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DATA, .✓HART FOR TANK .SYST'EM TIGHTNESS TEST` ` <br /> (EZY CHEK) ��'�� 'rank ���� <br /> 2004 Piccoli Larne #09 <br /> Stockton, Calif. 95205 <br /> (209) 931-1823 <br /> CLIENT <br /> NAME OF SUPPLIER, _ <br /> OWNER OR DEALER Y r t) !'J :' ''� <br /> DATE OF TEST - I TIME SFART -V TIME FINISH// .: LENGTLI OF. TES <br /> ADDRESS (NO. & STREET} <br /> CITY AND STATEWEATHER ,._C /o � -� TEMPERATURE _j ' <br /> _._ <br /> TANK INFORMATION <br /> CAPACITY (NOMINAL) / / / r` _ GALS. SIZE OF FILL OR TEST OPENING - IN. CONTENTS (PRODUCT) 3(? dd <br /> CAPACITY (CHART) GALS. TOP OFF TIME HOUR DATE j - d 7��� GALLON "� <br /> DIMENSIONS: DIAMETER S TANK MATERIAL METAL (' . IBERGL:ASS( ) . <br /> NUMBER OF GALLONS ADDED TO START TEST APPROX. AGE S <br /> LENGTH TANK NO. PUMP SYSTER- TYPE:SUB( ) MAKE <br /> INCHES OF WATER - BEFORE TEST iiFTER TEST � � , SUCTION <br /> TEST CALIBRATION " ,1 EAK--�`DETECTOR YES - NO (;!) <br /> SIZE OF CAL. BAH OR ML'S ADDED TANK LAYOUT VRPOR RECOVERY -SYSTEi YES(� }. NO( ) <br /> LINE MOVEMENT (ALM) y (FICTOR A) <br /> r to ( � _ LINES <br /> to LINES = -- <br /> to r LINES r <br /> r <br /> TOTAL LINES 3 = LINES ti <br /> (ALM) p <br /> END CF TEST CALIBRATION -� <br /> SIZE Or CAL. BAR OR MUS ADDED (�) ;� '�� � / 0U a <br /> LINE MOVEMENT (ALM) (FACTOR A) - <br /> 2 to f.` LINES <br /> Q LINES <br /> 3 to -- _ LINES <br /> ) 1 <br /> TOTAL _ r"- LINES = 3 = 'r �a LINES <br /> (ALM) <br /> MEASURED API SPECIFIC GRAVITYr <br /> PRODUCT TEMPERATURE <br /> I <br /> API SPECIFIC GRAVITY ® 60° F (FROM TABLE A} ------- —.-_--- � <br /> COEFFICIENT OF EXPAtISION '? r 1 r 6 (FROM TABLE B) <br /> C O E ( TOTAL CAPACITY (GAL) VOL CHANGE!'F (FACTOR 8} <br /> °RODUCT LINE TESTWG SYSTEM <br /> Time Reading PRODUCTMONITORING ONLL Product OWNER OF SITE ADDRESS <br /> +Gain +Gain Serial Number(Milliary) No. Start End -Loss X Factor A -Loss CITY <br /> STATE <br /> ZIP CODE <br /> •003 OWNER OF TANK ADDRESS <br /> 4003CITY <br /> - ,00 STATE ZIP CODE <br /> .00COUNTY <br /> 4 <br /> TECHNICIAN S) # <br /> DATE � <br />