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r r. r,. t �! aL ri I I , y IJ " r 1 r ' a ( ' .I ';, . I ' ' -- Name of Supplier, Owner or Dealer Address No. and Street Is) City State Date of Test 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From I❑ Station Chart LOther C1Tank Manufacturers Chart �3V SZ- (ft.O%n \J V l I- �%1� 4 1. Nominal Capacity �__---- Identity by position Gallons.r Company Engineering Data L- l i�1 i� 'A'J\L Z By most accurate 4Charts supplied with Tank Tester Brand and Grade capacity than available �� t_ • - ._. Gallons 17. FILL -UP FOR TEST Stick Water Bottom before Fill -up In. to S" Gallons q•�" in. Tank Diameter 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑ Water in tank t4 Lines) being tested with LVLLT See manual sections applicable. Check below and record procedure in log (27). 11❑ High water table in tank excavation Use maximum allowable test pressure for all tests. 19. TANK MEASUREMENTS FOR Four pound rule does not apply to doublewaued tanks. TSTT ASSEMBLY Complete section below: Total Gallons )il ea. Reading Inventory in Tank Bottom of tank to grade' ............................ In. Water Bottom Add 30" for 'T' probe &say ........................... 130 In. 1. Is four pound rule required? Yes ❑ No © Total tubing to assemble — approximate ............. 111' In. After Circulation ........................................ •F 20. EXTENSION HOSE SETTING 2. Height to 12" mark from bottom of tank in. 'F Volume change per digit 1 O 1 r v1. •F Tank top to grade' .................................. m. Range (23 or 24a) Compute to 4 decimal places. Extend hose on suction tube 6" or more 3. Pressure at bottom of tank P.S.I. below tank top ...................................... In. 13 *If Fill pipe extends above grade, use top of fill. 4. Pressure at top of tank PSI Total quantity in Reciprocal Volume change in full lank (17) USE WITH THERMAL SENSOR Transfer to Line 26a. PN5039 (Blue Box) Depth of burial in. 22. Thermal -Sensor reading after circulation Tank dia. in. digits `� 7 n /-771 �"" °F Betwee e 3 23. Digits per 'F in range of expected change Water table to tank bottom in, digits NOTES: 24a. IF USING THERMAL SENSOR DTS-2000 OR OC -2000 WHICH READ 1000 DIGITS PER OF TRANSFER 1000 TO LINE 26, DIGITS PER OF IN TEST RANGE. The above calculations are to be used for dry soil conditions to establish a positive pressure advantage, or when using the four pound rule to compensate for the presence of subsurface water in the tank area. Refer to N.F.P.A. 3Q Sections 2-3.2.4 and 2-7.2 and the tank manufacturer regarding allowable system test pressures. I21. VAPOR RECOVERY SYSTEM ❑ Stage 1 ❑ Stage II 24b. COEFFICIENT OF EXPANSION Total Gallons RECIPROCAL METHOD ea. Reading Inventory in Tank —I S�(� Water Bottom Top off equipment + — h Total Quantity •R ,'� r,!,� f I21. VAPOR RECOVERY SYSTEM ❑ Stage 1 ❑ Stage II 24b. COEFFICIENT OF EXPANSION x (b) RECIPROCAL METHOD gallons Total quantity in lull tank 1 ( t, • - 4 Type of Product Hydrometer Employed .................................. H Temperature in Tank After Circulation ........................................ •F Temperature of Sample ................................. 'F Volume change per digit 1 O 1 r v1. •F Difference (-/-) ......................................... Range (23 or 24a) Compute to 4 decimal places. factor (a) Observed A.P.I. Gravity ................................. '--� Reciprocal yq 3 Page a 13 let7f Total quantity in Reciprocal Volume change in full lank (17) this tank per •F Transfer to Line 26a. 24c. FOR TESTING WITH WATER see Table C a D Water Temperature after Circulation Table C from Thermal Sensor ............................ -F Coefficient of Water TableD ................................................ Added Surfactant? ❑ Yes ❑ No Transfer COE to Line 25b. 25. (a) x (b) _ (c) gallons Total quantity in lull tank Coefficient of expansion for Involved product Volume change In this tank per *F (17) Volume change per 'F (25 or 24b) Digits per -F in test Volume change per digit test Range (23 or 24a) Compute to 4 decimal places. factor (a)