Laserfiche WebLink
WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> - DATE STORAGE FILLED�<6 ;J31TNE STORAGE FILLED PRODUCT LEVEL I ARRIVAL // //_ PRODUCT <br /> TANK CAPACITY ere; .LNOUVT OF PRODUCT ADDED TO FLOOD SYSTEM TANK LOCATION <br /> REMARKS <br /> i <br /> LIQUID LEVEL CALIBRATIONS TOP OF FILL TO BTM OF TANK PRESENT PRETEST POSTEST <br /> PRETEST POSTEST <br /> ✓S �� pl1) TOP OF FILL TO TOP OF TANK i/� INCHES ABOVE GRADE @ TEST START 3/ <br /> LINES ✓ / y� END _ �J �h�`• <br /> TANK DIAMETER <br /> OF 7J,� 77 -Y - TEMPERATURE CALIBRATIONS <br /> tpVF_MENT!�'35�_ 7� A.P.I. PRODUCE GRAVITY 9 F = GRAVITY OF / /� @60 F . <br /> 57 <br /> AVERAGE <br /> QUANTITY .ADDED LINE MOVEMENT =LIQUID CONSTANT (A) COEFFICINT F EXPANSION z TAX CAPACITY TEMPERATURE CONSTANT-MB <br /> START END GAIN + TIMES LEVEL START END GAP]+ 'TP.dES TE1kal. FIVAL <br /> TIME LEVEL LEVEL LOSS - CONS A = RESULTS TEMP. TEMP. LOSS - CONS B = RESULT RESULTS <br /> 9 7 e� ��/ 'o lS� ,95/� , gY� 'ao %8 91 'oc975" 'o eY Y6 <br /> �5 7` to � G 'o/! 956 7 too! Y-oc�fy7 'o 137 <br /> 60 '9 %/3h Y7 y6 'ool ;ao5(?7 'oc773 <br /> 9is S '7 hoc 28 5'6 ,9y Sao i �a os�37 %a`/93 0,5999 <br /> q a 73 1/7 %oY87 ;oc3S_3 % <br /> y� 7 67 "oc 191& 19913 'oo! ' c`13 ooa/3 <br /> 0 'o0 95/ g/�l 93 S <br /> /0� 31 '7 Le <br /> / HOUR OF S� JS <br /> OWNER/OPERAT'OR TESTING REFLECTS LOSS GAIN OF: <br /> SITE ADDRESS [JRNER EZYCHEK METHOD OF PRECISION TESTING THE RESULTS: <br /> AID? W= . / A�7E' LVOT W=177 THE STATE OF CALIFORNIA AND THE NFPA <br /> MAILING ADD S /.x-'�+"�^ LINES OF.A MAXIMUM LOSS OF .05 GALLONS PER ONE HOUR OF <br /> �i TESTING FOR A TANK SYSTEM TO BE CONSIDERED TIGHT. <br /> CITY <br /> INTEGRITY TANK TESTLYG SYSTEMS, INC 166 FRANK WEST CIRCLE <br /> COUNSTOCKTON, CA. 9520;�/yy���{9) 66 8p/!3/6�J �(8�00) 262-8378 7 Jam('/ <br /> TELEPHONE (_ ) CERTIFIED TESTER//,'/��, ll1C/Jti� TEST DATE �`� <br /> AGENT <br />