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■ <br /> J <br /> _ Page 5 <br /> SITE PREPARATION AND SYSTEM DATA <br /> THREE-TANK SYSTEM <br /> j_ CUST <br /> LER: (6 <br /> �. DATE: <br /> LOC <br /> SYSTEM NO.: <br /> 1 <br /> CITY/STATE: --'ryi f�^/ PRODUCT: CI G_ii (• t <br /> SITE PREPARATION <br /> 1- <br /> OTHER CONDITIONS <br /> VAPOR RECOVERY �❑ PLUGS ❑ RISERS may❑OTHER <br /> F <br /> VENT Cl NO PREPARATION U OPEN TO ATMOSPHERE ❑ P-V VALUE REMOVED ❑ OTHER <br /> 1 IGREMOTE/SUBMERSIBLE (DEPTH 1 Cl SUCTION (HEIGHT ) <br /> L <br /> ILL CHECK VALVE STRAINER IMPACT VALVE CHECK VALVE STRAINER SUCTION CONNECTION <br /> -I ❑REMOVED&OPEN ❑REMOVED LOSED 1:1 BURIED ❑REMOVED ❑UNION <br /> -7I ry/ PLUG-IN <br /> I❑�I�N PLACE U IN PLACE ❑PLUG OUT ❑EXTRACTABLE LOSED -1 IN PLAc6 ❑COUPLING <br /> CLOSED ❑RREMOVED&COVER ❑OPEN El REMOVED ❑ <br /> ICJREMOAVEE ❑ <br /> D&COVER 'OPEN WITH FOIL <br /> ❑REPLACED&COVER ❑OTHER ❑IN PLACE ❑OTHER El NO FOIL <br /> ❑CAP REPLAC <br /> MVED <br /> ❑OTHER ED G IN PLACE <br /> ❑OTHER ❑OTHER <br /> r <br /> 1 <br /> TEST 1 DATA <br /> I <br /> TANK 1 TANK 2 TANK 3 <br /> 1 LOCATION DROPTUBE LOCATION DROP TUBE LOCATION DROP TUBE <br /> FILL Gauge Other(SPecify) IN OUT None FILL I Gauge Omer(Specify) IN OUT Non FILL Gauge other(specify) IN OUT None <br /> T.PROBE <br /> BALANCE' <br /> i <br /> 1 CALIBRATION <br /> LEVELS LOCATION / METHOD <br /> / r t- Q___5OLID ROD ❑ LIQUID <br /> Time Tank I Tank 2 Tank 3 2 3 4 5 6 AVERAGE <br /> START (f ��r CC'S <br /> S <br /> END 0 DIVISION < �� S �.r �•" �� �'-' S� (�lG� <br /> AVG.CC'S/DIV. Cf <br /> LEAK RAT LR CALCULATION <br /> ±A DIVISIONS CC CC <br /> _ LR= X CALIBRATION, _ _ <br /> AMINUTE DIVISION MINUTE `N OUT <br /> TEMPERATURE COMPENSATION (TC)CALCULATION <br /> COEFFICIENT OF EXPANSION 1/'F <br /> a 3785 GT CE �oF CC IN OUT <br /> • GRAVITY TEMPERATURE,�F TC - OR <br /> SOURCE ❑T159C . 0 TIME MINUTE (�) (--) <br /> ❑A '❑ D ❑ CHART <br /> ❑ B ❑ E O PUBLISHED DATA AT 60OF / <br /> ❑ C ❑ OTHER TC <br /> TANK TANK'2 <br /> SYSTEM CAPACITY,GALLONS do'V GT TANK 1 TANK 2 TANK 3 TOTAL <br /> 0-F <br /> ±Temp.-Differential 'f•l�C�c�i- �eF TC= <br /> T Titpe o/Temp. Time <br /> Differentiel, Min. et (~ <br /> ABSOLUTE LEAK RATE(ALR)CALCULATION <br /> ABSOLUTE LEAK RATE = + , S � ( — .4 ( <br /> LEAK RATE TEMP.COMPENSATION CC/MIN <br /> = X 0.015652' _ , D <br /> CC/MIN GAL/HOUR <br /> ❑ IF ALR> ± 0.05 GPH,A CHECK TEST WAS CONDUCTED WHICH CONFIRMS THE ABOVE RESULTS(CALCULATIONS ON CHART) <br /> Cl A CHECK TEST WAS NOT CONDUCTED. <br /> ' 60 MINUTES/HOUR + 3785 CC/GALLON=0.015852 <br />