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DATA ""T FOR TANK SYSTEM TIGHTNESS TEST <br /> (¢Y ct� - <br /> C81SP TAAK TEmp ' nwr..� A AU C+i�m? DAT qW2 <br /> crENT <br /> F- �a Boz =kq.w <br /> SMOMAL CA , 1 <br /> _ NAME OF SLPPLIEA, � � a 2e �A. �OP. <br /> _.._ OWNEA OR OEALEA <br /> ADDRESS(NO.&STAE=� <br /> .CFTY AND S"WE A'c Ai /f yi - <br /> ` ( � WEA7HEA T <br /> L /a -ART" TIME FINISH - - - <br /> __: r LENGTH OF TEST : <br /> TANK INFORMATION _-_._ - <br /> - TEMPEn^qTORE <br /> ..UPAC ,Y(NOMINAL) _. . <br /> =� <br /> --. CAPACTY.(CHAA7 GALS $;`OF PILL OR i`cS, OPE. - <br /> - DIMEN$iON$: DtaME�EF C"f'LS TCP OF=TIME 41N,� -Cf - <br /> HOUR( <br /> LNG i �� P 0`d$ER OF GALLONS ACC o. � > -y i GALLONS IN• CON-=N--(P,RODUCT) L�/p fP <br /> _ - TANK N -O TJ STA„ <br /> O. Q P _`� �� TANK MAi cAIAL METAL(x) F`_ <br /> =( ) <br /> -�tUBRATiCN .__ INCh_S OP yVA _ APPROX.AGF <br /> $ CAL SAA .,_ - ' _ EEc m= TEST - PUMP SYS c:V1-Tt'P <br /> OR M_S Au'�=C - AF-cR i EST '�-- SUCTION(V) - SUE l )� --- <br /> UNE MOVEME _ - _ _ . /J✓ a TA"R:Arcs LEAK VAPOR OE-ECi GR YES NO (X) <br /> .O ry G�V� �` 9, REIO VEiv Jv�l:rl v__l <br /> Z tC 4—ty _�-� - - PRASE I <br /> ( ) PHASE 2 ( ) NO�c) <br /> O7 t__ _ Sc GN�o - .. _ OVERSPILL CONTAINER YES( <br /> - <br /> �� 9 (N S - SF AR <br /> = UN=- <br /> TOTAL - _ - ... VALVE E YES( <br /> xo(k) <br /> _ - .. . <br /> ENO OF T=-- -_. LIN S - 0 = <br /> -�� ULlBRAT 10N _� S��LINE-- <br /> OF <br /> INES.Jr CAL EAR OR MLS AOOE^ <br /> N- O S <br /> 37 = 3` ood a <br /> O — q. - <br /> z�- q.—,,�� _ ..V <br /> _ v n- <br /> EASUR- L.Nc- - v = 3. I -. - .. . _ i F•1, -.. n <br /> �API SP'=C;FC Gi�AVfT`! r <br />;O0 '=MPERATURE I <br /> I S GrL1Vfi( I 4 _ r1�... „ .. <br /> E_f 00° <br /> ENT OFe`XPAN$ION <br /> E�:: (FRCM TA3L A) 3. <br /> c-O.t x. / ,.� <br /> CITY : <br /> COMMENTS: c A�,�,°.cTy Hca- a�. ,� - >,'. <br /> ._ OWNER OF SiT- <br /> C RE53. I <br /> -�-�� STATE ZZP COLE <br /> •.. <br /> OWNER 07 TANK _ <br /> CITY <br /> STATE <br /> COUNTY _ ZIP CODE <br /> y 71 <br /> t L 1 11 <br /> oarE <br />