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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> _.(EZY CHEK) <br /> CRISP TANK TESTING <br /> P.0.BOJ,'30437 <br /> CLIENT <br /> STOC(TON,(f. 9523 . <br /> - <br /> NAME OF SUPPLIER (205)431.13]7 <br /> , - - - 1 - - ' <br /> OWNER OR DEALER . 1 S t r I - to __ QQom��''.. <br /> ADDRESS(N0.d STREET) 9 . 9.> I/ Aa DATE OF TESTtLL9,Z T TART , jq TIME FINISH/o 7 ' LENGTH OFg'"FESTZ {/O!' <br /> .CITY AND STATE_ Q! _ r '—`0 WEATHER- TEMPERATURE 7 C4 _ <br /> , 7 <br /> TANK INFORMATION <br /> CAPACITY(NOMINAL) 0 h O <br /> GALS <br /> CAPACITY(CHART) — . SIZE OF FILL OR TEST OF 1/ - <br /> GALS. TOP OFF TIME HOUR/J0 DATE - r.9 IN. CONTENTS(PRODUCT)D/PM L� <br /> DIMENSIONS: DIAMETER�� NUMBER OF GALLONS ADDED Tb START TEST C—� GALLONS nr.e TANK MATERIAL METAL�lr) FI�SS( ) _ <br /> LENGTH TANK NO._ F Ort •i APPROX.AGE <br /> INCHESOF WATER BEFORE TEST PUMP SYSTEMTTYPE SUB( ) MAKE . <br /> TEST CALIBRATION AFTER TEST �R .• SUCTIOT.E = �SLB( ) <br /> OF CAL.BAR OR MUS ADDED rj - ; TAxx LArOu7 _ 6EAVDECTOR YES - NO X <br /> VAPOR- RECOVERY SYSTEM YES(,-) N064) <br /> LINE MOVEMENT,^ IA�1 IfACTOq N- PHASE I ( ) PHASE 2 ( ) <br /> 1 IG LINES OVERSPELL CONTAINER YES ( ) NO 6w) <br /> 2 t0 <br /> 3 3Z _t0 LINES COMMENTS: SHEAR VALVE YES ( ) NO (,Ie) <br /> { <br /> _.. TOTAL a "!9 LINES <br /> LINES a 3= —_LINES - - <br /> ENO OF TEST CALIBRATION - <br /> SIZE OF CAL.BAR OR ML'S ADDED <br /> LINE MOVEMENT IAuq FACMA AI <br /> 1 •'r to i.3 O - <br /> J, = t4 LINES <br /> 2 to - LINES <br /> 3 10- i - LINES7 - <br /> TOTAL (n LINES s 3 = 3. ? LINES <br /> A AI <br /> MEASURED API SPECIFIC GRAVITY 3 'f <br /> PRODUCT TEMPERATURE A <br /> API SPECIFIC GRAVI T Y t 60 F Z o F COEFFICIENT OF EXPANSION nnnQS ( (FROM TABLE A) <br /> OO (FpnA.TABLE B)VVS4t xfrO9nnn <br /> =WLA TALCAaACITYtt'wu ' (FICTORe)LNANGv"G <br /> PRODUCT UNE TESTING SYSTEM - r- - <br /> T,w Reading Fg000Ci MONITORING ON Prcdae OWNER OF ;ITE, <br /> CA T2 K•Y/ /[ ADDRESS <br /> _Lm CITY /q19430 r r <br /> IMarrary) I Naa. Start End I +Gam +Gain Serial N=ber <br /> X Fatror A �a <br /> ,6nAMes. <br /> ..00 STATE (`{\ IIP CODE <br /> OWNER OF TANK <br /> •00 ADDRESS <br /> .00 <br /> CITY <br /> _ STATE ZIP CODE <br /> 00 COUNTY 7 A L2 2 <br /> L - <br /> L <br /> TECHNICIAN(a):- <br /> - - DATE <br />