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(EZY CHEK) <br /> LIENT <br /> AME OF SUPPLIER. C�NPLvtN(� 0 — — 1 <br /> WNER OR DEALER DATE OF TEST <br /> DORESS(NO. 3STREETI , PO/ N01 WEATHER 6 — TEMPERATURE <br /> TTY AND STATE MA�v� c�C47, 33 <br />►NK INFORMATION <br /> APACITY(NOMINAL) K1600 GALS. SIZE OF FILL OR TEST OPENING IN. CONTENTS(PRODUCT c'FA/JC/�- 6w-s <br /> APACITY(CHART) O✓/ GALS. TOP OFF TIME /a TEST <br /> /3'c•c' GALLONS 1166{ 6,111 TANK MATERIAL 4-- <br /> IMENSIONS: DIAMETER 9 S NUMBER OF GALLONS ADDED TO START TEST Lf L — — APPROX. AGE 2 <br /> LENGTH 2 TANK NO.'O=G / — — PUMP SYSTEM (TYPE) �,c(G-l" O�.- <br /> INCHESOFWATER - BEFORETEST AFTERTESTe'2 <br />-STgMIBRATION <br /> _ TANK LAYOUT <br /> IZE Al. BAR OR MCS ADDED ) G - a� erre-C <br /> (ALM) (FACTOR A) <br /> NE M VEMENT /� <br /> 1 �� to C" �' - .�S LINES <br /> p S S to F, O = :) S LINES <br /> 3 Sri to LINES - <br /> TOTAL S _ LINES - 3 = ��� LINES <br /> (ALM) <br /> ND OF TEST CALIBRATION t, --� <br /> IZE OF CAL. BAR OR MCS ADDED ' -� C - 1 S =•���`� ! _— - <br /> (A�M� (FACTOR AI F« LLF(n.� . <br /> SNE MOVEMENTe—L-- <br /> 1 toLINES <br /> 2 UE to LINES — ----- - - <br /> 3 to LINES <br /> TOTAL LINES - 3 LINES <br /> (ALM) <br /> EASURED API SPECIFIC GRAVITY ScJ <br /> O T TEMPERATURE <br /> I I IC GRAVITY C 60° F L (FFOM TABLE A) <br /> EF NT OF EXPANSIf (FROM TABLE B) <br /> 7Q 60' x 9( i (FACTOR B) <br /> C O E. TOTAL CAPACITY(GAL) VOL.CHANGE^F <br /> PRODUCT LINE TESTING SYSTEM <br /> Tune Reading PRODUCT MONITORING ON U. Product Serial Fumber <br /> tMdltary) Na. Start End +Gai" x Facts A <br /> -Loss -LOSS <br /> .00 <br /> 00 <br /> .00 <br /> .003 <br /> TECHNICIAN(S) T DATE <br />