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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (EZY CHEK) <br /> CLIENT <br /> NAME OF SUPPLIER. {� ,j ,, <br /> OWNER OR DEALER �d I �i`JJ if C DATE OF TEST WF STAR TIME FINISH LENGTH OF TEST <br /> ADDRESS(NO.d STP t1 } �+ WEATHER�_ TEMPERATURE <br /> CRY AND STAT���n-�•-Jd'^ Imo y <br /> TANK INFORMATION �1-p y.t p '�P <br /> CAPACITY(NOMINAL)�nnn OM3 GALS. SIZE OF FILL OR TEST OPENING IN. CONTENTS(PRODUCT) <br /> CAPACITY(CHART) GALS. TOP OFF TIME HOUR ATE GALLONS TANK MATERIAL METALf ) =IBERGCASS( ) <br /> DIMENSIONS. DIAMETER NUMBER OF GALLONS ADDED TO START TEST APPROX.AGE <br /> LENGTH TANK NO. PUMP MAKE <br /> SYSTEM-TYPE-SUB <br /> _ SUCTION <br /> INCHESOFWATER - BEFORETEST_ .AFTER TEST_ <br /> LEAK OYES NO <br /> TEST CALIBRATION .0RECOVERY VAPOR RECOVERY $YSTEN VE54 7 NO( ) <br /> SIZE OF GL.BAR OR MLS ADDED O S - 17 <br /> I.LLkI 11 V.'IOPy ' <br /> UNE MOVEMENT <br /> 1 `} to ri 0 = / UNES <br /> O ]2 b UNES <br /> 3 a :p Ic LINES <br /> TOTAL 5If LINES a 3 A71 —UNES <br /> END OF TEST GLISRATION <br /> SIZ-_OF GL.BAR OR MLS ADDED <br /> IMMI IFM=�M <br /> LINE MOV AF�IENT <br /> 1 - 2 A LINES <br /> LINES2n v o <br /> 1 UNES .1 <br /> —TOTAL —� 4 UNES+3= ��� _LINES <br /> MEASURED API SPECIFIC GRAVITY Ill ISb •¢ • 9 <br /> PRODUCT TEMPERATURE p A <br /> API SPECIFIC GRAEVXIT)N 3OeF (FROM TABLE A) <br /> Br'I OEY i OAF B S7 BION ICTABLElOB) <br /> ^-, p0^�fl `]'Y Oe10 OF R 81 f <br /> C.D. . 19LAA.11ICM_I WL CHWfEF <br /> PRODUCT LINE TESTING SYSTEM OWNER OF SITE ADDRESS <br /> PRODUCT MONITORING ON U. PNMADT. <br /> Sex1B1 Iivmbexl <br /> IMr-R P°fm SW EM aGNn XFNNA Cl" STATE ZIP CODE <br /> I <br /> .003 OWNER OF TANK ADDRESS <br /> .003 CITY STATE ZIP CODE - <br /> DO I COUNTY <br /> 0 <br /> TECHNICIAN(S) D E <br />