATA REFLECTS A <br /> LOS I GAIN OF.',In _ GALLONS PER HOUR, WITH A 99% CONFIDENCE LEVEL OF +/- gPh. <br /> TEE HORNER EZY CHrSTINO. <br /> 0 COMPLIES WITH EPA AND THE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 GPE <br /> FOR TANK INTEGR SECTION 2643 CALIFORNIA CODE OF REGULATIONS) BASED UPON THIS STANDARD THE RESULT <br /> SEOWN ABOVE: INDICATE AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER THAN THE 0.05 OPH STANDARD. <br /> INTEGRITY TANK TEICES, P.O.BO% 691376 STOCKTON, CALIFORNIA, 95269 (209) 474-1375 or (800) 2622--81378 <br /> CERTIFIED TESTER STATE LICENSE M EST DATECJ�!V <br />