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WORKSHEET FOR SUBMITTA. TO GOVERNMENTAL AGENCY (TANK LAYOUT ON REVERSE SIDE) <br /> VLKT:NC F/Z Cc DEN PII)ff So F--_ :ANL LOCII.-ON f <br /> ELY.AHiS <br /> zAwi WAC:: --� THDDD C i <br /> L:OIIID LL�'L' CALIERA:ZOwS may/ <br /> PHE:ES: PO S:ES: :0T OF T:I. TO ET}1 OF :AAH ` WILIER THLSEN: THLZST KTOSTEST�/ 01 <br /> LINES `Z��f'2�1— — i�gJ TOT OF FII:. TO TOT OT :Al[ Zw CHES A M OLDL C -EST S07 SAIT <br /> .7�� :.HE D:A10::LH <br /> MovE1T�i��- - ._-LRA=JHE C":31A: ows <br /> SLEQom/ <br /> AVLLGL s,1.3- �Y A.P.I. THODUC. GLFI^ FT - OHAPITT Or 0�/ l6or <br /> ' EN: OF PANS ON - - CAPACI:Z • HE CONSA . E) <br /> QOAN- _. ADDED INT HOPELEX: -Mvzig : N <br /> T <br /> �5 r T r Vr* TEMP. TEMP. GAIN+ TIMES TEMP . FIR21T <br /> VEL LEVEL GA_N+ TIMES LLL- v \ <br /> L T L A,""T START END LOSS- CON B RESIILT RESULTS <br /> TIME SAAR_ END OSS- CON A <br /> .ocz2Y '7 33 7 <br /> ,7y5I I` 3/I I 'o1,719I 'ocYl <br /> 1 1 'le I I '�ca-2 .7,7 I. 7�� I. cc �cc4oE �elE3 ` p <br /> �i5 7 1 e171 � D I �o a y .7 1.71 ►':003 :0l3� 8 hoc 5'�Z ` <br /> I I ,� I ' I I ' y .7� I. ��Y I . cc / �cc 60 'cc7 S <br /> S II I I ct 2 -7? I. 1�I. cc , I:a !a /� <br /> y� 1 1 ' I 'c179� L1. 2C I'cc �l f'clal,2 !ocSS" �� <br /> 6-6 I ,� I ' 'o<S� 7�C' 1 / I , ec/ I <br /> • � THE 'FINAL-HOUR OF <br /> TESTI9G REFLECTS A LOS°ICA=A OF : uwG H <br /> OWNER/OPERATOR J t <br /> SITE ADDRESS <br /> MAILING llEINC THE NOANER E2T CREP, METHOD OF PRECISION TESTING THE RESULTS <br /> ARE A-73-' i ARE "C^ '-f TEE STATE OF CALIFORNIA AND THE RFPA <br /> C:TY �LCZ^Y�A"�' � ""� 329 CUIDE' 'NES OF A NAS'HUY. LOSS OF .OS GALLONS PEA ONE HOUR OF <br /> - ee-c <br /> TESTING FOR A TICE: :611):;5._._Y. <br /> COUN TFa� �^ <br /> INTECR:TY TANK TESTING SYS:E!4S, IN 16fi FRANK <br /> VEST CIRCLE <br /> TELEPHONE ( ) STOCKTON, CA. 9520609) '6p- OJ (BOO) 262-8378 <br /> 9 / 37 <br /> AGENT —+a'yl.�a.�l ff CERTIFIED TESTER TEST DATE Bio 7- ,� <br />