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l hCVJl6 /✓v5c I1/Lr J1 dworsen• C /, _ h -- -- -=- �66-- - --- - - �rcf� Name of SuPOW.Oadv r a Dealer Addreaa No.aM SDaa MI City Stale - Dm of TW 01 15. TANK TO TEST 15a. BRIEF DIAG M OF TANK FIELD 16. CAPACITY From Q ❑ melon Chan Sor✓f�i o Z C wavclwvsG �f�©D ❑ Or) -- IOantilY lw position O O (JN/ w Nambtl Capanity, / Lialbna Tank Manufacturw'e Chan 6 / / ( ❑F-�/Canya ny Engineering Data N E SG i'e By meet wourale / . / /O LKChana auppllw wtm BrarW and Grade A / m capacity than Available ao I ❑ QMf - �V I' - Gtlbns r P 17. FILL-UP FOR TEST Tow Gloom V G°Ilona w Pleaded Stick Water eIp telae FilluP- in. `� in. Inventory ° 10%' Galan Tank Diewt e - - [)War �/�//ry L QOP 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑karblank El '.;i nolestwwim LVLLT 1 ) �+—" _ -/ A'_/See manual sections Vpllcable.Check below and record procedure In bRi4i'i ppg(27). ❑ weer table In tank eaCavatbn Lee meximum.Il°w.el.tell Pressure for all hard. 19. TANK MEASUREMENTS FOR Transfer total b time 2Se (� Four Pound rule does not apply to doublewaned tanks. TSTT ASSEMBLY �y,0 21VAPOR RECOVERY SYSTEM �e Complete section below: 3 Bottom of tank to grads'............................ In. . I _.Stage II Add 30'fin Tprobe easy......................... . F�.3/0 In. 24b. COEFFICIENT OF EXPANSION 8L Is[Our pound rule required? Y. ❑ rb Total tubing to assemble—approximate............. I/V In. RECIPROCAL METHOD Type of Produa........................................ 2 Height o 12"mark from Whom of tank b. 20. EXTENSION HOSE SETTING Tank top to grade...............I................... in. Modevider Employed.................................. Extend"A.on auction tube 6'or more (y Tempereturo In Tank r/s.............. 3. Pressure at bottom of lank _ P.S.I. p Aker Circulation......... /Or.7 below tank top...................................... in. _.-- Temperature of Sample................................. v A Pressure at top of tank PBI -II Fill Pipe extends above grade,use top of fill. ' 22. Thermal-Sensor reading atter circulation Dineen(,/-)........... •F eight, D°Pm of burial In. Q°F OMeaad A.P.I.Orevky ................................. •k/ IV) ZOL / 23. Digits pa•F in Hogs of expected change q�/ip/��I_�Z[/' q��e�a � Tank die. ` b. L d� COEFFICIENT OF EXPANSION (Complete afterr circulation) 6 24a. Corrected AP.I.Gravity Total quantity in Reciprocal Volume chard!In `L` lull tank(18 or 17) this tank per Li 4.. Water Dle- V In. Obsewed A.P.I.Gravity................................... Transfer l0 Line 25A G HydromAt"empio ed............................ ..... H LU . v/{' 24c. FOR TESTING WITH WATER WTI CAD Observed Pie Temperature ........... ............ •F z - 3 Corrected AP.I.Gentry ata bm �L ,,, paftens alw Clmulallon @w'F.Fr Table A........ .......................... lac............................... ............... •F a+Aw coefficient of n -' Coelblan111 Ix The above calculations are to be used for dry soil conditions to for Involved Product Table D................................................ establish a positheepfessure advantage,orwhen using the fourpound From Tabl.B............................................ QMe to compensate for the presence of subsurface water in the lank Trwafa COE to Line 25b. I AddW Sude°Gm7 ❑Yet ❑No Tramfe,COE to Lt.25b. aa�i7 area. Refer to N.F.PA. SG Sections 2.12.4 and 2.7.2 and the tank 25, (a) is (b) _ (c) get regarding allowable system tell pressures. Taal quwuty b C°allbAent of expansion for Volume change in thus Wit full tank 06opr 17) Involved produccttf per-F 26. u r / �! �6 V� �t.L—_---. _ 6 / This h e Volume Change ber'F(25 a 2ab) Digits Far*F In last Volume Change per digit t" Renne 1731 Cmmoute to 4 decimal ol... tactor lel