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- /JWORKSHEET FOR SUM TTAL TO GOVERWIENTAL AGENCY <br /> OWNER/OPERATOR rrw/1 f 6ITF, ADDRESS� Z /� �L J /�A L� <br /> CITT T7�C1G�ZS COUNTY_ <br /> HAILING ADDRESS S Z d <br /> SITE AGENT <br /> ARRIVED TEST SIT07J0"OURS TANK LOCATION S/C` rROwcT �`�• G/�3�� <br /> DATE/TIME STORAGE ILLLED/ZS *?PRODUCT LEVEL AT ARRIVAtpCHES RFLOH TOP OF FILL "CHIRAL TANK RT7,F.� <br /> TANK HATER IAL G AFPROX. TANK ArEA6 'TRS. FILLSI7.E/TTFE OVERFILL CO"tAINNPIt? TIFF. 7�s�� �-(J <br /> APi GRAVITY .S% AT 11 DEG, F. - API cRAVITT OF�l f 60F - COEFFICIENT OF EKFAHSION Of ,000 6 k7 Z S - COP, (, ff 7 <br /> VISABLE VENTING ArPREARs TO BE AT, FI1,L END,` FOSITE EI , _ RURF TUB HAS RALL CHECK, UNKNOWN, OTHER <br /> VISARLE VAPOR TRAPS TO RE BLEDI BALL CHECKS, HANWATS, RETURN LINES, OTHER <br /> PHASE II VAFOR RECOVERY STSTEI BALANCED. A�SPIRATOR ASSISTED, LONG RUN WELLS, HANIFOLDED, NONE, OTHER _ <br /> FUHFt10C SISTEM CYTO". TIIRBIIIE MAKEyv MODEL FIFE LINE LM Detectors Tr..S, POO; NOT ATFLTC <br /> CHARTED SIZE Y.3 77- EST. LINE QUANTITY lD PRODUCT ADDED TO FLOOD STSTEM& SYSTEM TORAL CALLONACE () .j 4 S <br /> AMBIENT CONDD^ITIIO�ONSt TFIVI PRETESTSyrOOS� RU"pT,TLST� OMT, RAI"INC, WI"DT, RREE". NICRT, OTNLR <br /> 6 FSI DROF(�/O�HOURS TEST TO STARVt1T0j "OURS PSI TO It MAINTAINED ON TANK BOTTOM DURING TEST PERIOD PSI <br /> A. CRAPE TO TANK BOTTOM <br /> —_L 1, GRADE TO TANK TOP •�J <br /> C. TARR PIAWTER CJ <br /> .._!.. D. MT LEVEL ABOVE GRADE Z� <br /> 40E. ERTERNAL GROUND MATER ABOVE TANK <br /> /�� 8077(41 iN. R ,0761 PSI <br /> N F. TOP OF FILL TO POW. AT ARRIVAL <br /> yy11 /9/2 C. TOP OF PILL TO TOP OF TANK <br /> R. LEST"L1TLC'TO 10tt(4M Of TANK /S'/ <br /> wy� MATER IN 08 C PSI PtR INL71 OF PInmrt <br /> 1 tANR / TEST HEIGHT PRESSM FOWILA <br /> Kni ./Z- <br /> RF_.PIARKS <br /> MET rst <br /> RESULTS <br /> T1I NAL 'PEST PERIOD AS S11OWN ON THE ATTACHED COPIPUTER GENERATED DATA REPI,EC'1 S A <br /> LOSS ,AI OF:-4;O� GALLONS PER HOUR, WITH A 99% CONFIDENCE LEVEL OF +/- LOo�' P1,},, <br /> TIME HORNER EZY CHEK II TEST METHOD COMPLIES WITH EFA AND THE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 GFH <br /> FOR TANK INTEL ITY TESTING. (SECTION 2643 CALIFORNIA CODE OF REGULATIONS) BASED UPON THIS STANDARD, THE RESULTS <br /> SHOWN ABOVE: '/60ES NOT INDICATE AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER THAN THE 0.05 GPN STANDARD. <br /> INTEGRITY TANK TESTING E ICF , 166 FRANK WEST CIRCLE,, STOCKTON, CA., 95/206, (209) 466-8036 or (80 ) 262-8318 <br /> CERTIFIED TESTER STATE LICENSE 1 r/ 0 3 TEST DATE <br />