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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> '' iii ?tT f ` CSI E3i1� <br /> �Li0 Bluff XNAI 'WAi — <br /> A F 0.WX 30"7cLaD <br /> 2. Si00ITOM G K21D iFJ r <br /> NAME ��tf`l j <br /> NAME OF SUPPLIER, — , � �r.. - <br /> _OWNER OR DEALcR' G- v a - - _ <br /> ADDRESS NO. B SREZ7) Y nV -DATE OF T237 T* TART TIME FINISH LENGTH OF TEST <br /> - .CITY AND-SATE WEAT•rIER - <br /> _._. TEMPERATURE <br /> TANK INFORMATION <br /> CAPAC7 Y(NCMINAL) - GLS. S.2 OF FIL CR i'c�, OPENING - <br /> GPAC:IO(SL OIA - GLS. TOP OFF TIME - HOUR DA c IN. COPrcNTS (PRODUCT) <br /> _. . ._. <br /> OIMENSiON$: D44ME' . -. . . .GALLONS TANK MA,cRIAL METAL( ) F-Scn„' <br /> L.N „rt MBEA OF D ONS ADCJ TO $TAn, icS APPRCX AGE <br /> _.. TANK NO. wrn _. . <br /> --- _ - PUMP SYSEWI-TYPE:--U3MAKE( ) <br /> TS CALIBRATION -- INCn OR W.,'TZR 3crOn ,c�TZZ, SUCTIONS <br /> S=OF GL 3AR.CR MCS ACCE] t ,'I, 3. - r� (',Cl TMK urcur ..._- LEAK DE c�AOR YnV NO <br /> LINE M r.t- z , _. _._ VAPOR R.t ( ) �.P S Yc.I O )rv0;. <br /> �' -^� .___._..._ 7�� _. ba:.w IrK�a ar PHASE I ( ) PHASE 2 <br /> t It0 _ - - I - - - - - '- OVERSPILL CONTAINER YES( )NO( T <br /> � tC�'��p�—�- LJNc ;SHEAR VALVE YES( ) N ) <br /> O(_. - _. . . -.y <br /> _ - LINES 1 t �J <br /> v..; LINES . <br /> END OF G rx�.u� <br /> T_5- <br /> . L18RATICN <br /> x <br /> S OF CAL SAA OR MCS ACDEO <br /> LINE MCV . ENT <br /> a C N=_ <br /> 3—�_tC � �, LINES _. •:' .il <br /> - 31:�) s LINES <br /> y KH, r„ <br /> M`-18R=A?I$PEC:FC GR::A�, <br /> 3 <br /> l civ. <br /> PRCOUCT TEMPERATURE - - --'xf-'—` " - .•s+y:�i=: <br /> API SPECIFICGRAVITY GRAV <br /> COEFFICIENT OF��EE\' PA� NS;C (F'�M A3L_A) <br /> (FROM TA3LE 3) <br /> X l r����� oF}"; �-7 <br /> COMMENTS: Tora�.ay.crr Iwu vzL puwca.^c R 3) <br /> C,_ 9_T <br /> OWNER OF ADDRESS <br /> STAT (9 ZIP CODE <br /> OWNER OF TANK 400RE55 <br /> -. CITY c r 1� S <br /> --�--c--+--.-. .STATE ZIP CODE <br /> COUNTY V"1 _ \nC •��11 <br /> - i'1rrW'� <br /> iEDHNiCIArv(E) � <br /> DA Tc, <br />