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r3-/- 5f. S 1-0GKto.t.1 CA <br /> Name of Supplier,Owner or Disler Address No.and Street(%) City state Due of Tesr <br /> y� 15. TANK TO TEST 16. CAPACITY From <br /> Z a� �ofZ e—$btion Chad <br /> y �. O By most accurate S� Tank Manufacturer's Chad <br /> m Nominal Capacity capacity chad available ❑ <br /> !1 G Identity by position Gallon, Gallons; ❑ Company Engineering Data <br /> Is there doubt as to True Capacity?AI <br /> Ore,$e � I ❑ ❑ Chats supplied with (ar�1rOTItP <br /> Bund and Grade See Section"DETERMINING TANK CAPACITY" ❑ Other <br /> 11. FILL-UP FOR TEST Stick Readings Total Gallons <br /> to W In. Gallons as.Reading <br /> Stick Water Bottom , r <br /> before FIIFup r/ �1' in .S /V S Inventory 4 6 <br /> to K In. Gallons / <br /> 3L�0 �I� �• <br /> FIII up.STICK BEFORE/AND AFTER EACH COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY <br /> Tank Diameter y S ry <br /> Co.D, ` Product In lull tank(up to till pipe) <br /> -0. 0 <br /> m 0 o • 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK APs 6- <br /> G) . 3 S VAPOR RECOVERY SYSTEM <br /> A�"U) APT <br /> I 0 A C) Sae manual sections applicable.Check below and record Procedure in log(26). ? <br /> A?CA 0 C A r "� J�. 7 L] Stage I <br /> o;ray 11 ❑ Water in tank ❑ High water table in tank excavation ❑ Llne(s)being tented wMh LVLLT ❑ Stage 11 <br /> 0 y 0 � <br /> 0 <br /> m <br /> 0 21. TEMPERATUREIVOLUME FACTOR (a)TO TEST THIS TANK <br /> ro 19. TANK MEASUREMENTS FOR Is Today Warmer?IJ Coker?tj,�_-F Product in Tank_'F Fill-up Product on Tmck F Expected Change( + or - ) <br /> I TSTT ASSEMBLY 3 <br /> Bottom of tank to Grade'.................... 73 s� '. 22, Thermal-Sensor reading after circulation / 712 <br /> 12 -2 0 b ,F <br /> Add 30"for{"L ................. _" dgils Nearest _ <br /> Add 24"for 3"L or air seal ....... 23. Digits par•F in range of expected change 3 /y <br /> Tobi tubing to assemble Approximate ........ dgns <br /> 20. EXTENSION HOSE SETTING8 24• 5 x , 000 YY 9/5- = CJ as--3 ti s.29 gallons S/� total quantity in coefficient of expansion for volume change in this tank <br /> Tank top to grade•.................................. full tank(16 or 17) Involved product par'F <br /> Emend hone on suction tube 6'or more �[ <br /> below tank top ..................................... " 25. 1). a S S 6 5 .2 9 .� 7 — 00n;? <br /> 0 I / This is <br /> 'If Fill g p volume charge per°F(24) Range <br /> ep 3'F in test Volume change per Computer to 4 decimal it. test <br /> bces. factor(a) <br /> pipe extends above rade,use to of fill. pg ( ) p p <br /> 26. 30. HYDROSTATIC 31. 34. 38.xEr vdtuME 39. <br /> LOG OF TEST PROCEDURES PRESSURE NNUME MEASUREMENTS M TEMPERATURE COMPENSATION MET VO G ACCUMULATED <br /> CONTROL RECORD N.of GAIL USE fIC10R lel EACH READING CHANGE <br /> 21. 28. 29. Standpipe Levet 32. 35. 36. 31. Temperature a Mip,Lwd recmd <br /> haF Record detail:of setting u in lube Paean ie noted Changs Compmarion Adjustmentnew <br /> I"Led 11, as <br /> B p Midast Gradeua Replaced I-) Tlrarmal <br /> and running test.(Use full Mw Hive,+ lq x lel- Vdume Minus a tmx somaala <br /> BMRInnMa bye to Smsu Lower- Expansion+ Expansion(+)or <br /> 11YE length of line if needed.( of which Battery Altar Pmeud Boding Irl contraction- collimation I-) cause per Maar <br /> 1241 Reading Restuad Rodin Readmit Recovered l+) 00 O a33(Lg—a37(T) lain unedal <br /> f!s-r f,,err D • 7`-+ G vY .< <br /> 07/S Pq�d. A - r c« d e LSP fpsr <br />