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ti <br /> ITTSIntegrity Tank Testing Systems, Inc. <br /> HORNER EZY CHEK PRODUCT LINE TEST <br /> OWNER/OPERATOR SITE ADDRESS <br /> CITY- /yQ COUNTY QQ a <br /> SITE AGENT TELEPHONE <br /> LINE CONNECTED TO TANK NUMBER/LOCATION <br /> PRODUCT LINE DISPENSES <br /> � APPROXIPiATE LINE LENGTH FEET <br /> LINE MATERIAL <br /> iGLj� `-�— LINE HAS PLLD YES NO SUCTION <br /> TURBINE MAKE/MODEL AticT.,; DISPENSER MAKE/MODEL W_10/_��_ <br /> LINE TO BE TESTED WITH TANK TEST EQUIPMENT IN PLACE. YES NO <br /> LINE TO BE TESTED WITH LINE BLOCK IN PLACE OF PLLD YES N0 <br /> PIPE LINE LEAK DETECTOR TEST OUTCOME: 'P7 ? /Via- RED JACKET CRITERIA <br /> TURBINE OUTPUT PRESSURE 2_7_ PSI TEST PRESSURE TO BE �� PSI <br /> APPLIED TEST PRESSURE AT .5 S HOURS IMMEDIATE LINE CHANGE OF 8 LINES <br /> TIME LINE START LINE END = +/- LINES X .003 = RESULT ACCUM. RESULT <br /> .003 <br /> 151 s i <br /> .003 <br /> .003 <br /> ;l2 .003 _K <br /> .003 <br /> LINE CHANGE WHEN PRESSURE REMOVED LINES TOTAL GPH <br /> FINAL RESULT ALLOWSj6d68 I I,egZff NE TO BE CONSIDERED PRODUCT TIGHT? <br /> TEST MUST BE CONSIDERED INCLONCLUSIVE BECAUSE <br /> (ADDITIONAL REMARKS ON THE REVERSE SIDE) / <br /> TEST OPERATOR LICENSE NUMBER v�/� DATE l L� <br /> 800 262-8378 166 Frank West Circle Stockton, CA 95206 (209) 466-8036 <br />