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WORKSIIEE'r FOR SU1011I1"PAL TO GOVERNMENTAL AGENCY <br /> OWNER/OPERATOR_ 14Y 11flAlI /�lfi�!— SITE ADDRESS 17X6 /I/ cV/LSo�c/ <br /> CITY S GK7*�ti COUNTY I SA;y <br /> MAILING ADDRESSzT <br /> SITE AGENT CNf,�o 40/t" TEWP11ON1, (zle� ¢ <br /> i <br /> ARRIVED TEST sITE_"_0jRvRS TANK•LOCATION/NONBR_z6e /�/QJ�/ L- <br /> DATE/11110! STORAGN FILLEd/live XPA14RODUCTFILLS /l LEVEL AT tRWANORS ENLOE TOP OF FILL NOMINAL TALAR SIIR /CJI)92 CJ <br /> TANK — <br /> MATRIALp d' i''-�.77i APPROR. AMLL�TT rss. PILL SIZE/WL4R HAMILL CONTAINMENT TYPE p /¢—' <br /> API CKAVIT11 -7 AT ��C_LDra. F. • APt GRAVIIl OPJ] •/'a s0► • WBFFICiPNt OF PIPANSION Opt CON OF- 2 <br /> ViSIOI! VENTING IU'P[ARR TO sE ATt FILL IIID. ILL Orr ITI, PND IW BURP M8.1 UNAIOM, NN A BALL CI¢CR,` OILIER <br /> VISAWLE VAPOR TRAPS TO EN SUN FALL CHICKS. NARRATE. OWER <br /> Mums It VAPOR FEmT'SRT ITSTIM TT81 VALMQO AEP TOR AEEI8"O LAND MIN WELLS NMIPOLOEO MEN CMMk___ <br /> rtAWINO EYStDM SOMIUR TIO8IN8 MARB �Y'Ty-G2 t " IppPL "• '" a 7:"'T PtIE LIMP. It AR OP-TECIO0.1 �N <br /> CIIARIED TANK 812E 490,,ESTIMATED LIN QUAPITIT �t/��t� _PRODUC``T``ADDED TO FLOOD SVSTP.N U RVS18N GALLONS TOTAL ZD U(�J <br /> "INTENT WN ATIPW CWDITIaNst 7EM'l RAtVPE PRETlSf1'g IH <br /> PCST STAji�)RAINING CLOUDY WiNT 011011' OTI@R <br /> SISIEN FLOODED Q j�"OURS .1 Psi INdO< '90IIOUPS Psi TO Pe MA1NTAIND ON TALAR NOTION DIOIND Test PERIOn 4. Z- <br /> R. MEAN TO TANK EO1'1O1 _ 92 3� <br /> - O S. CRADR TO TALAR TOP 139 <br /> C. TAPIR DIAWTP.R <br /> 6.Pii.Of' n q�j_ <br /> �771T--' �. .• b. TEST LEVEL AEOYE GRAN .. _¢S�L2- <br /> I-f/_ e..1 e. EKtERNAL OR01ND WATER APOVI TANK ,.f .. <br /> GG f2 lkZyBaTtN ILA R .0551 I'sI • }�' <br /> ITA"—� : F. TOP OF FILL TO PROD. AT ARRIVAL _ <br /> q 0. TOP OF FILL TO TOP OF TARK <br /> !/� ,•: N. TEST I.ETPL'TO EOIT011 of PARK <br /> w� <br /> WATER t ID8 ' C ' rat PER 11401 OF PPOMCT <br /> 1 1'M[ + . TIE[ 118121? ►RISSURE FORMUL <br /> x • -a - + 4' z3 <br /> Psi SI '�PIIET Z3r_ <br /> REMARKS: <br /> F <br /> 711E FINAL TEST PERIOD AS SHOWN ON 111E ATTACHED COMPMER GENERATED DATA REFLECTS A <br /> OS / GAIN OFA_ ,pZZ GALLONS PER HOUR, WITN A 99% CONPIDPNCE LEVEL OF +/- , fY �� GPM. <br /> The Horner Ezy Chek II Teat Method complies with the State of California <br /> performance standard of 0.05 gph for tank intergrity testing. (Section 2643 <br /> Calif. Code of Begs.) Based upon this atandardp the above resultd/e does not <br /> indicate an unauthorized release equal to or greater than 0.05 gph. <br /> INTEGRITY TANK TESTING SYSTEMS, INC. 166 FRANK WEST CR. <br /> STOCKTON, CA 95206 (209 1466-8036 or (800) 262-8378 <br /> CERTIFIED TESTER (Ula v TEST DA'PE // Z7 o <br /> STATE LICENSE # <br />