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z a m m L r '�7❑ �y �— h —m —m iAi J p ..r l �sl f F H j h P j vQ y r CA Ic � d d � r r N ,tO o 4011m m m a � g � � m ❑ � y � � l' lT m m 1v a t�` m v z z Q E 'C z o 06 E o ei z ti v d m c lid c C4 c x yy ti: m ,C m v E EIIS m m 3 'J 'pO Q o m w e 0 ccz •,ri ! I 5�, a` Ci to ^:' E sat m Q s4 -0 = o v � s. TIN 13 L'� ., m m [21 E c M Z c r z I I z V z `✓)z A � n� ti,. ❑ H u'1 H a N r U '4 U © Q C1? M LU l= W e Z © I.- o O O ^•J ~ " r-U O 6L a. �U 07 am ¢ W U_ a QQ LU �U H- F- LU Z Z 2 o J e_ t1 C": Q'� u �� O L.L �.. o Z CC ¢ U �Q 'v c f �¢ `mom LLL V) m e Q LCL < Ill W E �F¢„ WOE J� �Uom ZOO rUj j Z� a ll¢t�LJ a W Q m Q Z¢ "-�f^.0 O LU '0 C Z O F-- Cn U to O CD CL 1— Lu 1— F— 5 e, Z C Obi c:t ILU r CV c i v >ri t6 fes. co C.A J a 14. ,17-1?, .= S 7JC_�,Z7-01j I T� "�• Zl AJ r)L Oj Name of Supplier.Ownor. or Dealer Address No.and Streets) city State Date of Test 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From ❑�'Station Chart�! d. Nominal Capacity Tank Manufacturer's Chart Identity by position �, �} � Gallons ❑ Company Engineering Data �,: - ❑ Charts supplied with Brand and Grade By most accurate CapaClt Chari avaliable ❑ Other I, [—(A9 'yr � y Gal Ions 17. FILL-UP FOR TESTd Total Gallons Gallons ca.Reading Stick Water Bottom before Fill-up —In. J ,_, -_In, Inventoryy^y t67/6- GaWns Tank Diameter 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water In tank ❑ Llne(s)being tested with LVLLT See manual sections applicable.Check below and record procedure In log(27), ❑High water table in tank excavation Use maximum allowable test pressure for all tests. 1 Q, TANK MEASUREMENTS FOR Transfer total to Ilno 254 Four pound rule does not apply to doublewalled tanks. Complete 9aCYlan below: TSTT ASSEMBLY 7 21. VAPOR RECOVERY SYSTEM ❑stage I stage II QQ J Bottom of tank to grade'............................ r"� � 'n, Add 30"for'"T"probe assy........................... /3t0 1, 24b. COEFFICIENT OF EXPANSION t. Is four pound rule roquired7 Yos ❑ No ❑ Total tubing to assemble—approximato............. RECIPROCAL METHOD 20. EXTENSMN HOSE SETTING Type of Product..............:......................... 2. Height to 12"mark from bottom of tank In, �tff Tank top to grade'....................... Hydrometer Employed .................................. —H Extend hose on section tube 6"or more - Tamparaturo in Tank lq� r1 3. Pressure at bottom of tank P.S.I. y� After Clrculatlon..........� �L�.............. °F below tank top...................................... k �"-"� In. Temperature of Sample................I..........,..... L°F 4. Pressure at top of tank P S.I 'if Fill pipe extends above grade,use top of fill. 22. Thermal-Sensor reading aftor clrculatlon Difference(+/-)......................................... J °F dfglts Depth of burial In, d °F observed A.P,I.Gravity ................................. ,;,Between 23. Dlglts per°F In range of expected change a..Z/ Reciprocal Page v Tank tlka. In. digits COEFFICIENT OF EXPANSION (Complete after circulation) Z7 l = 0.,2(o3f )a2OQ2(� '—� 24a. Corrected A.P.I.Gravity Total quantity In y Reciprocal Volume change In Water table In. full tank(16 or 17) this tank per°F Observed A.P.I.Gravity................................... Transfer to Line 26a. NOTES: Hydrometer employed................................... H 24c. FOR TESTING WITH WATER see Table C&D Observed Snmplo Tamparaturo ......................... °F Corrected A.P.I.Gravity Water Temperature after Circulation @ 60°F,From Table A.................................... Table C............. Coefficient of Expansion Coefficiont of Water The above calculations are to be used for dry soil conditions to for Involved Product Table 1).......................................... establish a positive pressureadvantage,orwhenusingthefourpound From TabeB............................................ rale to compensate for the presence of subsurface water In the tank Transfor COE to Llno 25b, Added surfactant? ❑Yes ❑No Transfer COE to Line 251s. area, // 1 Refer to N.F.P.A. 30, Sections 2-3.24 and 2-7.2 and the tank 25, (a) x (b) = lC) gallons manufacturer regarding allowable system test pressures. Total quantity In Coefficient of expansion for Volume change in this tank full tank(16 or 17) involved product per°F 26. (a)0,,'., �/�'��✓CEJ f _ �t d Q �.%c! �f^ This Is Volume change per°F=or 24b) Digits per°F In test Volume change per digit test Range,(23) Compute to 4 decimal places. factor(a)