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WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY (TANK LAYOUT ON REVERSE SIDE) <br /> VE7;T:AO F/5 F/[ DKS PDMF 5/R F--_�" TANZ: LOCAT:OL <br /> 4,4 Z ? <br /> .AAE .ARRC'^ f�tPRODUCT <br /> LTOD:D LLyE:. CALZIRATZOHS AMBIENT TEMP. PRETEST POSTEST� <br /> pRE:LS: P`OS;xS: TO? OF F:k TO RTn Ol,T1AL <br /> LIALf — � — WATER PRESENT PRETEST ��TEST� <br /> INCHES ABOVE GRADE @ TEST 92�RT <br /> az --- — <br /> - � :RAZ DIATL•TZR TECPLRt2DLE "a•.ZRRL'IDAS <br /> YOVEMLAZ — — <br /> AVERAGE A.Y.L. lRODDC GRAVITY ! <br /> ! GRATTTS O! !60! <br /> • :L .ZLf �OL.S Z <br /> QOAA:::I ADDED L:NI <br /> TEnPERL2URE GOHS:AK: (R) <br /> nOVEMEA: "QVZD CONS:AN: (A) GOEFF:C:EI:: OF EZPAR5:05 <br /> :AAi GIPAC::T - <br /> / �G7 r r TEMP. TEMP. GAIN+ TIMES TEMP. FIR BL <br /> TrVEL LEVEL GAIN+ TIMES LLEV L <br /> TIME S—ART END LOSS— CON A R=SUET START END LOSS— CON B RESIILT RESULTS <br /> 1 ..35 1 -4q I , cvzl <br /> Q[' 7I 7,4 1 -2 / I—S`' I 1— 1-311 <br /> 144 I-5 <br /> /U YD 13� I�—.acs I I - // , .ss� I..sr� 1-0�:.1 ,' •I-'���:�=�- :✓U4 �. <br /> I y I— Sc) I — .//: —cam I j5 'j I-•L'c%v ) 'I .G'�. 7 <br /> 15�c 77— <br /> S' 136' I - �u �o / S � I I-.o�•���zs -:/o��' <br /> 4� �" THE fIN HDIIR OF Z/G'�(� �s <br /> REF:ErTS. p , S5 vEIR OF: <br /> OWNER/OPERATOR <br /> SITE ADDRESS ' <br /> MAILING ADDRESS USING THE EO v _METHOD OF PRECISION TESTING THE RESULTS <br /> ARE G'I?fiIF / FCI wz:lr HE STATE OF CALIFORNIA AND THE AFPA <br /> CZSY - ��L'� `""' 329 GUIDELINES OF= OSS OF .OS GALLONS PER ONE NOVA OF <br /> TESTING FOR A T :AFT./S--- <br /> COUNTY <br /> INTEGRITY TANK TESTING SYSTEMS. INC. 166 FRANC WEST CIRCLE <br /> _ TELEPHONE ( ) STOCKTON. CA. 95206 (209) A66-8036 (800) 262-8378 <br /> ' DATE <br /> AGENT CERTIFIED TESTER. = �" --�'" <br /> ' <br />