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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (¢Y cHEK)- <br /> CR(S? TASK M7116 <br /> I.0.BOX 30187 <br /> Si0OI70M,(A 45273 <br /> CLIENT (204]931-18211 <br /> NAME OF SUPPLIER. T' f / 1 / / <br /> OWNER OR DEALER V 3 V I`�IIGf( � hrf DATE OF icS�g-? �� r-M SART(Y�3.Q TIME FINISH/0,3� LENGTH OF TEST <br /> ADDRESS(NO.&STREET).Z2 N. LU//v4`9 W�,NEi ����' <br /> CT'AND STAT c ('A-.v�Jn �' <br /> TEMPERATURE /:I <br /> TANK INFORMATION <br /> CAPAC�i Y(NOMINAL)1024 0 L9 GALS SIZES OF FILL OR TEST OPENING <br /> CAPACITY(CHART) GALS. TOP OFF TIME _ HOU rs, IN. CONTENTS(PRODUCT) I�^��5 <br /> R/rltJ DAic4'2L• ' GALLONS ME-Ai_ Ec_q, cc <br /> DIMENSIONS: DIAMETER TANK MATERIAL - �) F--- �_A_ ( ) <br /> NL:MaEF OF GALLONS ADDED TO SART icS__ APPROX.AGE <br /> GT-H_ <br /> TANK NO. Fl IvP - SUa( ) MFK= <br /> PUMP SYSTEM-TYPE • <br /> INCHES OF WATE.i - aEFCRE TES 'g' hF7=F TEST • SUCTIONy54 - <br /> TS CALIBRATION LEAK OEi EOi OR YES Np <br /> TANK uvCUT VAPOR PECDVERY SY°TEM Y__ ) /Np <br /> s; c1-CAL BAR o1-. MLs A:;:=--' 0 S „0978 c� <br /> LINE MOVEMENT PHASE 7 ( ) PHASE 2 ( ) <br /> �•-, OVERSPILL CONTAINER YES( )N0�1tJ <br /> LINES SHEAR VALVE YES( ) NO dcj <br /> 2—to `F _ 7 LINES <br /> O IO /? LINES COMMENTS: <br /> TOTAL I_ LINES -3 - /h LINES <br /> (ALMj <br /> END OF TEST CALIBRATION <br /> S OF CAL BAR OR ML'S AOCEO_ 6 <br /> LINE MOVEM=NGam:T —p-- �AL.MI AI <br /> to 6 <br /> ES <br /> 2 to V, / LIN- <br /> 3 a.R tc 3 5 _ c5 <br /> LINES <br /> ivTAL <br /> -La -_ + 3 = /n C� <br /> UNES <br /> (AIM) <br /> MEASURED API SPSC:FIC GRAVITY '• J <br /> PRODUCTicMPERATURE 7 <br /> API SPECIFIC GRAVITY C (FROM TASL • <br /> COE=-ICIENT OF EXPANSION . 11•5 j 4 E A) <br /> • 7 (FROM TA.3LA) <br /> TCTAL: AUTYIWU w�G+AnGc.^c(FAC•JR a) <br /> COMMENTS: <br /> 'OWNER OF S:7- ADDRESS <br /> CITY STATE ZIP CDOE <br /> OWNER OF TANK ADDRESS <br /> CITY STATE ZIP CODE <br /> COUNTY <br /> 00-1 <br /> TECHNICIAN 5 DATE <br />