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Afforda Test <br /> OVERFILL WORKSHEET <br /> t <br /> Facility Name : j 4�117 u C INFORMATIONAL ONLY <br /> Facility Address : <br /> Facility Contact : <br /> OVERFILLS : <br /> Tank Charts Used : Modern AALejd,&,X <br /> 1 . TANK INFORMATION <br /> Tank Chart x Tank Manufacturer x Industry Standard Chart <br /> Tank # 1 Tank # 2 Tank # 3 Tank #4 Tank # 5 Tank #6 <br /> Tank Capacity : <br /> Tank Material: <br /> Tank Manufacturer : <br /> Product Stored : f C <br /> Diameter : t <br /> Length : <br /> inches to the bottom to <br /> of Tank : <br /> Volume of Overfill Z, ( <br /> % c cC <br /> Pass ass Pass <br /> Test Result: Pass/ Fail Pass/ Fail Pass/ Fail Pass/ Fail Pass/ Fail Pass/ Fail <br /> L <br /> Comments — (include information on repairs made prior to testing, and reconnnen(led folloi+�- up .for failed tests) <br />