COMPLIANCE INFO 1989 - 2002 - Laserfiche WebLink

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S 5n 1'at ��5on rl ro�c� C 'rk3 —1.� - Nam of Supplier,Owner or D•.1•r Address No,and Street b) CN Slate Date of Test 15. TANK'T6 TEST 15a. BRIEF PIAGRAId OF TANK 16. CAPACITY Fromi/ 40 A Nominal Capacity "t�(7 V ❑ Tank Manufacturers Chart Identity by position S Gallons •' M.tli ElCompanyEngineering Dots S-rATI'm D P c (t�A( my most accurate 1 1:1Chens supplied with Brand and Grad* 'a chart avaliable (,� E] Other_T Gallons 17. FILL-UP FOR TEST Total Gallons Gallons •a.Flooding Stick Water bottom � ` �^ TAm K before fill-up _ In. `� ..J . Inventory to u' Gallons Tank Dtameter 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑W lank ❑ Lln.(a)b.l w wlln Lv/l/1frf�w1 T°—�- $••manual•elNlOrq applicable.Check below and record procedure In log(27). Nipn water taDl•_MTank excavation �/ �1 Use maximum allowable lost pressure for all testi. TANK MEASUREMENTS FOR Transfer total to If"25e 19. Four pound rule does not apply to doublewelled tanks. TAN ASSEMBLY � Complete section below: 21. VAPOR RECOVERY SYSTEM Bottom of lank to grad••............?I.............. In. Add 3Vfor-r probe easy.......... 30 In. 24b. COEFFICIENT OF EXPANSION 1 is tour pound rule required? vas ❑ No ElTotaltubing to assemble—apt"xim 0............. In. RECIPROCAL METHOD 2. Height to 12'mark from bottom of tank M. 20. EXTENSION HOSE SETTING Type,of Product '•" c ` Tank top to grad•'.................................. ,n, Hydrometer Employed.................................. H Extend hose on suction lube e'or more Temperature In Tank 7. Pressure at bottom of lank P.S.I. i 1 below tank lop...................................... In. 'F 4 Pressure a1 top of tank P.S.I. 'if Fill Alpe eates ML ende above grade,tilop 01 /� 22. Tmal•Sonsor reading after circulation Temperature o1 Sample ................................. �•F MrDlhorenu(•/-).........................................—� –T- IF digits p Depth of burial In. •f Observed A.P.I.Gravity 5 1y eat .«, ................................. "ppita per•F In range of expected 23. a Change � R•clprotalI S Pape a 63 Tank die. In. digits X1 C 3 COEFFICIENT OF EXPANSION (Complete after ci lation) a� I ti 24a• C~od A.P.I.Gravtly Total Quantity in Reciprocal • Volume charge In full tank(1e or 17) this tank rTz , Water table M. per IF N - NOTES: Observed A.P.I.Gravity............................... .. Transtar to Line Zea. _301 t✓J t-... j NydronlN•r employed................... M aJ e�a`J 24C. FOR TESTING WITH WATER ,"r.bl.c a o Observed Sample Temporal .......... ........ •F on its ComG•dA.P. Suit ,. Water Temfowsh"shelf,Clydulatlbn—•"- . 0OVF.F able A.................. ...,..,.... Table ... .............. •f Sam of Expansion CcaliM'J of Water � A The above Calculations a»to be used for dry soil conditions to for Invoked Pfoaua ��D establish apositive press,ureadvantage.orwhen using the four pound From Table 8.......................... """'•'•""' ""......"•""" rule to compensate for IM presence of subsurface water In in*tank Transfer COE to Line 2e11s. Added Surlselanl? ❑Yes ❑No Transfer COE to Line 25b. area. . t ,/� Polar to N.F.P.A. S0, $actions 2-S.2.a and 2-7.2 and the tank 25, ( a v f1 x b l"' re A/ manufacturer regarding allowable system test pr•aaures. Total panders quantity I Coefficient M es nabn la Vdum•charge this Ink W lank(16 or 17^)7c�// Invoked produe /) / 26. (a) �r� 3 11 12 r 3d�S e •f r d 13V j,�C� this Is � a 1_ O -- Volum•en •per•f tae or Zen► Digits per IF in lest Volume Change per digit teat