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WORKSHEET FOR SUBMITTAL TO GOVERNMENTAL AGENCY <br />OWNER/OPERATOR ®�Fi t` ,��'/�� SITE ADDRESS <br />CITY �4. �c . cOvyrY <br />HAILING ADDRESS <br />SITE AGENT <br />TELEPHONE <br />ARRIVED TEST SY OURS TAM LOCATION _- <br />„� PRODUCT ® , <br />DATE/TIME STORACE FILL t _ — <br />DUC% LEVET, A% ARRIV INCHES BELOW TOP OF FI <br />TANK MATERIAL LL NOHINAI, TA1i1C SIZE APT GRAVY 6 AT TR <br />` APPROX. TANK AC S. FILLSIZE/TTPE�ODERFILL WNTAIRKENT TYPE <br />/ DEC. F. - API GRAVITY OF 5 f 6OF - COEFFICIENT OF EXPANSION OF .000 XA�3 WE % <br />VYSABLL VENTING APPREARS TO BE ATI FII.LMK4ul&L- <br />OPOSITE AAS BURP TOEE, RAS FALL CHECK. ONRNOWH. OTHER' <br />VISABLE VAPOR TRAPS 70 BE BLED: EAM CHECKS, "MAYS, RETORN LINES, OTHER <br />PHASE II VAPOR RECOVERY SYSTEK: ASPIRATOR ASSISTED, LOPC MM <br />WELLS. ED, NONE, OTT$ <br />u PUMPING SYSTEM:SOCTION, rTujMMODEL"®TIPE <br />/ LingLEJ1L Detector YES 110; ROT APFLIC <br />CHARTED SIZE EST. LINL wj;r Tt PR=C2 ADDED TO: SYSTE Z' SLS2Eli TORAL GALLONAGE T <br />AHEIENT CONDITIONSt TEMPS PRETESTS/ VWYEET"�� <br />CLOODY,RAZN= NICHT, OTHER <br />.4 PSI a <br />AOORS TEST TO RODRS PSI TO BE HAZNTAINEO ON TANK- 'BOTTOM DIMM <br />TEST PEUOD PSI <br />N MAL <br />40 <br />GRADE 70 TANK TOP <br />TAN9 KW ITER <br />s -yA/�y, n D Tl4Y GlYIfXBOVE CRADE <br />G , ryC�'- t[ MATER AROVIt <br />(� �� IN. I .our PSI � <br />y <br />lr nW OF Ftt 7ti PgOD. AT ARRIVAL <br />A / a 7W� r <br />C.: TDP CP nL ,To TOP OF TANK <br />N.- TEST.. tORCM OF TALAR <br />q, , 1fATlR I� J1 Si0! C Psi ° ' or Pro= <br />TANK <br />♦ `�� TES! REI PORMSLA ` <br />T <br />gi <br />a } R. : ; t PSI' <br />m <br />IVW <br />NNO <br />_,,y,%w .. 'y 5 ?',. 4 f d.YYtL` e"l ro.•r3 wnY x Adh.0 4 <br />ff <br />i <br />a <br />RESUL <br />TS <br />THE FINAL TEST P ZOD-AS SHOWN ON.THE ATTACHED C011PUTER GENERATED DATA REFLECT A <br />LOS ' f GAIN <br />- GALLONS PER HOUR, WITH A 99% CONFIDENCE LEVEL OF <br />SP4 <br />�h <br />THE H ER EZY CHEK !t WITH EPA AND THE STATE OpdALIFORNtA P <br />FOR TANK ANCE STANDAIDOF 0:05 QPH— , <br />ON 2643 CAUFORMA COAD OF REQULA U THaS STANDARDINE NOT TE ANDARD <br />AN UNAUTHORIZED TO OR GREAl`ER THAN THE MOS GPH ST <br />riv <br />xA , . <br />RITY TANK 4 V. Oit. SERVICE P. O. SM 9M SAN ANDREA,, CRUFORNIA, 95245 " 754.1 18 <br />GEAT! <br />ED TESTER. <br />DATA_ i <br />NU <br />��'. k _ �� �• xi, <br />m-� <br />