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WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> DATE STORAGE FILLED S'T'ORAGE FILLED�P"/ PRODUCI LEVEL ? .}, :J �(pitQJ' <br /> ARRIVAL /. „/ i0 PRODUCT '�. / n/ <br /> TANK CAPACITY J�,Q�(7 AMOUNT OF PRODUCT ADDED TO FLOOD SYSTEM _ �'IM-� TANK LOCATION <br /> REMARKS 2z <br /> LIQUID LEVEL CALIBRATIONS TOP OF FILL TO BTM OF TANK <br /> PRETEST POSTc5T WATER PRESENT PRETEST pOS1EST <br /> / q <br /> LINES "r'Z-� i 9O-- TOP OF FILL TO TOP OF TANK �? INCHES ABOVE GRADE I TEST START— <br /> TANK <br /> l �s 9r TANK DIAMETER END 2S•• <br /> OF 1111 - - / <br /> TEMPERATURE CALIBRATIONS <br /> MOVEMENT A.P.I. PRODUCT GRAVITY,./=5S-!�5k F = GRAVITY OF /1✓.',1 060 F <br /> AVERAGE - <br /> 5�/ i!9% no_G? yy/ 5� a oo �3c� s1' <br /> QUANTITY ADDED = LINE ;pVE.MEVT =LIQUID CONSTANT (A) COEFFICIENT OF EXPANSION x TAN CAPACITY - TEMPERATURE CONSTANT 7 <br /> START E2D GAIN t TIMES LEVEL START END GAIN+ 'TIIfES TEdT. <br /> TIPS LEVEL LEVEL LOSS — CONS A = RESULTS TEMP, TEMP, LOSS — COtTS B = RESULT RESTS <br /> ooi� C� . , ��l ',00i . 3oj <br /> �� I tocln lI 3rc/ , 362 00 / l �ocS a 0007 <br /> �Si � plc 7.2- <br /> 3�� ,3�i� X002 t �/obl �o ©3i�1 <br /> 4Yo 3 4 `/S �Yc tco7� , 3by . 365 tco% ! � cos, o tool 0 �/ <br /> c `oco5 <br /> J 7- If;cc� I tco/ rco�3 7;ooiq <br /> l06 S <br /> ,,tT69 L 37/ 'oo to/c� l 'Oo4��1 � <br /> HOUR OFD-2 S <br /> OWNER/OPERATOR TESTING REFLEC A LOS. GAPE OF: � <br /> $ITE ADDRESS =;2000 LZi L C/moi'-I RNER EZY CHEK 14ETHOD OF PRECISION :ESTr4G 721E RESULTS: <br /> AF' :JIT3L7 <br /> ARE 10T Wl=-'.V THE STATE OF CALIFORNIA AND THE NFP.A <br /> MAILING ADDj{ESS ,�C'4�-a-cP IVES OF.A MAKIMUM LOSS'OF .OS GALLONS PER ONE HOUR OF <br /> /��• TESTING FOR A TANK SYSTEM TO BE CONSIDERED TIGHT. <br /> CITY l <br /> INTEGRITY TANK TESTING SYSTEMS, INC 166 FRANK WEST CIRCLE -� - <br /> COUNTY STOCKTON, CA. 95206 (/�69j' 366-8/O/�jq ( 80) 262-3378 Q' <br /> TELEPHONE C— ) CERTIFIED TESTER "-�//I�L�.G(� / i/� TEST DATE <br /> AGENT <br /> /as <br />