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14. ele,VraV 30/ /Y,/e OU; C -A. ?-a$- go <br />Nam. of Supplier. Owns, or Net., Addreas No. and Streeter) City Slate Data of Test <br />15a, BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From <br />(kckpP ppb No hraili // ❑ on Chari <br />Sf9 T/tlY�V4u} O I -F(/ Nominal Capacity iD00 Tenk Manufacturer a Chan <br />has bean, Gallons <br />G9Z_at . CBotdN{e 11 Company Engineering with Dau <br />Mill <br />/ y� r Over By most accurate IOD / ❑ CM1arts supplied with <br />f ill10 S&Awill% capecily cnen available Gallo/ns ❑other <br />15. TANK TO TEST # 10 F Z <br />de`4 /( (I SAt7`/pnv <br />S'f WY Identay by posubn <br />q-5775 A ase/ (U14 -f- c a:�Twvk> <br />Brand and Greek <br />17. FILL -UP FOR TEST <br />stat watts sonom �[ <br />W. FIR -up In. _ec�- <br />to W' Gallons Tank Diameter <br />Inventory <br />18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑ weler in tank ❑ un.n) being tasted with LVLLT <br />23. Dlgil. per °F in range of expected change S 0 I <br />❑ <br />Tank I In. <br />an, eventual eeeliae, applicable. Check below and record procedure In log (21). <br />High water table In tank excavellon <br />COEFFICIENT OF EXPANSION (Complete after circulation) <br />Use makennuen allowetYe test preasun far all man <br />19. TANK MEASUREMENTS FOR <br />• H <br />Flap, pOYM pure does not apply fo dwblawalied tanks. /� <br />Lua.i�<r &Aiv <br />TSTT ASSEMBLY <br />�yS <br />Complete reactionbelow:83 <br />Observed A.P. 1, Gravity ................................... <br />SrD <br />'�AWtiS <br />aattomoftank iopretle',...._ ............... <br />sr3__In. <br />rl �yl/ <br />Add Jo" for V' probe easy .... ............ ..... <br />_d 30 30 In <br />- 1. Is low pound rWe required? Yee ElNo,C <br />Total tubing to essembn - .,proximate . <br />!!Jin <br />fi t - r,,s e�7 <br />20. EXTENSION HOSE SETTING <br />7'0ii,, <br />2 Haight to t2" mark from bonom of tank _in <br />Corrected A.P.I. Gravity <br />Water Temperature after Circulation <br />- <br />Tank top to grad'_ .......... ............... <br />-in <br />' <br />Extend hose on suction tube 6" or more <br />Coefficient of Water <br />9. Ppenum at bonom of tank P.S.I. <br />for Involved Product <br />1 <br />establish apositive presulmdyantaga,orwMnusing the four pound <br />below tank top....... ,.,..... . .......,... <br />I in. <br />_ NN to dompenaate fa fon preselke olsubeurface water In the tank <br />ssaL <br />Transfer COE to Line 2% <br />Added Sunactem? ❑ Yee ❑ No Trial COE to Line 25b. <br />4 Preaaure al top of tank - P'S I <br />'If Fill pipe extends above grad, use lop of fill. <br />mNutagtYfaf regarding a4oWaDle system test pressures. <br />45. <br />22. Thermal-S.nscr reeding after circulation <br />_ =Q <br />of burial <br />ASO 6i <br />