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Y <br /> WORKS EET F R SUBMITTTAL TO GOVERNMENTAL AGENCY <br /> w OWNER/OFERATOR.�Cy��?,",/ A,:)eQ . �� C� �J <br /> SITE ADDRESS // 2- /VU CrC— Y�/jjpe�Q� <br /> CITY L ti-� ���S COUNTY <br /> MAILING ADDRESS <br /> SITE AGENT -MDQ TELEPHONEjarf <br /> ) 9¢Q ¢O g�C <br /> ARRIVED TEST SITFdZ49110 S TANK LOCATION //� PRODUCT — <br /> DATE/TINE STORAGE FILLED! /7 10 RODUCT LEVEL. AT ARRIVAI—,r BELOW TOF OF FILL NOMINAL TANK SIZE Qp d <br /> TANK MATERIAL,{ APPRO7C. TANK AGEIO�RS. FILLSIZE/TTFE 4 OENT T <br /> OVERFILL CONTAINMTPF. ►�>L� <br /> AFI GRAvIIT 3 AT SQ DEC. F. - AFI GRAVITY OF 3.5 p 60F • COEFFICIENT OF ExrAHSION OF .0D0 422�._ - CoE O Z. <br /> VISAALE VENTING AFPRPJIII_S TO BE AT: FILL FND FILL OFOSITE END, NAS AURF�nm HAS BALL CHECK, UNRNOWti, OTHER _ <br /> VISAALE VAPOR TRAPS TO BE BLED: BALL CHECKS, HANWATS, RETURN LINES, OTHER '" rxz-j69y&-Z— �.•J/P4,�►+ <br /> PHASE, II VAPOR RECOVERY SYSTEM: BALANCED, ASPIRATOR ASSISTED, LONG RUN WELLS, MANIFOLDED, ONE OTNFR <br /> PUMPING SYSTEM! SUCTION, 7LTRBINE HAKE�p��/ T MODEL FIPE LINE LEAK DETERCToRS <br /> YES,( NOT AFFLTC <br /> CHARTED SIZE'T9,616EST. LINE QUANTITT_L PRODUCT ADDED TO FLOOD SYSTEM �STSTEM TORAL GALLONAGE I®fiWl <br /> AMBIENT CONDITIONS: TFmr! FRETEST3-3 POSTEST 1� CLOUDY, RAINING, WINDY, BREEZY, NICHT, OTHER <br /> 4 FSI DROP6WPNOURS TEST TO START410-epHOURS FSI TO BE MAINTAINED ON TANK BOTTOM DURING TEST PERIOD ¢• 9 (PSI <br /> Q R. GRADE TO TANK BOTTOM I IY7— <br /> O /Q R. CRAM TO TANK TOP <br /> C. TANK DIAMETER <br /> 6.Pit AE pp <br /> D. TEST LEVEL ABOVE MIT <br /> E. ExTERNAL GRDlR7D MATER ABOVE TANK <br /> ROTT(�I TIL. x .0361 PSI <br /> . 14 <br /> F. TOP OF FILL TO P OO. AT ARRIVAL i 9 <br /> J O. TOP OF FILL TO TOP OF TANK <br /> • H. TM7T LATIM TO BOTTOM OF TANK <br /> MATER IN DE C FS1 PER INCH OF PRODUCT <br /> TANx - TEST HEIQIT PRESSURE FORMULA <br /> --1 - !, z x 9-3 / _ -_ <br /> REMARKS: H. PSI E. PSI NFT PSI <br /> RESULTS <br /> /- TIIE FINAL TEST P RIOD AS SHOWN ON THE AT'T'ACHED COMPUTER GENERATED DATA REFI,EC'I'S A <br /> S / GAIN OF: �, QD GALLONS PER HOUR, WITH A 99% CONFIDENCE, LEVF,L OF +/- 06 P,Ph. <br /> THE HORNER EZY CHER II TEST METHOD COMPLIES WITH EFA AND THE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 GFH <br /> FOR TANK INTEGRITY TESTING. (SECTION 2643 CALIFORNIA CODE OF REGULATIONS) BASED UPON THIS STANDARD, THE RESULTS <br /> SHOWN ABOVE: DOES DOES NOT INDICATE AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER THAN THE 0.05 GPM STANDARD. <br /> INTEGRITY TANK TESTING SE /IC S, 166 FRANK WEST CIRCLE, STOCKTON, CA., 95206, (209) 466-8036 or (800 262-8318 <br /> CERTIFIED TESTER STATE LICENSE. A qU - to Z3 TEST DATE <br />