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r ti <br /> DATA CHART FOR `SANK .M133T TIGHTNESS T "" <br /> (EZY CHEK) <br /> CLIENT <br /> NAME OF Sl1PPLIEFd; -. <br /> OWNER ®R. �EALE1� _ t c: r a <br /> (DATE OF TEST ..) _� t' i. <br /> _ `z,. T Mt. START r -r rJ T. ME f. FI : � ,"JI-ENGTH",OF" T ,'. <br /> ADDRESS (No. & s-rRtrET) <br /> WEATHER C": � L 5 , 1 �1 i TEMPERATURE T AT <br /> . <br /> CITY ANi� STATE --�. <br /> "TANK INFORMATION <br /> CAPACITY (NOMINAL) k GALS. SIZE OF FILL OR TEST OPENING <br /> CAPACITY (CHAR-0 IN. CONTENTS (PRODUCT) <br /> HOUR D T � <br /> ( - __m __� GALS. T®f' OFF TIME GALLONS TANK MATERIAL_METAL( ) BERGLASS( ) <br /> - --... <br /> DIMENSIONS: DIAMETER � NUMBER OF GALLONS A DED TO START TEST�:` ` APPROX. AGE <br /> LENGTH - <br /> TANK NO. W - PUMP SYSTEI .TYPE _SUB('�,�,') MAXE <br /> SUCTION <br /> INCHES OF WATER BEFORE TEST AFTER TEST -_- <br /> TEST CALIBRATION EAKy"E7TE. TOR YESND <br /> E. <br /> SIZE OF CAI.. RAR OR MUS ADDED TANK LAYOUT-_R1 � _ �;,� � � VAPOR RECOVERY -SYSTEIA YES(+ j NO(� <br /> (ALM) - m�.(F�CZ-OFi k) � <br /> LINE MOVEMENT <br /> tot_ c— _ � �.m._. LINES <br /> t0 \V i m LINES <br /> 3 _ � to LINES <br /> TOTAL0 LINKS . 3 a, LINES <br /> END OF TEST CALIBRATION <br /> SIZE OF CAL. EAR OR ML'S ACS®1"O � � •_ � . <br /> (ALM) <br /> ,FACTOR A) <br /> LINE MOVEMENT <br /> toto <br /> LINES f <br /> 3 _ to a ' LINES <br /> TOTAL LINES m 3 = �.� _w LINES <br /> (ALM) <br /> MEASURED API SPECIFIC GRAVITY c, � `-4-�� - <br /> PRODUCT TEMPERATURE <br /> API SPECIFIC GRAVITY @ 600 F . t >' �_' --- (FROM TABLE A) <br /> COEFFICIENT OF,EXPANSION _ �< � FROM TAE <br /> . ( LE D <br /> cZT. �-� __ �_'.��1_� (FACTOR E3) <br /> TOTAL CAPACITY (GAL.) VOI_. CkANGUO F <br /> PRODUCT LINE TESTING SY��I`�t�1 - <br /> �.� O OWNER OF SITE ADDRESS <br /> _ <br /> PRODUCT MONITgRItdG C7t�E LE. " - <br /> Time_ Reading Product — -- E <br /> 9 �,.. � �� •Gain a-E�airi Serial IVumber� - <br /> h4iiiia Edo; ----- <br /> I rY) Start End XFactorA j CITY <br /> ._ -doss -Loss a ---��-- - _- �.�_ STATE Z I'P CODE <br /> — <br /> �._......._._`m__ E <br /> .003 OWNER OF TANK k ADDRESS <br /> S <br /> 00 CITY STATE ZIP CODE �� f <br /> 00� j COUNTY <br /> 00 J r €[ <br /> - - -- <br /> TECHNICIAN( S) <br /> ::: DATE -- <br /> 'd <br />