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as 577 5� �p� .. .................. N: i0. EXTENSION HOSE SETTING I l 14. lit �� / 3 o I .. I� !'Trz. r" tom, t40 (..A u e Lin .. .T/y_ below tank top ..... .......................... In. 'ff. Flit. pipe extends above grade, use top of fill. --- - 22. THermel-Sensor reading after Circulation NAPM of Supplier, Owner or Dasher Address No. and Strbet(sl CIIY---- --- Stele --- DeU of Test 15. TANK TO TEST 23.. Digits per °F In range of expected change 15a. BRIEF DIAGRAM OF TANK FIELD full tank 116 or 17f 16. CAPACITY From after circulation) 241.. Corrected A.P.I. Gravity Observed A. P.I. Gravity .................... .......... Nominal CapacltY O U. �-J_--Manufacturer'sTank Stenon Chart awtay by n pnNbn �n fin/ -. Consoled A.P.I. Gravity - _O. canons Manufaar's Chen ElCOmpanvpswone Cbfflciwt of Expansion 3 -r Z I for Involved Product By most accurate capacity Chan available_ U O with ❑ Clients supplied with ❑ amid and Grad Tender COE to Line 25b. _ _ _ Gallons Other 17. FILL -UP FOR T stle carr ?seen bMon FlNHepIn. a N" 0 Ione Tank Diameter 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK . ❑ water m bnk (_] _ma(a) bamg tared wan LVLLT See mwbl eagtldne aprekk . Check be ow and record procedure In b0 (27). ❑ High water table in tank excavation Uses niaxkntan clawed. teat prespro for all testa. 19. 'TANK MEASUREMENTS FOR Fee reseed rue debt east apply W doublewatlw tanks. Inventory TSTT ASSEMBLY Complete eeaan bNow: aGnore of lank to Bled. - in. Tobi tubing T' probe leeasy -approximate... p ... i O 30 in. Add s0" lor' 1, bion, pound rub esqulnd7 yes ❑ No to assemble -approximate I mwm W tr mark from bonen of tank s. peesewe at bM=Cg Wh I faresewla WP of Wk IoM In. in. The about I:eaulrbns M to be used for dry wit conditions to estmbeahapOSltiftP sumadvmtmge.orwhen bingthefour pound NN t0 p paste for the pr nm Of subsurface water In the tank MM1T to N.F.11I 30. aecNrb 2321 and 27.2 and the tank manuteal regrdingtillowable aptem test pressures. . S ' Tool Gallon, Gallons as, Raadlog - ------- Transfer total to line 21 " 21. VAPOR RECOVERY SYSTEM ❑sepal ❑Spell 24b. COEFFICIENT OF EXPANSION RECIPROCAL METHOD Type of Hydrometer Employed......... .. .................. N: i0. EXTENSION HOSE SETTING I l Tank top to grade• ........... ..... ......... Y" In. Existed hose on euctlon tube 6" or more .. .T/y_ below tank top ..... .......................... In. 'ff. Flit. pipe extends above grade, use top of fill. .... .. .. ....... ... 22. THermel-Sensor reading after Circulation r Reciprocal if_� digits �J UUp ,!elweCgp� s 23.. Digits per °F In range of expected change _ -_1:) U full tank 116 or 17f digits .COEFFICIENT OF EXPANSION (Complete after circulation) 241.. Corrected A.P.I. Gravity Observed A. P.I. Gravity .................... .......... Hydrometer employed.,.- ..........................._ _H Cbaerved Semple Temperature ......................... 'F Consoled A.P.I. Gravity @&DJ IF, From Table A. ........... ........................ Cbfflciwt of Expansion for Involved Product piain table B .................. .......... .............. Tender COE to Line 25b. Tool Gallon, Gallons as, Raadlog - ------- Transfer total to line 21 " 21. VAPOR RECOVERY SYSTEM ❑sepal ❑Spell 24b. COEFFICIENT OF EXPANSION RECIPROCAL METHOD Type of Hydrometer Employed......... .. .................. N: Temperature in Tank R After Circulation ......... ..... .......... V� • .F Temperature of Semple ............................... .. .T/y_ Difference (•/-) { . .... .. .. ....... ... Observed A.P.t G1M. QQ .. ........................... 5Vr Reciprocal if_� (L page UUp x / V,5_5 , &,85_87/05W 5_87/05W obi uantky In Z-41.11 Volume changeIn full tank 116 or 17f this Wk Par IF Volume MIm$ Expansion I-) or Compaction (-I A3DV)-a37IT1 Transfer to Lhe 2aa 24c. FOR TESTING WITH WATER sae Tablecao Water Temperature after Circulation TableC ............................................... aF Coefficient Of Water TableD ................................................ AOdw Surfactant? ❑ Yes ❑ No Transfer CCE to Lina 25b. 25. (a) L�1-_ = (C) canons Total quantity In Coeffldwt of expansion for Volume change In this took NII tank /((16 or 17) Involved product �y per °Fy 26. La)__O�✓�Tnbb * Res:ge 123) -.x Compute 10 a daelmed mks., recur m V- 7tSNt`y "- -" f 1k• / "- �TMt PROCEDURES SSupWememeD 30. HYDROSTATIC : PRES3UflE , ' 'CONTROL v' 31. VOLUME MEASUREMENTS (V) RECORD TO .get GAL. 34 TEMPERATURE COMPENSATION USE FACTOR (a) �'NET YoLuC KkWNG ME EACH READING 39.A CHANGE 28. DATE �Rl details Of aettin u g p and running test. (Use IuII g length Of line it needed.) wase 29. Reading No.- Stand a Level p p In orches 32. Product in Graeuale 33. Pmeucl Replaces I-1 35. Thermal Sense, Reading 36. Change Higher - Lower- (d 37. Computation to) - (a) = Expansion • Contraction Temperature Adjustment At Low CWM COmputt Change per Now (NEPApeHhl Beginning of Aepoiq Level to which Resloree Before Reading Allot Reaeing Product Recovered H) Volume MIm$ Expansion I-) or Compaction (-I A3DV)-a37IT1 Tim i21cad _ 0773 --- --- lir l:'7 7is - 7 v ors 816 - -- -- -)- f 17 21 220n J X2.3 �i.• __ 72p •7Zo 7Zo .76o_-1 Goa 4 ofs 1 'OZ -0 830 838 - J -!L - 1- 1.pgq -./4 VZ -S 0G7 _ uno I,, 3 szp s was _ osD vss W _ 7 - 37 3 23 3s� z 3; p Soo 3 7- I_v_�5 _ < sr_ f f vas Wil,/b /•.00 3 soy - -- 2litcoo a Y�7� 13 .: -.00 is P -T Tank Teat Data Chart Additional Info 004 1. Net Volume Change at Cone to of Preci Test gph Signature of Taster: - Data: PNaa2g atement: - Tank, and product handling system has been tested tight according to the Precision Test Criteria as established by N.F.P.A. publication 329. This is not intended to indicate permission of a leek. OR ❑ Tack and product handling system has failed the tank tightness fast according to the Precision Test Criteria as established by N.F.P.:A.publicatlon 329. It is the responsibility of the owner and/or operator of this system to immediately advise state and local authorities of any implied hazard and the possibility of any reportable pollution to the environment as a result of the Indicated failure of this system. Heath Consultants Incorporated does not assume any responsibility or liability for any loss Of product to the environment. Tank Owner/Operator L.4ZL4ri'/ /L_� Date