Laserfiche WebLink
WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> DATE STORAGE FILLED TIME STORAGE FILLED�PRODUCT LEVEL a ARRIVAL- ' / PRODUCT -jr-6;—,C <br /> TANK CAPACITY ,Q�AhOUNT OF PRODUCT ADDED 7'0 FLOOD SYSTEM �.�s•tiCd TANK LOCATION vv/ <br /> REMARKS � <br /> LIQUID LEVEL CALIBRATIONS TOP OF FILL TO BTA OF TANK Ane, <br /> WATER PRESENT PRETEST POSTEST --(Fl— <br /> TOP <br /> POSTEST -f c� <br /> LIVES ,�y ig�0�—_ J/ TOP OF FILL TO 70P OF TANK �f/u INCHES ABOVE GRADE 8 TEST START <br /> OF $o 3tT/ 3� TANK DIAMETER // END cl-� <br /> MOVE 9 '1d '/C_ — _I 9 <br /> TEMPERATURE CALIBRATIONS -� <br /> A.P.I. PRODUCT GRAVITY07SI 3 7�= GRAVITY OF- �96,) F <br /> • AVERAGE <br /> QUANTITY ADDED — LINE MOVEMENT =LIQUID CONSTANT (A) COEFFICIENT OF EXPANSION z TA,: lYl '.iPACITY = TE:�ERATUAE SNST,LVT �B <br /> �30 START END CAIN + TIMES LEVEL START END CAI7+ T1,1ES TE"�. FTVAL <br /> TIME' LEVEL LEVEL LOSS - CONS A = RESULTS TELE TEMP, LOSS - CONS B = RESULT RESULTS <br /> 8 f 3/ ,3S tj` 3o .-633 foo3l6 113 oi5,3`t <br /> 33-:3 "5,3 7 Yob' 'o 510y5' o/ya o <br /> Z/i' f7 *oo203 .337 ,3 6 too3l TofSB;' ob r I I <br /> �3a 5'7 <br /> 57 <br /> I r <br /> S7 70 T/.3 I fo /677 ..3V I , 3Y7 �OOY 4"b�OYS Sir <br /> .o 0-5 <br /> /o ?D 70/ y I '"ol16/ 3Y7 ,3.5'/ tooS� to. oYS� X0083`/ <br /> lois 7 9' ,3s� , 3SS ',00v to3o5`5' lc�;,ia 13 <br /> s/O8 7 93�p �" t o 07 7Y ,35.5 ,,.359 oo% �'o?o 1 <br /> 1 HOUR OF — <br /> OWNER/OPERATOR TESTING REFLECTS LOSS GADI OF. ' <br /> SITE ADDRESS - Q W t W ( RNER EZY CHEK METHOD OF PRECISION TESTING 111E RESULTS: <br /> —� .L4E JI"9�.7 % ,LAS .•707 a7^.?Z4. THE STATE OF CALIFORNIA AND 'IHE NFPA <br /> MAILING gE55 SINES OF7 MAXI.MUM LOSS OF .05 GALLONS PER ONE HOUR OF <br /> CITY ( TESTING FOR A TANK SYSTEM TO BE CONSIDERED TIGHT. <br /> INTEGRITY TANK TESTING SYSTENMS, NC 66 FRANK WEST CIRCLE <br /> COUNTY STOCSN, CA. 952.06 209) 46 80 6 (800) 262-8378 TEST DATE <br /> TELEPHONE (_ ) CERTIFIED TESTER /� (JSa' <br /> AGENT <br /> w�;sr, <br />