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WIMIM <br />FAM Iii►= I o1�ffmlFW-4 MIMI Mi <br />�� <br />0 <br />P -T Tank Test Data Chart <br />Additional Info <br />-1-,007 <br />1. Net Volume Change a n n of Precision Test gph <br />Signature off�Testa .t <br />Date: <br />VMS <br />t3 <br />. • <br />L <br />- + <br />M <br />_w i <br />1� <br />o <br />ooZ <br />v <br />e 4 <br />.2--75- <br />I -% b <br />t <br />I •• <br />Z <br />%Z <br />2Sfa <br />t,00 <br />4-1 <br />�1003 <br />3 <br />�Z <br />{'.C>!5!7 <br />®oy <br />a-®oZ <br />3 <br />a- 2 <br />1Z. ( <br />tZ <br />r 2qo <br />12J- <br />f'Ctl!)$- <br />lS <br />/a, <br />12- <br />! <br />830d <br />-0.605 <br />( <br />/2. o <br />o,Sob <br />epee <br />2 . ( <br />1 <br />(9-112.1 <br />12- <br />, G <br />f 3to <br />2. Statement: <br />Tank and product handling system has been tested tight <br />according to the Precision Test Criteria as established by <br />N.F.P.A. publication 329. This is not intended to indicate <br />permission of a leak. <br />OR <br />❑ Tank and product handling system has failed the tank tightness <br />test according to the Precision Test Criteria as established by <br />N.F.P.A. publication 329. <br />VMS <br />t3 <br />. • <br />I . <br />- + <br />M <br />_w i <br />1� <br />MM <br />ooZ <br />M ` <br />I•r' <br />R® <br />*16s2 <br />+oac' <br />I •• <br />MMT <br />.00-3 <br />`z- <br />2 <br />t3 <br />fi,b/G <br />-�,®®O <br />ooZ <br />2 <br />+ I <br />4 -.bb <br />*16s2 <br />+oac' <br />.00-3 <br />`z- <br />4-1 <br />�1003 <br />3 <br />�Z <br />{'.C>!5!7 <br />®oy <br />a-®oZ <br />3 <br />a- 2 <br />f.00 <br />-' ©o <br />1�— <br />4- 1 <br />E(nKD3 <br />L <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. Heath Consultants Incorporated does not assume any <br />responsibility or liability for any loss of product to the <br />environment. <br />Tank Owner/Operator <br />Date <br />