Laserfiche WebLink
WORKSIIEET FOR SUBMITTAL TO GOVrRMIENTAL AGENCY <br /> ,. OStFIER/OPERATOR �TaCK-f`j�✓tJ �/VI��G".J ,�j�l-,�`�j j" //?3Z � / TC /lrtJ�� <br /> CITY— <br /> SI1 F, AMMRF.SS 7cJ ��C. G J"/ <br /> �_cotmty_ � �q��iscJ <br /> NAILING ADDRESS <br /> SITE AGENT 4E4141A, ei� TELEPHONE V.�) <br /> ARRIVED TEST SI&�HOURS TANK LOCATION /V //�"' � ]PRODUCT �� �Z /����.. <br /> DATE/TINE STORAGE FILLED/ /0 TRODUCt t.FVEL ARRIVA <br /> AT <br /> tT'�/ CNF.S arum TOP OF tILL "OMIHAL TAitK RiZE <br /> TANK NATMATERIAL -HyE ArrROa. TANK AGP"//��j-1 TRS. FILLSi7.E/TTFE _T_OVERFILL COVTATIRtENT TTFF. <br /> AV CVITT 32'Z AT -9 <br /> RADEG. F. - API GRAVITY OF 33q- f $OF - COEFFICIENT OF ERPAHSION OF .0004 3'9 41 y S_16 <br /> VISMLE VENTING ArrRPARS To RE ATt ILL ►HD FTT.L OroSITE Etm, HAS MURr TitME, RAS MALL CHECK, tNTKNOint, OTTIFR _ <br /> VISMLE VAPOR TRAPS TO ME MLEDt MAi.t CHECKS, NANWAYS, RETURN 1.1NES, OTHPR <br /> PHASE II VAPOR RECOVERY STSTF71t BALANCED, ASPIR_ATTTOR ASSISTED, LONG RUN "r,I.LS, NAHIFOLDED, ONL, OTHER <br /> FUf1rINC STSil31sQSQUCptION. INE "AKRHODFL � FIFE LINE LEAK Detector (D NO. HOT Arrtic <br /> CHARTED SItF. "/ <br /> /0 0 EST. LIVE QUANiITT // PRODUCT ADDED TO FLOOD STSTFIi S SYSTEM TORAL CALLMIACF. 1004D Z <br /> ATIMIEHt CONDIitOHSt TFl1Ft FREtESTrOSTP.ST <br /> —f!9. OVDT, RAINLNC, N[ft1tT, MREF.7.T, HICRi. OTNF.R <br /> .4 FSI DROOSO HOURS TEST 70 START/6-d0ROURS PSI TO BE NA11"AtHF.D oil TANK MOTTO" DURTHC TEST rmTOD <br /> O PSi <br /> _ A. CPADP. TO TANK ROTIUM -- <br /> 2 R. CRAMP TO TANK TOP fig_ <br /> 4�i1AF C. TANK DiAW-TPR Q O� <br /> D. TV-ST I.PVP.L AROVI CRAM!! <br /> G 44 �i�?/e�� E, exTERNAL CRDtR,D MATPR APOVT TANK <br /> O ROTTt11 1N, it .0141 "1 <br /> ti �d <br /> T. TOr Or FiLL TO P000. AT ARRIVAL <br /> 1449 ¢A�' <br /> C. TOP Or r111 TO TOP Or TANK <br /> 9S 11. TPTT'iLMVEL-T6 *M01"Of TANKD_— <br /> C�— rSl PPR tarn OF room" Q /` �9� <br /> ..-�( RATPR 1 It+O --- <br /> TANK !!St iTIOfr PRESSURE 1`01"AA �J <br /> J <br /> REPIARKS: n. Psi F. rst 'HFFf rEi <br /> RESULTS <br /> fI1r AAL TEST PrR10D AS SIIOWN ON 'I'llr A'I."CACIIED C01i1'UTER GENERA'ITI) DA'T'A Rrr1X(:'1'9 A <br /> LOSS /' A OF! 4 601' GALLONS PER i1OUR, W11-11 A 99% CONFIDENCE LEVEL OF +/— OOs pill, <br /> 711E KORNER EZY CN II T lion ComLIES WITII EPA AND THE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 GFH <br /> FOR TANK INT ,R TF INC. ( CTION 2643 CALIFORNIA CODE OF REGULATIONS) BASED UPON THIS STANDARD, THE RESULTS <br /> SHOWN ABOVEs ESN INDICATE AN UNAUTHORIZED RELEASE. EQUAL TO OR GREATER THAN THE 0.05 Grll STANDARD. <br /> INTEGRITY TANK TESTING JERVICESO 166 FRANK WEST CIRCLE., STOCKTON, CA., 95206, (209) 466-8036 or (,80/0) 262-8318 <br /> CERTIFIED TESTER STATE LICENSE 0 Id W -`y 0 TEST DATE <br />