Laserfiche WebLink
HORNER EZY CHEK PRECISION LINE TEST WORKSHEET <br />OWNER/OPERATOR '4'-4?!��SITE AGENT <br />ADDRESS TELEPHONE <br />LINE CONNECTED TO TANK#6�r'� loo Ir <br />,,, r <br />I lollr". <br />TINE NO SUC P4 L It <br />LINE DISPENSES ale- 4Arir-o —APPROXIMATE LINE LENGTH —9-g-9--f-E.ET <br />TURBINE MAKE ---DISPENS-ERv/ MAKE - <br />TANK TEST EQUIPMENT TO BE IN PLACE DURING LINE TEST YES NG <br />LINE TO BE TESTED WITH LINE BLOCK IN PLACE OF PLLD (9S:) NO <br />TURBINE OUTPUT PRESSURE—3 TEST PRESSURE TO BE <br />TEST PRESSURE APPLIED AT -/-!e�,3-5'HOURS <br />TIME LINE SRT LINE END X .0037 RESULTS <br />ra•490 F'o c)J7 <br />iffram— - -- <br />I MMED I ATE LINE DR(.')P f N FS <br />EST GPH MONITOR ACCUM, 6PH TEST <br />7A1 <br />I <br />BASED UPON CURRENT STANDARDS THE GPH DATA AS SHOWN <br />THE MO BE CONSIDEREDTIGHT. <br />q'o -1d Z-3 <br />TECHNICIAN LICENSE NUMBER <br />INTEGRITY TANK TESTING SERVICES P.O. BOX 691376 <br />(209) 474-1375 <br />TOTAL -�GPH <br />QALLOW DO 1-40T ALLOW <br />/ / / / 61? 7 - <br />TEST DATE <br />STOCKTON, CALIFORNIA 95269 <br />(800) 262-8378 <br />