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WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY (TANK LAYOUT ON REVERSE SIDE) <br /> VEI;::NO F/I F/GULF cUmTc,4! F-':.: :ANL LOC4::01: �/�J�% ��(L�✓i✓ .sCJ CG 3dJ1 Qr�.i-/-e-.�=��- /cr..IGJ%'��' ,.. <br /> LE:u.: <br /> J(/ 7 ✓/sf1/'�C /'-` / L7.1'� is T- T//lir' %-•/ r" T:i.(J/_ =/ �.v,_S�/ �cI'c:.� .-uo. -/' <br /> TANK CAPAC--- � PRODUCT <br /> LIOU:D LL9E: CAL:B%:IONS ✓ AMBIENT TEMP. PRETEST ¢/ POSTEST ¢'7Z <br /> PL':IS: POSIES: TOS OF T=L TO HTY OS :ARZLi-6/.Z <br /> Lim 5-7.52 4 - WATER PRESENT PRETEST / POSTEST�Y <br /> — — — To7 of r:LL TO TOS o7 :ARLa 1/ T.QcJK J'L/ START <br /> Or 26 �4 /f- -- TARE DLAfff:L2 "/3/2 _ INCHES ABOVE 020S @ TEST <br /> M09ffi / ,sem - TE!!SLRATURI CA TBLL-IORS ' <br /> L9ELGL a2�64 A.S.I. SRODUC: CRA9::Y 4 / ! « r - GRA9LTY 0? /t_l607 <br /> os a9,�� y�i6frs lcc � ,-- �� - z <br /> QOAK-::I ADDED L.:I:L ACYLKLKI L:QCLD CONSTANT (A) COEFF:LLEH: OF LT9AH 5:0H :AHI LAPAL::I :Ei'PEYA:ULZ CONS:AS. (8) <br /> Og36 + r r r LrVrT TEMP. TEMP. GAIN+ TIMES TEMP, FIF.AL <br /> SiARL LEND GAIN+ TIMES � R�St1iT START END LOSS- CON B - RESULT RESULTS <br /> TIME S=ART END LOSS- CON A <br /> 0805 6Z I � �` I � ooi ;0 70 .a� 1..220 1 ,e)o 1 4.�G� -,03405 -.oizy <br /> Dyoo S7 169 I -�3 I I-,o3�6 220 1 . 2/Z ov8 I o3fi9i �. aQoz�Z <br /> 1-70el70 I . Z/L I .2D6 I-.o<)6 o?9/5f - D / 7�JG <br /> Oy 7S I >0 1-25 1 -. o¢z zob I ./ 1-007 1 0340 -, 00795 -,n; 57 <br /> ooa 90 1 67 I-� 3 I I-•o3�6 /931 ./ k-40,61 -.ate/' - o�rs6 <br /> &7 1 41, -2� 1-,03,5-Zs- <br /> 46 <br /> -,OdSz� <871 .I�Z�YJOS <br /> i I 46 l as 1-2-1 �22i6y -,O3sz�? 02432 <br /> , THE -rINAL-nm OF <br /> /�7 `•���- TES"'IfiG <br /> OVNER/OPEBATOA P.EFLELTS P. LOSS/GAsF OF: <br /> SITE ADDEESS OG'G T�Jk.�-'G �i� •T�,L'� C�,�%ti ( 1- —' <br /> MAILING ADDRESS ��` USING THE HORNER EZT CHEF METHOD OF PRECISION TESTING THE RESULTS <br /> --yY��� ,�4�T �r_V= �...HT_STATy ns CAj.L LXLl�.AtiD--THE-AFRA <br /> CITY C T/ bbBNS-REA-ONI-NOUN-OS <br /> // 329-'LE2IIt."SNLS""O7 'M <br /> COUNT �•.tu!'L- �!'d�f-/qtr_1 TLSi-EN6-FOP-yc-T2LtT" r =:•PY.:' <br /> TELEPHONE <br /> 71- <br /> G' INTEGRITY TANK TESTING SYS. MS, INC. 166 FRANK WEST CIRCLE <br /> ( STOCKTON. CA. 95206 (209, 466-8036 (800) 262-8378 <br /> AGEN7CERTIFIED TESTER �;%/s�,/'T �• TEST DATE <br /> Pi <br /> i <br />