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}rATsonl h J 14. �Vic r> Z�_ -77, kAc_kL GA Name Of Supplier, Owner or peals( Address No. and streerts) city State 15 TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY Z 7- -t-+ 41- 3 5 Identity by position Brand and Grade ppv Nominal Capacity # 3 Cn 00 y Gallons s 3 Z f By most accurate ` capacity chart available cg K Gallen$ 17. PILE-UP :*-Z ST Z Z %_ A stick Water Boman r kis $� N --- in. before Fitl-up II 3 In. "�1 K- Gallons Tank OI~w Inventory 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑ water In tank ❑ Llnem Wing tested with LVI,Lt See manual sections applicable. Check below and record procedure In" 127)• ❑ High wsler table In tank excavtl Iles maximum allowable test pressure for ail tests. 19. TANK MEASUREMENTS FOR #Z Four pound rule does not apply to doublewalled tanks. TSTT ASSEMBLY ` Complete section below: I 31 r Bottom of tank toad grade' ............................ In. j�,� Add seg' for 'T" probe may ........................... 30 In, I is lour pound rule rsqulredl Yes ❑ Ii` No ,'bU Total Using to assemble — approximate ............. • In, >< 2 Height to 12- mark from bonOm 01 tank 3. Pressure at bottom of tank e. Pressure at top of tank r -n t O r of burial I N m� w 11x.=i D able t4p The above calculations are to be used for dry soil'conditlone to establish a positive pressure advantage, or when wing the four pound rule to compensate for the presence of Subsurface water In the lank area. Reser to N.F.F.A. 30, sections 2-32.1 and 2.7.2 and the tank manufacturer regardling allowable System test pressures. 20. EXTENSION HOSE SETTING Z 4*3 Tank top to grade'..................................�� M. Extend hose on suction tube a' or more �So bNOw tank top ...................................... In. •n Fill pips Mends above grede, use top of 11111- 22. Thermal-Mnwr Wading cher circulation ► 71 K dg to Z.i 23. Glottis per In Hnge 3oge of expected cha dl to COEFFICIENT OF EXPANSION (Complete after circulation) 24a. Caroled A.►.L Gravity 1. Hydromeleremployed ................................... H Observed sample Temperature ...... . . ... . ... . ......... • F Corroded A.P'1. Gravity ,^ * Will. From Table A ...... . ......... ............. Coefficient of Expansion ter btv01ve0 Pro" From Table s ............................................ Transfer COE to Wer 2$b. 25. (a) IA ■ C6) TOW wanosy In CoafaolerM of ben for ltd tank flew 17) Mtvoleed pro" .7 - Oat. of Test r From ❑ Station Chart ❑ Tank Manufacturer's Chart ❑ Company Engineering Data ❑ Cherie supplied with ❑ Other Gallons Total Gallons as. Flooding 1(0 � OTA L Transfer total to line 260 Unce GIq& 7, 6V I21. VAPOR RECOVERY SYSTEM ❑ stage 1 ❑ stage if 24b. COEFFICIENT OF EXPANSION# Z. 3 RECIPROCAL METHOD Type of ProductS Hydrometer Employed .................. -7 H Temperature In Tank1 ( /l{I' ,, Z After Circulation ........................ G " ' L "I/'^_ •F Temperature of sample ................. VJ •F . Observed k 1 Glad ............... FIDIFocal i Palo a , / ,/ IT Lzq,— Totall quantity In Mc procal Volume change In full tank (1s or 11) this tank per •F Transfer to Line 26e 24c, FOR TESTING WITH WATER Sea Table C a D Water Temperature atter Circulation Table C ' Coefficient of Water !�I 1.4 t Table0 ................................................ Added surfactant? ❑ Yes ❑ No Transfer COE to Line 26b. , • (c) �� gallons Volume change In this lank _r 1 0127 V98'7$ _ K I