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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (¢Y CHEK)- <br /> CRISP T"K Twill <br /> ►.0-DOX 30187 <br /> CLIENT S MWON,G 95,213 <br /> NAME OF SUPPLIER, _ (309)931-IBIf <br /> OWNER OR DEALER J S ��� <br /> ADDRESS TATE, TRi E� ILI41 � fvI OF -9uT-Mc START1f'Ir. r <br /> CITY AND STATE ff.9 na- TIME F-N'SH I I� LENGTH CF TF3'r f t <br /> 'i' 7 n1J� WEATHER <br /> TANK INFORMATION T-MP=RATURE CAPACITY(NOMINAL) 7,5 U <br /> CAPACITY(CHARS GALS. SIZE OF FILL OR TES OPENING 1Lf1 <br /> DGALS. TOP OFF TIME <br /> IMENSIONS: OIAMET HOUR Y 4„ D' I� yu IN. CONT=NTS(PRODUCT)Y+9 °a,-I"j, 1,->a <br /> • <br /> LENGTH —� NUMEER CF Gg4_pNS ADCc7 TO SSAnT-j, �( GAL_'ONS -l`"- TANKMATcnIAL ME7AL(y) plvcq�• 9c¢�') <br /> TANK NO, Y P6 APPROX.AGE <br /> Ts CALIBRATION INCHES OF WATER - 3EF'ORE TEST __ PUMP SYSI cM-i YP_=JS CA AK= <br /> SIZE OF CAc7 TEST SUCTION_ _' <br /> L. EAR OR MLS ADCEZ .�_ TANK urouT LEAK OE <br /> LINE MOVE..V=NT�y t' - /�� <br /> VAPOR RECOVERY A�SIEH <br /> —�-�tC a Y PHASE 1 (� - PHASE 2 ( ) <br /> 2!�to 7 _ LINES OVERSPILL CONTAINER YES( )NO(';A) <br /> 3_ ! to�� - LINES SHEAR VALVE YES(x.) NO( ) <br /> /�--.:_LINES <br /> COMMENTS: <br /> IT IAL 1=LINES - I <br /> IA.w LINESEND OF TE GL18gATION <br /> SIZE OF CAL EAR OR ML'S MENT ADD=` �� p <br /> LINE M VE J <br /> C - <br /> IA�aI Inti]R AI <br /> 2� <br /> -� to_r R <br /> LNES <br /> :, <br /> to '7 . ONES <br /> -- -�+--�LINES <br /> Iy TAL T 7 <br /> —�ONES i.NES <br /> MEASURED API SPECIFIC ---VIT! c7 <br /> PR , <br /> T-FMPERATUR <br /> E S <br /> AR w_CiFIC GRAvr (@ 60° F_ S <br /> CCE-ICtENT OF EXPANSION 0 r I co io (F-OM LASLE A) <br /> Y c+7 (FROM TA3LE E) <br /> COMMENTS: Ta'A�. Ac.TY Iwu `w 3(FAC-OR B) <br /> OWNER OF SIT= ADDRESS <br /> CITY STATE ZIP CODE <br /> OWNER OF TANK ADDRESS <br /> CITY STATE <br /> ZIP CODE <br /> COUNTY <br /> TECHNICIAN S) <br /> DATE <br />