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/� WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY ' J <br /> ' DATE STORAGE FILLED 7 ��TIME STORAGE FILLED U'0//PRODUCT LEVEL 3 ARRIVAL ��� �-'� PRODUCT <br /> s li W255- "- <br /> REMARKS // <br /> TANK CAPACITY <br /> ,��O AMOUNT OF PRODUCE ADDED TO FLOOD SYSTEM ���� TANK LOCATION W�`T <br /> REMARKS <br /> LIQUID LEVEL CALIBRA ILL TO BTM OF TANK .7�yL- �6 / WATER PRESENT PRETEST�POSTEST �l/q S <br /> PRETEST POSTES <br /> OP 0 FILL TO TOP OF TANK j� �3 INCiES ABOVE GRADE 3 TEST START �Z' <br /> LINES _ C3 , aJ_ 4' _ AUG 1 (D 198 TANK DIAMETER END <br /> OF T�ZO_1� TEMPERATlJRE CALIBRATIONS <br /> -- — -ENVIROMENTAL HEALTH <br /> MOVEMENP�— L �PERMIT/SERVICES. � A.P.I. PRODUCT GRAVITYC�8 �0 F . GRAVITY OF_ff-0860 F <br /> 4,S P� 63 �y6 <br /> • AVERAGED„ C / 2 /Y 600 ��O 2j0 • /O j _ <br /> . O�GL3�/'�� S ooU4.3sss �-.;=c /O <br /> QUANTITY ADDED ME MOVEMENT =LIQUID CONSTANT (A) COEFFICIENT OF EXPANSION x TANK CAPACITY TEPQ'ERATURE .NS�`iI�IR� <br /> START END GAIN + Tl ES LEVEL START END GAIN+ 'TIMES TEMP. FINAL <br /> TIME LEVEL LEVEL LOSS - C01S A = RESULTS TEMP. TEMP. LOSS - CONS B = RESULT RESULTS <br /> 74 <br /> G�� <br /> .ocn' <br /> ,60.J� � S — � - Ooag' ,v�✓ iia a ��^ ,��� ._.voo S� <br /> • D.�O S? S� -�� iODO� - ,OOd4 ( sr 9= xz �omi!-, - -Oco � <br /> THE FINAL HOUR OF <br /> OWNER/OPERATOR ��/�-`�'�' " 'oTESTING REFLECTS A O.S \ CAIN OF: <br /> SITE ADDRESS !'!/0��� .L✓/F7':Pi� RNER EZY CHEK METHOD OF PRECISION TESTING THE RESULTS: <br /> WMM'/ ARE NOT W=TF THE STATE OF CALIFORNIA AND THE NFPA <br /> MAILING ADDRESS X F' �. -S �'/%`�V�.� `f�/ 3 LINES OFA MAXIMUM LASS'OF .05 GALLONS PER ONE HOUR OF <br /> CITY TESTING FOR A-TANK SYSTEM TO BE CONSIDERED TIGHT. <br /> INTEGRITY TANK TESTING SYSTEMS, INC 166 FRANK WEST CIRCLE <br /> COUNTY STOCKTON, CA. 95206 (209) 66f6/036 (800) 262-8378 <br /> G D�...� -• l/ ! i CERTIFIED TESTER / '� TEST DATE �/ s <br /> TELEPHONE ( ) yJ <br /> AGENT <br /> e <br />