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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (EZY CHEM)" <br /> CRISP TANK MTIIC <br /> P.0.wx 3097 <br /> STOOITON.CA 95.'13 <br /> CLIENT (209)931-It2! <br /> NAME OF SUPPLIER, II <br /> OWNER OR DEALER SfUG"(+U tlGVI P fY`0 AI AT <br /> %' S:DATE OF TEES-, �-�'? � T-ME'START"'1'f TIME FINISH !/ �U LENGTH OF TEST = -'� Z C <br /> ADDRESS(NO.d SREET) A r V + W . <br /> CITY AND STATE k-1 �_ WEATHER a. n TEMPERATURE <br /> TANK INFORMATION <br /> CAPACITY(NOMINAL) / Do-) GALS. SIZE OF FILL OR T-,S7 OPENING <br /> F TI4 IN. CONTENTS(PRODUCT) <br /> CAPACITY(CHART) GALS. TOP OFF - HDUR;%9�) DA T E;-S- 9 S GALLONS 3')00 TANK MATERIAL ME'.AL(Vi FI?ER"L BSS ) <br /> DIMENSIONS: DIAMETER NUMBER OF GALLONS ADDED TO SART TcS �2, APPROX.AGE <br /> LENGTH TANK NO. ONP PUMPSYS<M-TYPEi5U9 MAKE <br /> ' INCHES OF WATER - BEFORE TEST - SUCTIDNC <br /> TEST Mr _n TEST T LTEST CALIBRATION <br /> 4 3 <br /> SIS OF CAL BAR OR M_S ADv TMK urou, =AK DETECTOR YES NO ) <br /> F <br /> VAPOR RECOVERY SYSTEM YES(X) N0I ; <br /> PHASE 1 (y) PHASE 2 a) <br /> LINE MOVEME.N,T' /t OVERSPILL CONTAINER YES( )NO(,Jd <br /> , —tea—to 7S LINES SHEAR VALVE YES(}C) NO( ) <br /> 76 LINES <br /> _ COMMENTS:to <br /> 3� `?� 3D LINES <br /> TOTAL 93 LINES - C - / LINES <br /> p:.Ml <br /> END OF TEST CALIBRATION 1 _ <br /> SIT_OF CAL BAR OR ML'S ADDED <br /> L'NS 'CvEM=NT 3 r 7 _ - <br /> to <br /> 3 "NES <br /> 2 to :i _ LINE- <br /> 3—to <br /> INES3t0 '. h 1.2 LINES / <br /> TOTAL `3 S LINES + 0= b LINES <br /> IKMI <br /> MEASURED API SPECIFIC GRAVTi Y 54 0 <br /> PRS'' CT TEMPERATUREAl GRAVITY O BO'F 56.3 (FROM TA3l c A) <br /> CCE-r CIENT OF EXPANSION .000G63 5 (FROM TA31=S) <br /> 5 X /,,z 0 Jam, >. r. (FAC7OR B) <br /> cob TOTAL C.VnCfl'Y IGALI 40L CM.wGF-F <br /> COMMENTS: <br /> OWNER OF SITE ADDRESS <br /> CITY STATE ZIP CODE <br /> OWNER OFTANKADDRESS <br /> CITY STATE ZIP CODE <br /> COUNTY _. r7 n -.� <br /> - <br /> ECHNICIAN 5 DATE <br />