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0 0 <br /> WORKSHEET FOR SU{+BHITTALTIO 'GOVERNMENTAL AGENCY <br /> OWNERIOPERATOR TCaI� �'"/GGIC c3 TFC SITE ADDRESS <br /> CITT G { COUNTY_ <br /> HAILING ADDRESS ��d/ <br /> SITE AG>xf7l <br /> iU�t1ET/� /�lf� TELFFHONE <br /> ARRIVED TEST SII{W755OURS TAASKyL]OCATION �DJ.fiS .� ��-PRODUCT <br /> DATEITI}IE STORAGE FILLED V V'w PRODUCT LEVEL AT A��RRRIyIVAL�INCfiES AELA41 TOP Of FILL HOHIRAL 7ANR SIZE <br /> TANK MATERIAL 1, APPROX. TANK A995 TRS. FILLSIZE/TYPE 4- OVERFILL CONTATMTM. TTPE <br /> API GRAVIT74fL AT bF.G. F. AFI GRAVITY 016 ✓/ g 60F - COEFFICIENT OF ExrANSION OF ,000-Ze!?7_1 - COE <br /> VISABLE VENTING AFPREARS TO BE AT FILL END FILL OFOSIIE END, HAS AURr TUBE, HAS BALL CHECK, E I'VER <br /> VISABLE VAPOR TRAPS TO BE BLED: BALL CHECKS, HANWAYS. RETURN LINES, OTHER <br /> PRASE II VAPOR RECOVERT SYSTEM: CED ASPIRATOR ASSISTED, LONG RUN {CELLS, HANIFOLDED, NONE, OTHER <br /> PUMPING SYSTEM: UCIIQON TURBINE HAKE/��f�� MODEL PIPE LINE LEAK Detectors TES, NO; T/APPLTC <br /> CHARTED SIZE �s-! EST. LINE QUANTTTT`O PRODUCT ADDED TO FLOOD SYSTF.?'I ,J+ SYSTEM TORAL GALLONAGE .3q O <br /> /49 <br /> AMBIENT CONDITIONS: TEMP: rRETEST10rOSTEST SUNNY, CLOUDY, RAINING, WINDY. AREFZY, NIGHI, OTHER <br /> .4 FSI DR HOURS TEST TO STAR'pLsjFu✓ROURS PSI TO BE MAINTAINED ON TANK BOTTOM DURING TEST PERIOD 3, FSI <br /> K. GRADE TO TANK 101M <br /> 1. CRADE TO TANK TOP Zf <br /> C. TANK DIAMETER " <br /> 6.Pi4.DE <br /> 71 � DTWT. TT LEYEL ABOVE GRADE ' <br /> E. J!XTEANAL GROUND MATER ABOVE TANK <br /> eOrraM iM. A .0361 1151 - <br /> f� J <br /> IF TOP OF FILL TO P900. AT ARRIVAL <br /> G. TOP OF FILL TO TOP OF TAMC <br /> N. TM7%tYL'L'T(F1OTYOM Of TANK <br /> C PSI PER THL11 OF PRODUCT Q� <br /> MATER ! Di! <br /> TAMC ^ / TEST !2107 PAPSSUICP FORI1fI1 A <br /> N. PSI E. rSI NET PSI <br /> REMARKS! ae <br /> RESULTS <br /> THE FINAL TEST PERIOD AS SHOWN ON THE ATTACHED COMPUTER GENERATrD DATA RrFI.EC'I'S A <br /> OS / GAIN OF:f.V�V GALLONS PER IIOUR, WITH A 99% CONFIDENCE LEVEL OF +/— � ckC>f Pph- <br /> THE HORNER EZY CHEK II TEST METHOD COMPLIES WITH EPA AND THE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 GPH <br /> FOR TANK INTEGRRT TMJ ECTION 2643 CALIFORNIA CODE OF REGULATIONS) BASED UPON THIS STANDARD, THE RESULTS <br /> SHOWN ABOVE: ES NOT INDICATE AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER THAN THE 0.05 GPH STANDARD. <br /> INTEGRITY TANK TESTING 5 RVICES, 41 WEST YOKUTS ST. STOCKTON, CA., 93207, (209) 474-1375 or (800)1 262-8378' <br /> CERTIFIED TESTER STATE LICENSE 0 ��� �,IaZ3 _TEST DATE ` C <br />