Laserfiche WebLink
WORKSHEET FOR SUBPPITTAL TO GOVERNMENTAL AGENCY <br />NAILING ADDRESS <br />SITE AGENT 4a0 TELEPHONE Owl�-+ <br />ARRIVED TEST SI NOW YANK <br />�pLOCATION I'RObbCt___./Q <br />DATE/TINE ITORACE FILE Zg[�/. 40pRODUCT LEVEL AT ARRIVAL77 IpCRES BELOW TOP Of fILt NOMINAL TANK; SIZE' _ <br />TANK MATERIAL iT' MPROK. TANK ACr*5 TRS. TtLLSIZE/TTPE�OVERFILL CmAt tf e"il.� <br />Art CRAVITTAQ. LAI DEC. T. Art GRAVITY Of57' @ 60f v CDEMCIENT Of 23MANUON OF ,0 .k1'sZ'-. cot <br />VISABLE VENTING APPREARS TO BE Ali FILL ENO. ftLt OPOSMt END, NAS BV" TUBE, HAS SAM CNECR,�OTHER .- <br />VISABLE VAPOR TRAPS TO BE BLED! ALL C"EeGD MAMAT9. RETURN LINES, OTHER TLS <br />PHASE II VAPOR RECOVERT SYSTEM, ALANC ASPIRATOR AffiBIffiTtb, IANC RUN WELLS, NANIFOLDEO, NONE, OTHER <br />PiRiFtNC STSTfIt! EDUCTION, IN HARE / Ga "MEL C PIPE LINE LEAR Detector TE NO; NOT APPtiC <br />CHARTED SIZE EST. LINE QUANrITTZG>PRODUCT ADDED 1Tl.ftAOD STffiiEM S SYSTEM TORAL OALLONAGE . Fj9 <br />AMBIENt COND`ITIONSt TEND, P`/RETEST/ POSTEST CLOUDT, RAINING, RIND?, BREF.ZT, "tent, OTHER <br />1-101 <br />.4 PSI DRo1(/NOS TEST TO STAR ROM PSI TO It MAINTAINED ON TANK BOTTOM DURINO TEST PERIOD ¢� FSt <br />O <br />; a s� <br />_ N <br />A/fur <br />MAT@R tq�t� <br />REHARKS s <br />RESULTS ""S <br />A. GRAB* TD tANK 8011 <br />1 7 <br />2. GRAB* TD TANK TOP <br />C. TANK D1AVM..R <br />®SAA� <br />/ T <br />O. TESr t.*Y*a AROVR mte <br />2. EKiarm Goan PATER ARoV* wat <br />OOTP(N IN. K .0961 PSI • <br />P. TDP OF Pt LL TO POW. AT ARRITAL <br />7-f <br />O. IOP OF PILL TO TDP OF TALAR <br />N. TP.St".1.BT*L'.TO IImm OP ?in <br />PSI PER Ifty or PRDd1Ct <br />ate/ <br />TEST "RIGHT rms"AE POW" <br />%%S K i it <br />'Cf1E F L T'E$T PERIOD AS SHOWN ON THE A'T'TACHED COMPUTER GENERATED DATA REFLECTS A <br />LOSS / A GALLONS PER HOUR, WITH A 997 CONFIDENCE LEVEL OF +/— .00 gpil. <br />THE HORNER EZY CHEK II TROD COMPLIES WITH EPA AND 111E STATE OF CALIFORNIA PERFORMANCE STAWARD OF 0.05 CPN <br />FOR TANK YNTEG L TING. ( CTION 2643 CALIFORNIA CODE OF REGULATIONS) EASED UPON THIS STANDARD, THE RESULTS <br />SHOWN ABOVE., DOES INDICATE AN UNAUTHORIZED RELEASE EQUAL TO OR GREATER THAN THE 0.05 GPH STANDARD. <br />INTEGRITY TANK TESTIVcA SERVICES, 166 FRANK WEST CIRCLE, STOCKTON,/CA., 95206, (209) 466-8036 or (8800 2�6r2-8378 <br />CERTIFIED TESTERSTATE LICENSE II T� TEST BATE !JQ <br />