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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (EzY calx) <br /> CRISP TANf TESTItfi <br /> F.0.Sox 3Wi7 <br /> SMORON,u 9S213 <br /> CLIENT Rog)931.19U _ <br /> NAME OF SUPPLIER, rr _ -- - -" <br /> OWNER OR DEALER r'r)'' �'" ST" "' DATE Of TEs r-)��q^) TT'^E"START'JGJT() TIME FINISH/O0U LENGTH OF TEST�?-yips <br /> ADDRESS(NO.&STREET - " J , �� '. -I WEATHER o•,` TEMPERATURE -Y-1) <br />.CRYANDSTATE_ S T' Uc T.fl:, <br /> TANK INFORMATION <br /> CAPACITY(NOMINALJ '7 2 GALS. Sit-OF FILL OR TEST OPENING - IN. CONTENTS(PRODUCT)V n "Mit <br /> rlF ri R P� <br /> CAPACITY(CHART) GALS. TOP OFF TIME HOUR DATE GALLONS TANK MATERIAL METAL(`,) FiSEROL.ASSC ) <br /> DIMENSIONS: DIAMETER - NUMSER OF GALLONS ADDED TO STAR ,=S -" APPROX.AGE <br /> LENGTH TANK NO. - (7 n P PUMP SISM—TYPE-'UB(--J MAKE <br /> INCHES OF WATER — BE=ORE TESi1 p�;'cR TEST SUCTION C ) <br /> TS"OLIBRATION - -- - LEAK DETECTOR YES �! NO { ) <br /> TMK LAY= - VAPOR RECOVERY SYSTEM YESC'X) NO( ) <br /> SI OF CAL 9AR OR ML'S ADO . 0 S _ {�/. / _ 00�>S <br /> AI PRASE 1 (�c) PHASE 2 (SU <br /> UNE MOVEMENT` - . - - - _ '- OVERSPILL CONTAINER YES( )NO(K) <br /> L7NES SHEAR VALVE YES( NO( ) <br /> z tc LINES <br /> 3 to - a� !INES. <br /> OTIAL LINES 3 = / T6 LINES <br /> IALMI <br />-NO OF TES CALIBRATION <br /> i1c.E OF CAL BAR OR ML'S ADDED _- <br /> 'I IALMI (Rw Al <br /> INE MOVEMENT <br /> 1 G G o 9-1R _ Y ✓ UN-ES <br /> z r, 1 m A7 = a3 ONES <br /> 3 bw to ,9A 2 UNES <br /> _ . ... )OTA! 6 �l LINESi 3 = L'NE3 .. <br /> ALMA <br /> IEASURED API SPECIFIC GRAVITY - 'T 7 - <br /> RODATEMPERATURE - Y <br /> PIS C GRAVITI'a 60"F t1 (FROM rASLE A) <br /> DE-1 IENT OF EXPANSION • n 11 1'.-! n (FROM-,ABL---B) , <br /> Ono_(_7 Tl0 x — /..7 onn 7,136 (FAC-,ORB) <br /> GOE TOTAL CAPACRY IGALI WLCNA -F <br /> COMMENTS: - _ -_ <br /> OWNEROFF Si TE fEaE.2h r0d 'ADORESS 07 <br /> ,,.,. <br /> CITY, y/CCK4, STATE(`/ ZIP COOE 9 <br /> E ,EIS / <br /> OWNER OF TANK „7 ,a4, ADDRESS u,T F- OA'fE,e.! <br /> - - - - CITY 11�;� STATECP, ZIP CODE 4.f�c, - <br /> COUNTY <br /> l r n _ _ <br /> TECHNICIAN S) DATE ! <br />