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WORKSA FOR SUBUITTAL TO GOVERMIENTAL AGENCY <br />OWNER/OPERATOR SITE ADDRESS <br />CITY_ <br />COUNTY <br />NAILING ADDRESS <br />SITE AGENT <br />V'o �`fdA /prf- r^ TELEPHONE <br />ARRIVPD TEST S% AOVRS TANK LOCATION_ /may / <br />DATE/TINE S70RACE FILLEDD�® l6 DUCT LEVEL AT ARILII®AL T INCHES 3MOW TOP OF FILL NOMINAL TANK SIZE <br />TALAR MATERIAL G �X AFPROR. TALAR ACEr/ 7 TTRS. FILLSIZE/TYPE �(VERFILL CONTAINMENT TYPE <br />API GRAVITY y �•5 AT ICO DEC. F. API CRAvITy oxv, J(1 6OF ®.490EFFICIENT OF ET.PANSION OF .000 O(1',075 - COE 6 t7 <br />VISABLE VENTING APPREARS TO SE AT. FILL M. FILL OPOSITE END. HAS BURP TYRE, HAS BALL CHECK, O.T11 OTHER <br />VISABLE VAPOR TRAPS TO BE BLED., <ALL CRECRS MANWATS, RETURN LINES. OTHER %ILS 2 <br />PRASE I% VAPOR RECOVERY BTSTEM. C ASPIRATOR ASSISTED. LONG RUN WELLS, NANIFOLDED, NONE, OTHER <br />PUMPING SYSTEM <br />: SUCTION, I HARE MODEL PIPE LINE LEAK Detector g NO; POT APPLIC <br />CHARTED SIZE Q EST. LIKE QUANTITY PRMOCT ADDED TO FLOOD SYSTEM S SYSTEM TORAL CALIAMAGE r✓ "- " <br />AMBIENT CONDITIONSS TEMP. PRETEST✓ ® FOSTEST SUNNI. CLOUDY, RAINING, WINDY,.BRE=T %GR OTHER_ <br />PSI DR HOURS TEST TO STAR' OURS PSI TO BE MAINTAINED ON TANK BOTTOM DURING TEST PERIOD <br />REMARKS: <br />A. CRANE TO TANK 201 IOM <br />B. CUM TO TANK TOP <br />4.7,FSI <br />S! <br />C. TANK DIA%WMR <br />D. TEST LEVEL AROVB GRADE <br />E. MiERNALFCR04RTD MATER ABOVE TANK <br />BOTTOM 1N. K .0361 PSI - <br />F. TOP OF FILL TO PROD. AT ARRIVAL <br />C. TOP OF FILL TO TOP OF TANK <br />H. TPST:.LBvECTO'BOTTON DP TANK <br />PSI PER INCH OF PbOUCT <br />az61 <br />TEST HEIGHT PUSS= PDR (MALA <br />z L_ K 4Z61. <br />"ll. PSD E PSI <br />` <.y <br />s 4*67 <br />NET PSI <br />DEC n .9 Ign2 <br />RESULTS <br />am <br />!IE FINAL 'LEST PERIOD AS SHOWN ON TILE ATTACHED COPtPUTER GENERATED DATA REFLECTS A <br />OSS / GAIN OF:® 1 ' GALLONS PER HOUR, WITH A 99% CONFIDENCE. LEVEL OF +/- 600 grh. <br />THE HORNER EZY CHEK THOD COMPLIES WITH EPA AND THE STATE OF CALIFORNIA PERFORMANCE STANDARD OF 0.05 GP <br />FOR TANK INTEGRI E ECTION 2643 CALIFORNIA CODE OF REGULATIONS) BASED UPON THIS STANDARD, THE RESULTS <br />SHOWN ABOVE: S ES NOT INDICATE AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER THAN THE 0.05 GPH STANDARD. <br />INTEGRITY TANK TEST ICES, 41 WEST YOKUTS ST. STOCKTON. CA., 95207, (209) 474-1375 or (800) 62-837 <br />CERTIFIED TESTER® Ol STATE LICENSE it ®��Q'L 3 TEST DATE II <br />