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3 <br />777 WIT to <br />Additional <br />--- ,1 <br />• <br />1. Net Volume Change ion Test _ p <br />Signature of Tester: <br />, V5- <br />Date: <br />2. Statement: <br />Tank and product handling system has been tested tight <br />according to the Precision Test Criteria as established by <br />regulatory agency. This is not intended to indicate permission <br />of a leak. <br />OR <br />❑ Tank and product handling system has tailed the tank tightness <br />test according to the Precision Test Criteria as established by <br />regulatory agency. <br />OR <br />❑ Test invalid due to environmental or mechanical factors beyond <br />control of the testing equipment. <br />It is the responsibility of the owner and/or operator of this <br />system to immediately advise state and local authorities of any <br />implied hazard and the possibility of any reportable pollution to <br />the environment as a result of the indicated failure of this <br />system. The manufacturer of this test method does not assume <br />any responsibility or liability for any loss of product to the <br />environment. <br />Tank Owner/Operator <br />Date <br />IOTA-* <br />,� -* <br />MM <br />I�Il�I <br />II <br />r , <br />I <br />I <br />-I <br />.. <br />IMMIIIIIII <br />MI <br />IF M -M <br />1IMMIM: <br />777 WIT to <br />Additional <br />--- ,1 <br />• <br />1. Net Volume Change ion Test _ p <br />Signature of Tester: <br />, V5- <br />Date: <br />2. Statement: <br />Tank and product handling system has been tested tight <br />according to the Precision Test Criteria as established by <br />regulatory agency. This is not intended to indicate permission <br />of a leak. <br />OR <br />❑ Tank and product handling system has tailed the tank tightness <br />test according to the Precision Test Criteria as established by <br />regulatory agency. <br />OR <br />❑ Test invalid due to environmental or mechanical factors beyond <br />control of the testing equipment. <br />It is the responsibility of the owner and/or operator of this <br />system to immediately advise state and local authorities of any <br />implied hazard and the possibility of any reportable pollution to <br />the environment as a result of the indicated failure of this <br />system. The manufacturer of this test method does not assume <br />any responsibility or liability for any loss of product to the <br />environment. <br />Tank Owner/Operator <br />Date <br />