COMPLIANCE INFO 1987-2006 - Laserfiche WebLink

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14. Name of Supplier,Owner or Dealer Address No.and Street(s) city State Date of Testv f 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From �} ,,✓ . r /7 y, 19 Station Chart �,rr4 a� /z'a sr'` Nominal Capacity L.+ "'"� ❑ Tank Manufacturer's Chart Identity by position Gallons ❑ Company Engineering Data / y9[? Charts supplied with Brand and Grade ca most accurate r/ ❑ 12capacity chart available 4•' Other Gallons 17. FILL-UP FOR TEST Total aling Gallons na-RBadtng Stick Water Bottom / J Q� before Fill-up - - // ��,� in. / � _ T in. Inventory to'h" Gallons Tank Diameter /ZC7/L 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water in lank ❑ Linefs)being tested with LVLLT See manual sections applicable.Check below and retard procedure in lag(27). ❑High water table In tank excavation Use maximum ailowable test pressure for all testa. 19. TANK MEASUREMENTS FOR Transfer total to line 26a ,.or pound rule does not apply to dou blewalled tanks- TSTT ASSEMBLY e 21. VAPOR RECOVERY SYSTEM ❑Stage I ❑Stage 11 Complete section below: Bottom of tank to grads' ............................ n �f Add 3Q"for"T'probe assy_. ........................ {-__`3© in 24b. COEFFICIENT OF EXPANSION I, Is four pound rule required? Yes C11 Na L Total tubing to assemble—approximate............. �y `Z,in RECIPROCAL METHOD r� 2D. EXTENSION HOSE SETTING i Type of Product ............... ........................ 2. Height to 12"mark from gaY�c4fank —in, / Hydrometer Employed ..... ... H Tank top tog rade'.................................. m. ....... .......... ......... 3. Pressure at bottom of tank l' P.S.1. After Circulat[n Tank .G1 Filend hose on suction tube 6"or more Temperature r 777• +�, ion................ ... .... .... ...... °F below tank top...................................... ✓� -_in Temperature of Sample...... .. .. .. .... .. °F 4. Pressure at top of lank —�t_/..._.P.S.I. 'If Filo pipe extends above grade,use top of IIII. 22, Thermal-Sensor reading after circulation _! Difference(iI-)......................................... °F Igifs r � Depth of burial -31 .._k, _.��V—°F Observed A.P I.Gravity .................................. Between �— 23. Digits per°F In range of expected change2.f�J___� Reciprocal T. _—_.— Page Y Tank dia, in. digits COEFFICIENT OF EXPANSION (Complete atter circulation) _ 24a. Corrected A.P.I.Gravity Total quantity in Reciprocal Volume change in lull tank(16 or 17) this tank per°F Water table 3n. Observed A.P.I.Gravity................................... Transfer to Line 26a. NOTES: d�1r/G?'yeifL/'+'A7 v Hydrometer employed............. ......... ...... H 24c. FOR TESTING WITH WATER sae Table c s D Observed Sample Temperatureb�l °F Corrected XP 1.Gravity Water Temperature atter Circulation @ 601 F,From Table A............... ............. — Table C ................................................ ��°F Coefficient of Expansion Coefficient of Water The above calculations are to be used for dry soil conditions to inr Imoived Product Table D ......, .aCJ j 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 Surfactant? b<Yas ❑No Transfer CCE to Line 254.. area. / Refer to N.F.P.A. 30, Sections 2-3.2.4 and 2-7.2 and the tank 25.. (a) :5-IXI x (b).oloole��_ _ �� ,% _ gallons manufacturer regarding allowable system lest pressures. Total quantity In Coefficient of expansion for Volume change in this tank full tank 116 or 117) Involved product per IF 26, a c5 93141? 1326 _ �U� � This Is vab.tme change per°F(25 or 24b) Digits per•F in lest Volume chance pnr digit test Fbir n r^31 .. .r-.e I•, .. . i i-r r,',n ry,..!ar