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WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br /> ¢ q Grp n'r <br /> DATE STORAGE FILLEDJ;/'O ;/TIME STORAGE FILLED, ) / PRODUCT LEVEL l .ARRIVAL PRODUCT /1 <br /> TANK CAPACITY //i. AMOUNT OF PRODUCT ADDED TO FLOOD SYSTEM TANK LOCATION=f��lC3 <br /> REMARKS <br /> LIQUID LEVEL CALIBRATIONS TOP OF FILL 10 BTM OF TANK 2X '/� WATER PRESENT PRETEST(._POSTEST <br /> PRETEST POSTEST TOP OF FILL TO TOP OF TANK L � INCHES .ABOVE GRADE ? TEST ST.1RT <br /> LINES7SCr Q9�y END <br /> �1 TANK DIAMETER / <br /> OF �C.n� ,�_ _ 7� ,7 TEMPERATURE CALIBRATIONS <br /> 40VDIE'A7f1 Ln=: _ A.P.I. PRODUCT GRAVITY SSL F GRAVITY OF7UCr 160 F <br /> ?yam ^ <br /> AVERAGE �- <br /> .off �3 cc�-c5 30� /ecce .;S <br /> QUeLYTITY ADDED 7 LINE MOVEMENT =LIQUID CONSTANT (A) COEFFICTENT OF EXPANSION x T,L C.NACITY TEMPERATURE SYS',A:V, �d <br /> START END GA17 + TZMES LZ-p_ START END GAI'7+ =_ S TMP. FIYAL <br /> mrAE LEVEL LEVEL LOSS - CONS A = RESULTS TEMP. TEMP. LOSS - CONS B = RESULT RESULTS <br /> eee- 3 sl /5�. mac. <br /> TVs D C_ cot 'c 7C o�.1Z <br /> C � �Se ooh- :oeg7C ;�_c/ <br /> . ly.S : 'ocF i Clog$ <br /> 2CA 7 3 'ooh t �_C cq 70 'cls <br /> tlli-im53X16 i E ,1 #7 013 L 'roG�;• SCC C �C lCq 5 <br /> THF <br /> 2 HOUR OF <br /> OWNER/OPERATOR R// y �k" <br /> TESTING REFLECTS LOSS GAIN OF: <br /> SITE ADDRESS 0 I� ,tdl ORNER EZY CHEK ME'lMD OF PRECISION TES=NG 141E RESULTS: <br /> ARE aI:3I7. <br /> ARE 30T JI 27 THE STATE OF CALIFORNIA AND THE NFPA <br /> MAILING ADD S .�Qi2.�-t' INES OF A MAXIMUM LOSS OF .05 GALLONS PER ONE HOUR OF <br /> i TESTING FOR A TANK SYSTEM TO BE CONSIDERED TIGHT. <br /> CITY a L i <br /> INTEGRITY TANK TESTI.YG SYSTEMS, TUC 166 FRANK WEST CIRCLE <br /> COUNTY STOCKTON, CA. 95206 ) 1�O �(800) 262-8318 1 <br /> TELEPHONE (_ ) CERTIFIED TESTER TEST DATE ejJ � 7 <br /> AGENT <br /> a'i N(S/65 <br />