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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> - - _ (EZY CHEK) <br /> CLIENT <br /> NAME OF SUPPLIER, <br /> O : <br /> WNER OR DEALER r -t <br /> - - - <br /> ADDRESS(NO.B STREET)LJ<42 l /1/ {f it 49 DATE OF TEST S-aI-R9 TIME TART {-IeZ-I--TPME FINISH I I LENGTH OF TEST <br /> CITY AND STATE ICJ CQ m n.rc f3 4 ^,/J WEATHER ' 1P a(.- TEMPERATURE <br /> TANK INFORMATION 'I - <br /> CAPACITY(NOMINAL) 0 G p GALS. SIZE OF FILL OR TEST OPENING 411 I� <br /> CAPACITY(CHART) GALS. TOP OFF TIME - HOUR/ q DATE, - IN. CONTENTS(PRODUCT) h/ <br /> DIMENSIONS: DIAMETER�I Sly NUMBER OF ONS ADDED TO START TEST- + ��GALLONS ATANK ppROX AGELTAL( F18ERG`I-ASB(-'- <br /> . - LENGTH TANK NO. r Iy c . - PUMP SYSTEMrTYPESUB( $MARE .,-.v--.: <br /> INCHES OF WATER - BEFORETEST hFTER TEST r3- -SUCTION <br /> TEST CALIBRATION ( TnNK urouT- ETFCTOR YES -NO ) <br /> SIZE OF CAL.BAR OR MCS ADDED C O _ a p,3 = ao� G VAPOR RECOVERY .SYSTEM YES& NOL>e) <br /> LINE MOVEMENT - - pueq _IF� - - <br /> t 7 to F <br /> 2 f % to LINES i <br /> 3— to _ LINES <br /> LINES <br /> - TOTAL -7:3'—LINES -3= r1. 3 _LINES <br /> tAwt <br /> END OF TEST CALIBRATION 1. <br /> SIZE OF CAL BAR OR ML'S ADDED . 0-5 _ 3 / =1j r7�•> - - <br /> LINE MOVWENT <br /> 1 to <br /> 2 LINES <br /> to <br /> 3- 3A to __ .� 0 LINES <br /> LINES 11 <br /> TOTAL _LINES +3= —3/ _LINES - <br /> (Awl <br /> MEASURED API SPECIFIC GRAVITY C,.L <br /> PRODUCT TEMPERATURE - <br /> • API SPECIFIC GRAVITY aF _ ' OMITASLE A) <br /> � - - <br /> COEFFICIENT OF EXPANSION O r r'- ITABLE 8) <br /> ACTOR B) <br /> . c.o.E. .TOTALGACIYIWLI LL cNO HANG'u�F(F; - _ .. •. <br /> r - _ z ' <br /> PRODUCT LINE TESTING -_ "; .- <br /> - SYSTEM <br /> Timr! _ <br /> now. PRODUCT MONDORING ON LL pmeao OWNER OF SITEu ADDRESS QQ- <br /> Serial Number <br /> IMdiWy) NA Start FsC %FactarA --. <br /> f <br /> .x�y3R CITY <br /> s. ZIP C E <br /> STATE <br /> OD $ Q <br /> .00 s, - OWNER OF TANaK `I ... ,•� - <br /> 11 P P ADDRESS r;-Ir "'T <br /> 5 " 00 �•fr X-Ii`u i`, "� CITY :, G/ <7",$"$'.F STATE �,2 P CODE ' <br /> 00 COUNTY dp lwye.. "' h•. �35�- <br /> ... •.I DATE a <br />