Laserfiche WebLink
DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (EZY CHEK)' <br /> CRISP TUK M7116 <br /> F.0.BOX my <br /> CLIENT sMWON,CA 9s2u <br /> NAME OF SUPPLIER, (209)93man <br /> , <br /> OWS.R <br /> OWNER OR DEAL �I— " j r <br /> AOORESS(N0.6STREET) / `�•-~Yi is _ .� DAr'c OF icS�-J- ' '= T-M START )7�lj TIME FINISHi ) LENGTH Cr T <br /> w�rr.ER -c . ? <br /> CITY AND STAT,- �/ - - TEMPERATURE! <br /> 1 <br /> TANK INFORMATION <br /> CAPAC;TY(NOMINAL) /d') GALS. SSE OF FILL OR i=S OFENIN <br /> CAPAC17Y(CHAR7) GALS. TOP OFF TIME HDUR IN. COlJicNi$ <br /> 0 .-DATE=I_� � (PRODUCT) <br /> DIMENSIONS: DIAMETER _1 GAL-1 TANKMATERIAL ME-AL('<) FIBE3 DL 9cc( ) <br /> • LNG7H NUMSER OF GALLONS ADDED TO START TES / y <br /> TANK NOAPPROX.AGE <br /> INCHES OF WATER i:-- PUMP SYSc N-TYPE''U3l ) MAKE <br /> TS', CALIBRATION - 5EF0n=TEST AF-ER TEST - SUCT IDN -,c` <br /> SI=OF CAL. BAR OR kA'-'S AOOc . 'rte LEAK JETEC T OR YE$ NO t/) <br /> TANK urouT <br /> !ate^ VAPOR <br /> RECDVEdY S S _A Y_ol ) ND(<; <br /> V=, . <br /> LINE M <br /> ) O -ME.NT � > o:..'n PHASE 1 ( ) .PHASE 2 <br /> t0 <br /> 2 �-) OVERSPILL CONTAINER YES( )NO <br /> LL µ ry = rINES C,� <br /> ' <br /> 3 tc M —LINES SHEAR VALVE YES( ) No(,, <br /> to - i LINBS �/� J COMMENTS: <br /> 70--AL ONES <br /> ALMr <br /> END OF TEST CALIBRATION <br /> SIZB OF CAL BAR OR MLS AOOEO <br /> UNE MOVEMENT^ ` (ALM) <br /> d � _ JY o....�.r <br /> 3 t0 O - LINES <br /> - �� ONES <br /> 70TAL <br /> - LINES - v = LD UNEO <br /> MEASURED API SPECIFIC GRAVY! <br /> PRTEMPERATURE <br /> API IFIC GRAVITY a SO°F <br /> CCE=1CIENT OF EXPANSION (FROM a x_„) <br /> Q�) <br /> we (FROM TA.3LE S) <br /> cos x ; 1 O- T -=+-=L(FAC-ORB <br /> OT4l.^.1V4G:TY IGALI WL CH4VG¢^F ) <br /> COMMENTS: <br /> OWNER OF SIT= ADDRESS <br /> C iY STATE <br /> ZIP CODE <br /> OMNER OF TANK ADDRESS <br /> CITY STATE ZIP CODE <br /> COUNTY <br /> (S) <br /> TECHNiCIANDAiE <br />