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DATA CHART FOR TANK.SYSTEM TIGHTNESS TEST <br /> (EZY CHEF <br /> CRISP TANK TESTING <br /> R 0.BOX 30187 <br /> CLIENT STOC4T0&Cl -9523 . <br /> NAME OF SUPPLIER, T �' -}. (309)931.1.,3a .. - <br /> OWNERORDEALER [/.. ). (T'./ r � <br /> ADDRESS(NO-BST _ �� v DATE OF TEST�J^9 T .M TART TIME FINISH n4rr1 LENGTH OF TEST <br /> .CITY AND STATE��.rj, WEATHER _ r <br /> T r— EMPERATU <br /> TANK INFORMATION <br /> CAPACITY(NOMINAL) O V 2 GALS. SIZE OF FILL OR TEST OPENING T <br /> CAPACITY(CHART) 'GALS. TOP OFF TIME HOUR <br /> DIMENSIONS: DIAMETER DATE - - � GALLONS — IN. CONTENTS(PRODUCT) <br /> - LENGTH —� NUMBER OF GALLpNS ADDED TO START TEST TANK MATERIAL NETAL(Y) FIBERGLASS( ) . - <br /> �_ TANK NO. Lit te APPROX.AGE • <br /> TEST CALIBRATION INCHES OF WATER.-.BEFORE TEST AFTER TEST PUMP SYSTEA� ryPESUCIIONI _EUB( MAKE <br /> SIZE OF CAL BAR OR ML'S ADDED ,QJ rnxKuwur LEAK DETECTOR YES - N0 j— <br /> /t7 =CCla VAPOR RECOVERY SYSTEM YEi NOpa) <br /> UNE MOVEMENT -- IALMI "ffiAI _ PRASE I. ( ) PHASE 2 <br /> 1 JrJr^ � ( ) - <br /> -2 "i to (� LINES -' -- OVERSPILL CONTAINER YES ( ) NO (X) <br /> 3 �i 7 to_� LINES SHEAR VALVE YES ( ) NO bO <br /> -- LINES COMMENTS: <br /> TOTAL _t^ ONES -3= /D � - - - - <br /> (AD 1 LINES <br /> END OF TEST CALIBRATION - - <br /> SIZE OF CAL. BAR OR ML•S ADDED ^4- F <br /> LINE MOVEMENT (A., -"C ?67 <br /> IAWI - <br /> t FB TORAI - - <br /> 2 74 <br /> h to 'O - //LINES <br /> 3 -- —UNE5 <br /> TOTAL- r�+�J LINES <br /> - <br /> MEASUREDLINES-3- /J' f2 LINES - <br /> -- tAuq - - <br /> API SPECIFIC GRAVITY_ 3 J <br /> PRODUCT TEMPERATURE � - <br /> API SPECIFIC GRAVITY m' <br /> COEFFICIENT OF EXPANSION CO(` { - .(FROM TABLE A) <br /> LnpgS 35 (I'RON,TABLE B) • <br /> a_oE x !C ncy) _.. <br /> ---TOTAL GWACIT4(GA , (FACTOR B) <br /> ......W._-..._.__.____ <br /> PRODUCT.LWE TESTING — -— -_- -. - - - <br /> ._._.. SYSTEM � <br /> Time I ReaEmg PRODUCT MONITORING ON UL Pio OWNER OF G <br /> In <br /> I Mary) NA, - - EM - +Bain +Gain Serialum <br /> Nber SITE <br /> SlavL/n. ADDRESS <br /> XFacarA -CITY - - <br /> .003 - STATE ZIP CODE <br /> OWNER OF TANK <br /> ' .00 j ADDRESS <br /> .00 CITY - <br /> STATE ZIP CODE <br /> - I .00 COUNTY <br /> - TECHNICIAN 5 <br /> � DATE <br />