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WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> DATE STORAGE FILLED TIME STORAGE FILLED +— /PRODUCT LEVEL ? ARRIVAL_& ; / PRODUCT :5-6- i <br /> TANK CAPACITY .^, .n�', AMOUNT OF PRODUCT ADDED TO FLOOD SYSTEM-p� � � f / <br /> �j n �� TANK LOCATION J/, .>��W <br /> REMARKS —� /�G-rJ� �> �5�"• f-1 r . <br /> LIfjUID LEVEL CAL TOP nr crrr m RTM nR Tnur .�......_ _____.._ ___—_ <br /> PRETEST POSTEST ._. '". . .`. __.. _. TAN L.lGa� / WATER PRESENT PRETEST POSTEST —t7 <br /> LINES 7 l� 7s _ �� TOP OF FILL T9 TOP OF TANK /L_/ INCHES ABOVE GRADE B TEST STAlZr. <br /> 3q TANK DIAMETER END <br /> OF l LLQ. TEMPERATURE CALIBRATIONS <br /> MOVEMENTli L /fi_ _3 A.P.I. PRODUCT GRAVITY /9 F GRAVITY OFJ7, 260 F <br /> AVERAGE <br /> 9, Sol X7.1. oco z'�6SS' Dot <br /> QUANTITY ADDED LINE 1gVEMEVT -LIQUID CONSTANT (A) COEFFICIENT OF EXPANSION z AN CAPACITY TEMPERATURE C(`NSTAN (B <br /> START END GAIN 4- TIMES LEVEL START END GAI^7t TL;fES TEAT.TIS LEVEL LEVEL LOSS - CONS A = RESULTS TEMP. TEMP. LOSS - CONS B = RESULT SULTS <br /> /7 li ••5 �/,<5' Col;7 '�n19/ . 89 y o S,aq� c lcay <br /> 3c 6.S o 5occb S9 g9� col t <br /> oaSl� , 6oy�sI <br /> y5 rc5 S -� - 895 . , 9 f,col 7ocs1Z oo�r �- - <br /> C 6f/ *mac/.� 7 89 . 8 yoo tplo ?`� !0089 a3d7� <br /> Cil. �� 66 - -c— ,8 S . 99 tcc -rCos/ s- roc !�- <br /> __ <br /> coQ7 <br /> E7d tcaSiJ- 0 038 S <br /> --7,,� HOUR OF d ' <br /> oWNER/OPERATORDyLO� n O ///9 r .� TESTING REFLE A LOSS GA OF: � C � 7 <br /> SITE ADDRESS . C�C^C� Lt), C '/�//' - . R EZY•CHEK METHOD OF PRECISTD}I TESTLNG Tiff RESULTS: <br /> AIT WZ=1-1 ARE NOT WlltLV THE STATE OF rALIFORNIA AND THE NFP.A <br /> MLIILING AO RFSS_��'t,P..-�.�c..(� YES OFA MAXIMUM LOSS'OF .05 GALLONS PER ONE HOUR OF - <br /> CITY <br /> �' �� TESTING FOR A TANK SYSTEM TO BE CONSIDERED TIGHT. <br /> INTEGRITY TANK TESTING SYSTEMS, INC 6 FRANK WEST CIRCLE <br /> COUNTY �'� �iy � STOCKTON, CA. 95206 466 3 (800) 262-8378 <br /> TELEPHONE (_ ) CERTIFIED TESTERc TEST DATE <br /> AGENT <br />