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WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> DATE STORAGE FILLED (�' `J / <br /> �'�'fI,ME STORAGE FILLED PRODUCT' LEVEL a ARRIVAL PRODUCT f� <br /> TANK CAPACITY 1s/ Ahl]UYT OF � <br /> PRODUCT ADDED TO FLOOD SYSTEM ,q q (� <br /> nn +!'-++ ' TANK LOCATION <br /> REMARKS �k�?c.C� <br /> Z v i <br /> LIQUID LEVEL CALIBRATIONS TOP OF FILL TO BTM OF TANK 7/ WATER PRESENT PRETEST �- <br /> PRETEST POSTEST FOSTEST rG <br /> �/L-7 ——— p/ TOP OF FILL TO TOP OF TANK �� INCHES ABOVE GRADE ® TEST START <br /> LIVES 5 /:3 I� J I �" <br /> !J/ g w� �7 TANK DIAMETER �f/r END _ .2.2_L_ <br /> OF L ^ <br /> i TEMPERATURE CALIBRATIONS <br /> MDVEw:NT3�z 3y _ _ � <br /> ,y3 A.P.1. PRODUCT GRAVITY- �0 q J� F GRAVITY OF.So" ?B60 F <br /> AVERAGE J •. <br /> —:�:� �cc,yycc.5 - <br /> ' QUANTITY ADDED LINE MOVEMENT •LIQUID CONSFANT (A) COEFFICIENT OF EXPANSION x TAN : E TURF INSTANT (B <br /> (/y START _ E27D CAIN t TIMES LEVEL START END GAT-V+ 'Tj- - TEyip <br /> TIME LEVEL LEVEL LOSS - CONS A = RESULTS TEMP, TEMP- LOSS - CONS B = RESULT RESUL <br /> • RESULTS <br /> ail ro Io5(c !�l.�� <br /> A1C- C6 :ool tccSJS 'ooSjg <br /> 90 0 ,oat cic.S� o l�a( .c 33iy <br /> c c l + <br /> � �co5J8' , oc.S38' <br /> ca S� <br /> HOUR OF <br /> _ <br /> OWNER/OPERATOR TESTING REFLEC p LGSS GAIT OF: <br /> SITE ADDRESS ER EZY-CHEK +¢TTiOD OF PRECISION TESTING THE RESULTS; <br /> n � � /� • - ls9T=w,'FG _Fm_OvIWriAl' <br /> L7E ,'70T JI:JI,7 IHE STATE OF CALIFORNIA AND TIE NFPA <br /> MAILING S —.�(' OFA MAXIMUM LOSS-OF .05 GALLONS PER ONE HOUR OF <br /> CITY rl 1 TANK SYSTEM TO BE CONSIDERED TIGHT• <br /> COUNTY ._.A ,r _ l•ri�r.^��� INTEGRITY TANK TESTING SYSTEMS, INC b FReWK WEST CIRCLE <br /> STOCK'fON, CA. 95206 09) 466 803 (800) 262-8378 <br /> TELEPHONE (_ CERTIFIED TESTER C TEST DATE <br /> AGENT <br />