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14 14N -i ,wj UH•�-'IP� ac.�OU( 1J1 .j — u�i9/N.,�" '{y'. -'2e'4C (—i¢ -- -�'�I�- Name of Suppll•r,Owner or Dealer Address No.and Soon(at city Sine Dere of Teal 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITYFrom "tiorSTatbn Chert Nomintl Capacity ❑ Tank Manuladurerb Chan Identity by position Gelbrts ❑ Company Engineering Data D `e ❑ Chads supplied with Jit I _ By moat accurate Z&y ❑ OtherBrand and Grade capacity chat evallebla Gallons Total Gallons 17. FILL-UP FOR TEST Gallons .a.Fla ding 'a fy a Stick Water Bottom J/y '3// s Z!o y before Fill-up in. �n. Inremory to'A' Gallons TenF Diameter _ 1 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑waren b took Elnets)being heated with LVLLT T See manual section,mpliwola Check elow and record procedure In log High❑High wsee table in tank excaat in, S Z J 3 ,Jae maximum allowable teat preaaur•for ell teats. 19. TANK MEASUREMENTS FOR Transfer total to line 2% Four pound rule does not apply to dounlewalled tanks. TSTT ASSEMBLY ,. 21. VAPOR RECOVERY SYSTEM Complete section below: ❑Sleg.l ❑sreg.0 Bottom of lank to grade ............................ 3 in. Add 30'for'T'probe may........................... 30 1�. 24b. COEFFICIENT OF EXPANSION 1. is four pound rule reauiddv Yoe ❑ No Total tubing to afoeri-a priestesses............. in. RECIPROCAL METHOD I ................. p)ese � 2 Height to 12'mark from bottom of lank I A In. 20. EXTENSION HOSE SETTING 450, type of Product ....................... Tank top to grade'.................................. J In. Hydrometer Employed.................................. H N Extend Was on auction tube 6"or more Temperature In Tank 3.pressure at bottom of tank P.S.I. AHer Circulation........................................ 'F below,rent top......................................�in. S 3 0 Temperature of Sample................................. °F 4. Pressure at top of tank p,gL 'It Fill pipe extends slime grade,use top of fill. O 22. Thermal-Sensor reading after circulation Z Differs.(H-)...:..................................... °F e q digin; 6Tank h of banal �3-.in. / i- ` 2— •F Offhanded A.P.I.Greatly ................................. 31113 B N�,7n �I 5 Q 23. Digits per°F in range of expected change �C-- Reciprocal digm; ' dla. in. ) z53r iaCOEFFICIENT OF EXPANSION (Complete after circulationZ4a. Corrected A.P.I.Gravi Total Rua Vim in Re ipro a Vis m.tan change In b lull tank rye a in this tank per°F table In' Observed A.P.I.GravityTransfer to Line 26a. ................................... NOTES: Hydrometer employed................................... H 24c. FOR TESTING WITH WATER ase Tsmec6D Observed Semple Temperature......................... 'F Corrected A.P.I.Gravity Witter Tempe,! alar Dewletbe @ WF.From Table A.................................... - Table C................................................ ^ 'F Coefficient of&pension Coefficient of waw The above calculations are to the used for dry soli conditions'o for Involved Product Table D ................................................ establish a positive pressure advent•ge.or when using the lour pound From Table B............................................ - mle to compensate for the presence of subsurface water in the tank Transfer COE 10 Lina 25e. Added Sunsoremi El Yale ❑No Transfer COE to Lina 2% --------------- sea Rater to N.F.P.A. 30. Sections 2-324 end 21.2 and the tank 25. 3 x (b) _ (c) gallons manufacturer regarding allowable system test Pressures. Total quantity In Cwlhcla n of expansion fa Volume change In this tank lull lank(16 or 17) Involved product per'F 26. a p 3�Ij 4) 111 . OO los D I 1 Thiel. Volume change per'F(25 or 24e) Digits bear'IF In teat Volume change per digit test Range(23) Compete 10 4 decimal Plewa facto(a) foul