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i <br /> DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (EZY CHEK)* <br /> CRISP TANK TES7110 <br /> P.O.SOX 30157 <br /> SFOMOK CA 95:3 <br /> CLIENT (209193141n <br /> NAME OF SUPPLIER, ^ <br /> OWNER OR DEALER�_! Y 0 V• A. j v DATE O3g-T5ADDRESS(NC. a � TIME F:NISW�,Z <br /> WEATHER-rU <br /> LENGTH CF TEST <br /> ESf <br /> CrY AND STATE 7hY`S <br /> TEMPERATURE <br /> TANK INFORMATION <br /> ;APACITY(NOMINAL)-/0,11) GALS. SIZE OF FILL OR TEST OR=4ING <br /> _ a <br /> CAPACITY(CHAR7 <br /> GALS. TDP OFF TIME HOUR Owi_ IN. CON icN'$ (PRODUCT)W'dS7`G U/ <br /> jNSIONS. DIAMETER _ GAL'ONS TANK MAT_=RiAL META!� FT^_E4G'_9 ) <br /> NUMSER OF GALLONS ADDED TO SART Try, �� APPROX.AGE <br /> LENGTH TANK NO. _ /7 h P <br /> PUMPSYS,eM-T(PE-=i15NJ MAKE <br /> INCHES OF WATER - BE=ORE TE>, hF'ER TEST SUCTION(" <br /> TEST CALIBRATION _ LEAK DETECTOR YES NG <br /> 5 OF CAL BAR OR MLS ADDED '�. _ TANK urouT VAPOR RECOVERY SYSTEM YESi ) NOr <br /> _ <br /> UN -�—� PHASE I ( ) ,PHASE 2. ( ) <br /> E MCV=M=NT r^✓"' 1%": +r <br /> (,� t _ OVERSPILL CONTAINER YES( )NO <br /> 2 t (�C) <br /> to l� LINES SHEAR VALVE YES( <br /> 4' <br /> ;yS <br /> 3 A, to -_ UNE$ <br /> `] LINES COMMENTS: <br /> T..TAL _ S LINES - 3 1,_ONES <br /> IALAr) <br /> ENO OF TS CAUBRATION <br /> SI=OF CAL BAR OR MCS ADDED <br /> LINE MOVEMENT <br /> m / a) <br /> Z- : 7 to q9 LIN E$ <br /> 3 > to —LINES <br /> (�9 LINE$ �� <br /> TC'A'- LINES + 3 = i:INco <br /> (ALM( <br /> M RED API SPEOIFiC GRAVITY 3 y _ <br /> P!. YCT icMPERATURE s 10 <br /> API SPECIFIC GRAVITY, oO°F <br /> COE PICIENT OF EXPANSION n n I u 7 1� (FROM 7A3L A) <br />_ <br /> 1222 4-7 Q ? _ (FROM TA.3LE B) L <br /> _ <br /> Go., x- 7O !7 >. r�t{r ? (FAC'OR e) <br /> TOTAL.^.i1AC1TY IW V �qL�NAry��n F <br /> COMMENTS: <br /> OWNER OF SITE ACOR=SS <br /> CITY STATE ZIP CDOE <br /> OWNER OF TANK ADOR=SS <br /> CITY STATE <br /> ZIP CODE <br /> COUNTY <br /> TECNNiCiAN(5) DATE <br />