Laserfiche WebLink
14ORKSIIEET FOR SUMITT'AL TO GOVERNMENTAL AGENCY <br /> SITE ADDRESS /0&z <br /> (OWNER/OF F.RATO <br /> CITY COUNTY__ <br /> HAILING ADDRESS QSZcjS — <br /> SITE AGENT TFI.F,PHONE ( <br /> ARRIVED TEST SITE, HOURS TANK LOCATION /,O L *I-"Z <br /> FRONIUCT <br /> DATE/TINE STORAGE FILLE.D /`IFRODUCT LEVEL ATEA/RRR�I�VAL-"0* INCHES BFIAW TOF OF FILL NOMINAL TANK ST7.F�� <br /> TANK HATERIAL AFFROII. TANK AGI�TRS. FILLSI7.E/TTFE--!f_OVERFILL CONTAIITIfENT ME.. <br /> AFI GRAVITYSZrg AT S7DF.C+. F. - AFI GRAVITY OF32rG f 6OF - COEFFICIENT OF ExPANSION OF ,000 4S�SZ - CO �S <br /> VISAALE VENTING AFPREARS TO BE ATI FILL END, LL OFOSITE AS TIM TUA HAS BALL CIIP.QC, UNKIIOWTI, OTHER <br /> VISAALE VAPOR 71AFS TO BE BLED: BALL CHECKS, HANWAYS, RETURN LINES, OTHER 'V�' �L-N3 t/if:*;ia r <br /> PHASE II VAPOR RECOVERY SYSTEtt BALANCER. ASPIRATOR ASSISTED, LANG RUN WELLS, HANIFOLDED, Pont. OTHER _ <br /> Pt1IIPING STSTETtt SUCTION TtHtAIN HAKE . 11ppFi, CFIFELINE LEAK Detectors TP,SPOT AFPLtC <br /> CHARTED SI7Ef Z/7-0 <br /> G EST. LINE QUANTITY 3 PRODUCT ADDED TO FLOOD SYSTEI`� SYSTEM TORAL CAT.IANAGF. <br /> AHAIFNT CONDITIONS! TFHPt FRETBST61 FOSTE.ST_�CLOUpY, RAINING, WINDY, PREF", NIGHT, OTTIP,R p <br /> ,4 TSI DROP HOURS TEST TO START HOURS FSI TO BE HAINTAINFD ON TANK BOTTOM DURING TEST PERIOD 4, O /TSI <br /> A. GPADF, TO TANK ROTTOM <br /> ZD B. GRADE TO TANK TOP 4 <br /> 6.P^AE <br /> C. TABIC DIAIOEI M 9� <br /> D. TP-S? I.P.VP.L AROV! GRADE �O . <br /> ZG B E. IRiERNAL CRDOIID WATPR AROV! TANK <br /> F ROITO'H M. K .0141 PSI <br /> F. 'FOP OF FILL T'0 PR00. AT ARRIVAL <br /> y o <br /> /q 136 C. TOP OF FILL TO T'Or OF TAMC <br /> H. TM71,%M-TO ROTTON OP TANK <br /> MATER DWI* C FS1 PPR INC11 OF rfoM r O _1 <br /> TANK 0 ^ / TEST HEIG11T PRP.SSURE FORMULA <br /> a3/ <br /> H. PSI E. PSI NFT F51 <br /> REPIA�RKS <br /> RESULTS <br /> GHE FINAL, TEST PERIOD AS SHOWN ON TILE ATTACKED COffPUTER GENERATED DATA REP1.rC'i'S A <br /> S / GAIN OF: /U/ZRALLONS PER (LOUR, WITII A 99% CONFIDENCE LEVEL OF <br /> THE HORNER EZY CHER II TEST METHOD COMPLIES WITH EFA AND TTIE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 GFH <br /> FOR TANK INTEGRITY TESTING. (SECTION 2643 CALIFORNIA CODE OF REGULATIONS) BASED UPON THIS STANDARD, TUE RESULTS <br /> SHOWN ABOVE: DOES DOESNOTINDICATE AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER TURN THE 0.05 CPT] STANDARD. <br /> INTEGRITY TANK TESTING StICFS, 166 FRANK WEST CIRCLE., STOCKTON, CAS.), 95206, (209) 466-8036 or (800) 262-8318 <br /> CERTIFIED TESTER STATE LICENSE 0 q✓ J r0 t 3 TEST DATE, ?i <br />