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,e t <br /> DATA CHART FOR TANK .sys*rEM TIGHTNESS TES <br /> {EZY CHE10 <br /> MAY 2 5 1994 IT <br /> FNVIRONMENTAL HEAL1O <br /> CLIENT PERMIT/SERVICES <br /> NAME OF SUPPLIER, <br /> DATIE OF TEST E TIME. f <br /> OWNER OR DEALER "g _.:k ?�_ Tr I1�4ZSFI LENOTH:',OF `.TES <br /> M SST-ART <br /> A©®KESS (NO. & STREET) <br /> CITY AND'STATE <br /> _ _ WEATHER ' ' �i EMPIwRATUR'STATE _ <br /> r . _ - - �� <br /> TANK INFORMATION <br /> CAPACITY (NOMINAL) GALS. SIZE OF F=ILL OR TEST OPENING �-- ._-. _ - — � IN. CONTENTS (PRODUCT) I <br /> CAPACITY (CHART) GALS. TOP OFF TIME W � HOUR GATE -AALLONS _— TANK MAT(=RIAIm _METAL( ')FIBERGLASS( ) <br /> DIMENSIONS: DIAMETER �- - NUMBER OF GALLONS ADDED TO START TEST i�_ m tiw � -, APPROX. AGE <br /> LENGTH __ ZRNK NO. PUMP SYSTfEKrYP_ SUB( :>) MAKE <br /> _. m _ e - _ 1 : <br /> �s SUCTION <br /> INCHES OF WATER BEFORE TMST t�FTER TEST YESLAYOU -. NO <br /> VAPOR ( } _ <br /> TEST C:ALIRRAT ICN TANK `F <br /> - RECOVERY ..SYSTEM YES G-4): NO( ) <br /> SIZE OF CAL. BAR OR MLS ADDED _ <br /> (ALM) (F.�C7CfR A) <br /> LINE MOVEMENT , <br /> w. to _sa---- LINES <br /> 2 <br /> r <br /> to LINES <br /> G a�`' to `i e . '��.� � LINES <br /> TOTAL - — o LINES 3 ® t' } LINES <br /> (ALM) <br /> END OF "TEST CALIBRATION <br /> SIZE OF CAL. BAR OR ML'S ADDED <br /> (ALN]) ,FACTOR A) <br /> LINE MOVEMENT <br /> to LINES <br /> 2 — 1, ':` to _ � _ LINES <br /> 3 to LINES <br /> TOTAL r'' y LINES 3 '' -- _— LINES <br /> (ALM) <br /> MEASURED API SPECIFIC GRAVITY <br /> PRODUCT TEMPERATURE <br /> API SPECIFIC GRAVITY a 600 I° (FPOf.� TABLE A) <br /> COEFFICIENT OF: EXPANSION a_�� �� �z ii .n� � �®p �,- (FCTW, TABLE 13) <br /> C.G.E. TOTAL CAPACITY (GAL-5 � VOL. CHANGE) :F <br /> PRODUCT DINE TESTING SYSTEM ! �. <br /> PRODUCT MONITORING ON LL OWNER OF SITE _-- ADDRESS <br /> Product <br /> Time Reading Sex°°gal Number. <br /> +Gain A-Gain. �_ CIT <br /> (Military) No: Start End Lass- X.'Factor A' -Toss Y! - .... STATE Z I P CODE <br /> :003 , <br /> OWNER OF TANK <br /> _ :�� - ,..._....... ADDRESS _ <br /> .003 CITY - <br /> STATE ZIP CODE <br /> .003 <br /> COUNTY ;, <br /> TECHNICIAN(S) ( y � DATE <br />