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WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> (TANK LAYOUT ON REVERSE SIDE) <br /> TENTING F/E 4�y DZN PDY.F/S I7 FLL_�" TAut' LOCATION <br /> LL:.ARKs <br /> /�,—T n n <br /> L CAPAC:TT PRODUCT <br /> ,AN <br /> LIO= LEVE: CILIERACIONS <br /> PRLTES: POs:LS: �/�.y <br /> ��// /�/ T07 OF TIL:, SD ETIf 07 T19Z L.S.iL / WATER PRESENT PRL:LST_705SLSS <br /> OF <br /> 3_ W SOf OF FTI.:. SO 707 07 TABZ Jkz ZNCEZS AEOVE CZJDZ ! TEST ETAXT-21 <br /> novLrLRT1L���y _ 37/v�l AHL aIA1ff:Z2 7,/ . <br /> pp <br /> TEL- <br /> 1 L: <br /> ELL-URE CAERI:IONS p <br /> AVERACE ✓Oir + A.P.I. PRODUCT CRAV::T ,J/ � 1� 7 - CZACITT OP2T�l6oP • <br /> tl�,00Y35��s x /2,-5,0 0 - <br /> • s22 <br /> Q� <br /> QUANT-71 ADDED LINE MOVEMENT LIQUID CONSTANT (A) COEFFICIEN: OF LZPANSION IAN CAPACT:I TEMPERATURE CONSTANT (8) <br /> LrVEL 1F ➢, FI)CAL <br /> LSV L LEVEL GAIN+ TIMES Lit y TEM_ TEMP, GAZN+ TIMES TEMP . <br /> TIME S=ART END LOSS— CON A ..St1.T START END LOSS— CON B = RESULT RESULTS <br /> , (� �?_I. 6r0I ,o6Zl `-to ;1_7 ' <br /> ' <br /> I _'605.2 <br /> his I S ST -.e /9 7 <br /> $/,51 57 I I 1 '0006.5 I I , / <7 X605! <br /> .SS ISO I -'/ I I 10046 I 31 0 / I I' S 2 . 6 Z <br /> THE -FINAL F 'I <br /> TESTING REFLEUTS A LOSS GA127 F : <br /> OWNER/OPERATOR <br /> SITE ADDRESS -70(9 CL.) f il2G-! <br /> MAILING ADD} 5 <br /> ORNER ECI CHER METHOD OF PRECISION TESTING THE RESULTS <br /> CIT" �.,L -��+�, , ARE F__EIR / ARE NOT ;':THIN THE STATE OF CALIFORNIA AND THE RFPA <br /> LINES OF A MAXIMUM. LOSS OF .05 GALLONS PER ONE HOUR OF <br /> COUNTY TESTING FOR A TIGHT :A17i:i cpSPEY.. <br /> TELEPHONE ( ) l INTEGRITY TANK TESTING SYSTEMS, INC. 166 FRANK WEST CIRCLE <br /> STOCKTON, CA. 95206 209)96 B0 6 (800) 262-8378 Q7 <br /> AGENT CERTIFIED TESTER' L L / 9 �TEST DATE �% / <br />