Laserfiche WebLink
DATA CHART FOR TANK .SYSTEM TIGHTNESS TEST <br /> (EZY CHEK) _ <br /> CLIENT <br /> NAME OF SUPPLIER, C / f - - - _ �,.1 - J <br /> OWNER OR DEALER �✓ lL *V'r/L /i) Ha DATE OF TEST TME'.TARTJ//S/� -TIME FINISH / LENOTH'.OF TWJ -=ARS <br /> ADDRESS(NO.B STREEn TEMPERATURE 'I7 <br /> CITY AND STATE A /'A yn 026 r,4 / 5.��1 O f <br /> TANK INFORMATION <br /> CAPACITY(NOMINAL) G O 6 O GALS. SIZE OF FILL OR TEST OPENING IN. CONTENTS(PRODUCT) <br /> ro <br /> . CAPACITY(CHART) GALS. TOP OFF TIME - HOUR - p DATE - GALLONS TANK MATERIAL 2ETAL(X)•F BER SAS <br /> DIMENSIONS: DIAMETER /(�'�l NUMBER OF GA,9LLLONS ADDED TO SMART TEST -^ APPROX.AGE _ <br /> LENGTH TANK NO. Your _ - 11LL PUMP SYSTEMrTYPE—SUB( -?'MAKfi - <br /> INCHES OF WATER — BEFORE TEST A "" nFTER TESTS SUCTION <br /> TEST CALIBRATION `�EAI('BE.TECT R YES - NO <br /> SIZE OF CAL.BAR OR ML'S ADDED - 0 7 T�xe�'n� VAPOR- RECOVERY SYSTEM YES6-' NO <br /> _LINE MOVEMENT - - = tt _. <br /> Ito L.NES <br /> Z to - LINES <br /> 3 n <br /> to = 5 LINES li - <br /> TOTAL /5 S LINES+3= ' LINES - - <br /> tAual ;1 <br /> END OF TEST CALIBRATION <br /> SIZE OF CAL.BAR OR ML'S ADDED • ? - 7�• b =�U//7 <br /> LINE MOVEMENT fAvat RA) <br /> 1 35 to R/ - a LINES <br /> 2 `f / to----j6Y— LINES <br /> 3 `-E3 to = Lf LINES - <br /> TOTAL /,v� B LINES _3 a 6 _LINES <br /> • Aual <br /> MEASURED API SPECIFIC GRAVITY <br /> ..'- PRODUCT TEMPERATURE `� I <br /> API SPECIFIC GRAVITY a 60°F 6. TABLE,ABLE A) .. <br /> "r^-q COEFFICIENT OF EXPANSION 00 0 4 6 35 (FROMr ABLE B) = _ <br /> 000 �f'G 7 ° X �600'�'" _ B34 <br /> e.0.e. TOTAL c ACT'twu W�CHANcerv(F CTORB -. . . <br /> PRODUCT LME TESTING .- SYSTEM <br /> PRODUCT MONITORING ON U. p�ppao OWNER OF SITES$ -u r ADDRESS 9 / q <br /> Reading 4 _ Serial Number <br /> INYI No- = Slan s "Erb +Gain +Gain ,<i. . .-. . J ._. .. <br /> -T.-- -lass %Fac1mA -Lnn - r. -;a<�'` CITY A n. STATE ZIP CCDE - .. <br /> 50- .00 .V-P::. ....�# OWNER OF TANK,,. c ,- _ <br /> CITY <br /> TY o: D .STATESS ZIP CODE <br /> i <br /> +w <br /> -COUNTY <br /> 7r a <br /> d- :., o • TECHNICIAN S `�fn„ DATE, <br />