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vl-%Ir' %.,k IIAI\ F . ilii fi�I\,, y . fir . r,, . -h • . . '-. . - - <br /> (EZY CHEK) <br /> OF SUPPLIER, c' <br /> NER OR DEALER �G`U LI DATE OF TEST l rO �a �. � TEMPERATURE <br /> DRESS MO. i STREET) n t�9RK fi WEATHER <br /> AND STATE S-fC,C/,/-4 ✓ CAS <br /> NK INFORMATIONj�. ' IN. CONTENTS(PRODUCT)ivts9�J <br /> PACITY(NOMINAL) A" C--f O GALS. SIZE OF FILL OR TEST OPENING �� _ TANK MATERIAL <br /> ACITY(CHART) �GALS. TOP OFF TIME 1NUMBER OF GALLONc i c a-3c - 69 GALLONS _ APPROX. AGE <br /> S ADDED TO START TEST / / G4i�l cw <br /> ENSIONS: DIAMETER —�-- '— PUMP SYSTEM (TYPE) <br /> LENGTH TANK NO. 6 I G. <br /> INCHES OF WATER - BEFORE TEST C— AFTER TEST <br /> TwNK LAYOUT <br /> ST CALIBRATION .5-O _ ;�:-1 = o<-/F <br /> E OF CAL- BAR OR ML'S ADDED (ALM) IFACTlA AI <br /> E MOVEMENT S � toLINES <br /> Vti✓f l <br /> ! ` <br /> �4 10 �'" _ :��- _ LINES <br /> 76 to e3 LINES <br /> `X¢RrJ ✓a ✓'1 <br /> TOTAL / —L!NES + 3 = _LINES <br /> D OF TEST CALIBRATION ���/ , <br /> E OF CAL. BAR OR ML'S ADDED ``' pLM; IFACTOA AI <br /> E MOVEMENT R� LINES <br /> t 5 1 to _ — r — <br /> p 5 3 to c = LINES flc „aka' <br /> 3 S3 to LINES a..� LINES <br /> TOTAL LINES - 3 = — (ALMI <br /> F '•` <br /> SURED API SPECIFIC GRAVITY 1 1 <br /> ODUCT TEMPERATURE 5 K` <br /> I SPECIFIC GRAVITY a 60° F5�- (FROM TABLE A) <br /> EFFICIENT OF EXPANSION (JZ /06S (FROM TABLE B) <br /> D ES x /C ?n (FACTOR B) <br /> C E. TOTAL CAPACITY IGALI VOL CHANGE"F <br /> PRODUCT LINE TESTING SYSTEM <br /> PRODUCT MONITORING ON LL PmOw Serial umber! <br /> (wwy) Nom SW EM � x Fodor A `_L <br /> .00 <br /> 00 ' <br /> - <br /> 0 DAT <br /> TECHNICIA f I <br />