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14. C1 FV D/= oca�rp" /yG5 5• LiNCo'rN (4 9_1k-e9 Name of Supplier.Owner or Dealer Address No.and Street(a) City State Data of Teel 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16, CAPACITY From ///��k EJStationChada Nominal Capacity �J ` Tank Mrufactureis Chart Identify by position �`1]'X, Gallons Company Engineering Data E�L � A By most accurate ❑ Chane supplied with Brand and Grade capacity Chan available ❑ Other Gallons 17. FILL-UP FOR TEST Total Gallon 1 Gallons ee.Reading Stick Water Bottom 4e �Cr Ir In 66/ Delore FII'-up (��/ in. J Inventory �7 to'A' atlona Tank Diameter 1.vA i?7L. n:y16. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑water in tank ❑ skis)Daing tested with LVLLT �`f s 1 Bee manual sections applicable.Check below and record procedure In IN(27). ❑High water table in tank excavation -5-76 76 I Like maximum allowable test pressure for all tests. 19. TANK MEASUREMENTS FOR Transfer tow to line 25a Four pound rule does not apply to doublewalled tank.. Complete section belowTSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM ❑segel I�stegell r Boom of t0 guide 3tle' ............................ n Add My'for'T'probe may........................... 30 in. 241). COEFFICIENT OF EXPANSION t. Is four pound rule reculrsda We No ❑ Total tubing to assemble—approximate_. /b RECIPROCAL METHOD 20. EXTENSION HOSE SETTING Type of product ................................... . . 2.Haight to 12"mark from bottom of tank In' �7 �/ L Tank top to grade'.................................. Tom/7� in. Hydrometer Employed .................................. N Extend hose on suction tube B"or mora Temperature In Tank 3. Pressure at bosom of tank RSI. After Circulation........... ............................ �IF below tank top..............................._..._ �%(O In. Temperature of Sample.............................._. . 0 °F 4. Pressure at top of tank P.S.I. 'If Fill pipe extends above gratla.Life top of 1111. 22. Therms-Sensor reading after circulation Difference p/-).........................._............. IF IN it 7 Depth of burial in. - 3 IF Observed A.P.1.Gravity ................................. Bliffissain '] �/�.� 23. Digds per IF In range of expected change 21p".3flig Reciprocal A(_QL _'� Page x 3 Tank da, ln. I COEFFICIENT OF EXPANSION (Complete after circulation) S7lo 2/033 24a. Corroded A.PI.Gravity Total quantity In Reciprocal Volume change In Water table In. full tank(16 or 17) this tank per°F Observed A.P.I.Gravity................................... Transfer to Line 21y. NOTES Hydrometer employed................................... H 24e. FOR TESTING WITH WATER .m Table C aD Observed Semple Temperature ...... °F Corindow A P.I.Gravity Water Temperature after Circulation @60°F.From Table A....... ................._......... Table C............ ................................... °F Coefficient of Expansion Coefficient of Water The above calculations ere to be used for dry Soil conditions to for Involved Product Table D...................................... .......... establish a positive pressure advantage,or when using the four pound From Table B............. _....._...... rule to compensate for the presence of subsurface water In the tank Transfer COE to Line 25b. Added SudeclantT ❑Yes ❑No Transfer COE to Line 26b. area. Rater to N.F.P.A. 30, Sections 2-3.2.4 and 27.2 and the tank 25, (a) x (b) _ (c) gallons manufacturer regarding allowable system test pressures. Total quantity In Coefficient of expansion for Volume change In thio tank lull tank(16 or 17) involved product per IF 26. (a)M2/e3S'S707 ,3,Z3 Thai. Volume change per IF(26 or 24b) Digits per IF In NH Volume change per digit tit Range(23) Compute to 4 decimal platy. factor U)