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- ITTS Integrity Tank Testing Systems, Inc. <br /> �iCJ/�CJj�G�I A/Ati/j y -- <br /> HORNER EZY CHER PRODUCT LINE, TEST <br /> OWNER/OPERATOR S7Z'4;,Z) JUry/G�,6-✓fe'V !K4i-S?iDDRF,SS ! 9c -2 L <br /> CITY t57 TQC-, t�� �/�y . COUNTY <br /> SITE AGENT 4L /AdU,!F j TELEPHONE (?� <br /> LINE CONNECTED TO TANK NUMBER/LOCATION <br /> PRODUCT LINE DISPENSES &:64,5 Z_ APPROXIMATE LINE LENGTHFEET <br /> LINE. MATERIAL f/(? �j��V�S LINE HAS PLLD ,_YES) NO SUCTION LINE <br /> TURBINE MARE/MODEL /<"EJ1,�,oeZP- DISPENSER MARE/MODEL <br /> TANK TEST EQUIPMENT TO BE. IN PLACE DURING LINE TEST YES NO <br /> LINE TOE TF. TED WITH A LINE BLOCK IN PLACE OF PLLD YES NO ) <br /> TURBINE OUTPUT PRESSURE PSI TEST PRESSURE TO BE _PSI <br /> APPLIED 'PEST PRESSURE ATZ)6?JeAHOURS IMMEDIATE. LINE CHANGE OF LINES <br /> TIME LINE START LINE END = +/- LINES R .003 = RESULT ACCUM. RESULT <br /> .003 — • o�� • ��3 <br /> .003 <br /> y,- — S .003 <br /> .003 <br /> 9f�2C' SCJ -57 ZSL .003 <br /> .003 <br /> .003 C� <br /> LINE CIIAN(,F WTIFN PRESSURE REMOVED �„ LINES TOTAL!(/ &,PII <br /> RESULTS ALLOW DO NOT ALLOW LINE TO BE CONSIDERED PRODUCT TIGHT <br /> TEST MUST BE CONSIDERED INCONCLUSIVE BECAUSE: <br /> TEST OPERATOR LICENSE NUMBER ^-AU" TEST DATE <br /> 800 262-8378 166 Frank West Circle Stockton, CA 95206 (209) 466-8036 <br />