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WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL <br /> /AGENCY (TANK LAYOUT ON REVERSE SIDE)" <br /> CEF.::HL F/Z F/C IILN Put, S/P F-- :AH7. LOa::Of•�Z'{ � /�`, `� / <br /> C 4 f 4 q 7- = <br /> :ANL CLPA::T'. f/1�0 PRODUCT <br /> LID= LLt'LL CAL:EAATTONS AMBIENT TEMP. PRETEST � POSTEST,_— <br /> lRL:LS: tOS�FS: TOP OF T^ TO Z= OT - " <br /> WATER <br /> LINES - -- - TOi INCHES ABOVETGRADE E@TTfitTEST 9OTEST.__ <br /> �j - TECPLRITDRE r.•IERATIDNE ' <br /> AVERAGE A.T.I. lRODD C: CRAC:TT ! <br /> T OYAVIST O! l60T • <br /> e05 470 <br /> TElS <br /> QUAL-Z:I ADDED LIEL HOVEl:EET � LIQLZD CONSTANT (A) GOEFFIGZLE: OF LLPAESZOE :AEI CAPA:::I PEtL-IIRL COHS:AS: (8) <br /> ZV TEMP. GAIN+ TIMES TEMP. FIRgL <br /> LEVEL LEVEL GAIN+ . TIMES LL�rVr TEMP. <br /> TIME SART END LOSS— CON A AcSTFiT START END LOSS— COT B RESULT RESULTS <br /> 33In 8� I Z3 I-s- .00� I - i3il n I Eve -� >14, :00971" —:/2/37Z- <br /> -33 <br /> - <br /> i3 7 ( .3� I - � I —,/o/z_ cz� >03 I -oozl -,o9i�7 <br /> 7 ��+ 5 03 I60/ I-.xr� I- �mz /zi37 <br /> / 144 }'J`C — : �' ,���/ 7zY <br /> ;1,0,5.2 7L <br /> J YlLk <br /> j 7 <br /> r (Y=� 1 ,3 {- sv I - . // ss7 I;s 1-vo,71 �9r ,/v>��Z <br /> 7 1 9 I=sc) I - :i/ - I, sy keoz.l x,00. 7z�z <br /> o0z i5 s� I,5s/ l7 <br /> �c �y THE -FINST OF �� z <br /> Q/ j� TES IfiG tEFLED"_'S' P. S GEIm OF : <br /> OWNER/OPERATOR <br /> SITE ADDRESS <br /> MAILING ADDRESS USING TEE BO ...METHOD OF PRECISION TESTING THE RESULTS <br /> HE STATE OF CALIFORNIA AND TEE NFPA <br /> ARE F776TA <br /> CITY ��''- ��" 329 GUIDELINES 0 OSS OF .OS GALLONS PEP. ONE HOUR OF <br /> TESTING FOP. A T 7AAE/5 `3$ <br /> COUNTY /-C.li v.- �fi L«}-ur-�- <br /> Il:7ECAITY TANK TESTING SYSTEriS, IHC. 166 FRANKWEST CIRCL£ <br /> TELEPHONE ( ) STOCKTON. CA. 95206 (209) k0_8036 (800) 262-8378 <br /> AGENT CERTIFIED TESTER TEST DATE //I• <br /> //� � <br />