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H <br />HORNER EZY CHEK PRECISION LINE TENT WORKSHEET <br />1.f <br />OWNER/OPERATOR WNER/OPERATOR _ .�?i.� � /.�1.a.e —SITE AGENT c>.f <br />ADDRESS Av TELEPHONE <br />LINE CONNECTED TO TANK- ���—LINE HAS PLLD z'E.� �" O _,U[,1 IOI J L11 il.- <br />LINE DISPENSES D,-S�. '4-/,e- - APPROXIMATE LINE LENGTH_ �� E,1'T <br />TURBINE MAKE .�6 a --� DISPENSER 1;/ MAKE <br />TANK TEST EQUIPMENT TO BE IN PLACE DURING LINE TEST 1 ES� N' - <br />LINE TO BE TESTED WITH LINE BLOCK IN PLACE OF PLLDE:- iY0 <br />TURBINE OUTPUT PRESSURE -75 z- SI TEST PRESSURE TO BE <br />TEST PRESSURE APPLIED AT HOURS IMMEDIATE LINE DROP <br />TIME LINE SRT LINE END X .0037 RESULTS EST GPH MONITOR ACCUM. (-,PH TEST <br />// f,5-- 9W' -t-- 9-4 <br />//Jo 2d _ —_ 8.-3yL <br />//45 <br />/?Act) F-3 <br />53 <br />-- &'OY�J ---, po T, -;X. <br />—, oeaf 9 <br />err 00 5'7 <br />/215 8"2-- — a0Y9 -' a C) a�r <br />AT ,���` <br />LINE INCREASE WHEN PRESSURE R IOVED TfiTAL�'o5'7PII <br />BASED UPON CURRENT STANDARDS THE GPH DATA AS SHOWN ALLOWw'- U �� . O`Y <br />THE LINE TO BE CONSIDERED TIGHT. <br />20 "`a Z'� 3 17Zfi!,3. <br />TECHNICIAN LICENSE NUMBER TEST DAT -F - <br />INTEGRITY TANK TESTING SERVICES P.O. BOX 691376 STOCKTON, CALIFORNIA 95269 <br />(209)474-1375 (804)262-8378 <br />