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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (EZY CHEK) <br /> WENT ------! .' <br /> NAME OF SUPPLIER. <br /> OWNER OR DEALER Ram LJ]{P / / )A R <br /> ADDRESS(NO.d STREET) DATE OFTES TINE START TIME FTNISH LENGTH 0 TEST <br /> WEATHER- <br /> CITY AND SATE TEMPERATURE <br /> TANK INFORMATION - <br /> CAPACITY(NOMINAL) A D0 0 GALS. SIZE OF FILL OR TES OPENING IN. CONTENTS(PRODUCT)4/1L F <br /> CAPACITY(CHART) GALS- TOP OFF TIME HOUR DATE GALLONS <br /> DIMENSIONS: DIAMETER NUMBER OF GALLONS ADOEO TO SART TES TANK MATERIAL MEigL IBERGLAS J • <br /> LENGTH TANK NO. APPROX.AGE <br /> INCHES. WATER - .. PUMP SYSTEM-TYPE-SUB( MAKE <br /> TEST CALIBRATION BEFORE TEST_ 11FTER TEST_ SUCTION <br /> �^` nxF umui LEAK OETECT R YES NO <br /> SIZE OF CAL BAR OR MLS ADDED D< _ fin. VAPOR RECOVERY SYSTEM YES ) Np ) <br /> LINE MOVEM NT 1AtMl 6'cmAN <br /> la LINES <br /> o . LINES <br /> LINES <br /> TOTAL LINES+3= Qf _LINES <br /> NWI <br /> ENO OF TES CALIBRATION <br /> 52E OF GL.Bqq OR MCS ADDED <br /> LINE MOVEMENT <br /> P a <br /> 3 ro s LINES <br /> LINES <br /> LINES ^•� <br /> TOTAL LINES-3: d l . _LINES <br /> U NI <br /> MEASUREDAPI SPECIFIC GiUVRY <br /> PRODUCT <br /> TEMPERATURE <br /> APISPECIFICGRAVITY SIO F L (FROM TABLEA • <br /> COEFFICIENT OF EXPANSION DOn S$..n ) <br /> (FROM TABLE el <br /> TarAAwAcm w"u `��:F(FLCTORB) <br /> PRODUCT LINE TESTING SYSTEM <br /> i Am, PRODUCT NDNOORING ON U. FmEm OWNER OF SITE ADDRESS <br /> IMemR xo Sm: Em "Gal Gae Serial Number. <br /> 1m %FabA Arn CTiv STATE <br /> ZIP CODE <br /> .00 OWNER OF TANK ADDRESS <br /> 00 CITY <br /> STATE ZIP CODE <br /> 0 COUNTY <br /> TECHNIC AN 5) DATE <br />