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i <br /> i <br /> Afforda Test <br /> OVERFILL WORKSHEET <br /> i <br /> Facility Name : C) f INFORMATIONAL ONLY <br /> Facility Address : ;Lt S t(e Nt o /1 "N <br /> Facility Contact : <br /> OVERFILLS : <br /> Tank Charts Used : <br /> 1 . TANK INFORMATION <br /> Tank Chart Tank Manufacturer Industry Standard Chart <br /> Tank # I Tank # 2 Tank # 3 Tank #4 Tank #5 Tank #6 <br /> Tank Capacity: p <br /> Tank Material : <br /> Tank Manufacturer: (VIOCI� r n vy\ ca.Q,f 0 mcod l V� <br /> Product Stored: Q <br /> Diameter: ' ' 'Y '3 �7 S <br /> Length : ( ( L '( <br /> Inches to the bottom � 2 ( <br /> of Tank: > 1 <br /> Volume of Overfill U /� 1 1 q( S' L476 T7 /7 <br /> Test Result: ass Fail Fail ass/ ail Pa / Fail P ss/ Fail / Fail <br /> Comments — (include information on repairs made prior to testing and recommended follow-up for failed tests) <br />