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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (EZY CHEK) - <br /> " 3"7B <br /> CLIENT <br /> NAME OF SUPPLIER, <br /> OWNER OR DEALER <br /> ADDRESS(NO.& E_71 / o— .t/�pn (� .r� DATE OF TESTA=p i. .11 TTuE STPRTO7;7 TIME FINISH04 <br /> CITY AND STATES Q� WEATHER /P,a r l LENGTH OF TEST <br /> TEMPERATURE '7 0 <br /> TANK INFORMATION <br /> CAPACITY(NOMINAL) GALS. SIZE OF FILL OR TEST OPENING / <br /> CAPACITY(CHART) GALS. TOP OFF TIME HOUR IN. CONTENTS(PRODUCT) <br /> DIMENSIONS: DIAMETER JS00 DATE 't /Q { GALLONS <br /> . LENGTH NUMBER OF GALLONS ADDED TO START TEST_ '/ TANKMATERIAL METAL('-) 'IBERGCASS( <br /> H <br /> TANK NO. n P APPROX.AGE <br /> TEST CALIBRATION INCHES OF WgTER - BEFORE TEST •. PUMP SYS PA-TYPE-SUB( ) MAKE <br /> ..FTER TEST -' SUM ION <br /> SIZE OF CAL. BAR OR ML'S ADDEDrarvlc urour ILEPrK OE <br /> LINE MOVEMENT TECTOR YES --—No—M- <br /> 10,5 <br /> + = OC/�1Q VAPOR RECOVERY SYSTEM YES <br /> - 1aLrwl IF�croFq <br /> 2— "3 to _— 6 LINES <br /> 3 -3,2 to �7 LINES <br /> TOTAL LINES <br /> LINES +3 = LINES <br /> ENO OF TEST CAUBRATION wLMI <br /> SIZE OF CAL BAR OR ML'S ADDED_ f) <br /> LINE MOVEMENT _ 0TUR - <br /> t q2 I"LMT IFacTURA)al <br /> o <br /> 2 to LINES <br /> 3 to _ LINES <br /> TOTAL LINES <br /> LINES + 3 = �. 3 _LINES <br /> MEASURED API SPECIFIC GRAVITY <br /> PRODUCT TEMPERATURE <br /> API SPECIFIC GRAVITY a 60°F 3 <br /> COEFFICIENT OF EXPANSION Op/2 K S 8TABLE„/ <br /> Q 0 0 y QQ x (FROM TABLE B) <br /> //JOnn (FACTOR B) <br /> ' TOTAL C.VACITY IGALI 49L CHFNGEI'G <br /> PRODUCT UNE TESTING <br /> UCT MONITORING ON LL SYSTEM <br /> ime I Reading PmEOtl OWNER OF SITE S IT /./. <br /> rUf ��dCd ADDRESS/94Oo ,{/!•/ <br /> IMiI1Wry) Noo.. PRODSW Eno +Gain +Gaul Serial Nwvher / ' <br /> -less XFwwA <br /> 'Ims CITV A( p yyt N i) ✓STATE C,3 ZIP r y <br /> .00 ODEQF71 <br /> OWNER OF TANK ADDRESS <br /> .00 I <br /> .00 CITY STATE <br /> ZIP CODE <br /> 00 <br /> I - /COU(NpTY��� <br /> . . - TECH"�S) n�iQ/ .G�7 <br /> DATE <br />