COMPLIANCE INFO 1985 - 1993 - Laserfiche WebLink

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1f Name of Supplier.Owner or.Dealer., -. Address No.and Street(s) City State Date OI Teal IVA 15. TANK TO TEST < 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From ❑ Station Chart 3 I �IdentiICS l y No Capacity `� Gallons ❑ Tank Manufacturer's Chart Y Y Doe ❑ Company Engineering Data -i • ��w BY most accit urate / � �/1 ❑ Charts supplied with - r+ Brand and Grade', n �1 n n n capacity chert available '�/ ` ❑ Other O APR 1 � v.- Gallons 17. FILL-UP FOR TEST Total Gallons rre Gallons ea.Reading Stick Water Bottom '.-before Fill-up `r - in. (i• 9 - Z e —� to'A" Gallons Tank Diameter in. Inventory 18. SPECIAL CONDITIONS AND,PROCEDURES TO TEST THIS TANK LX Water in tank 19 Lines)being tested with LVLLT See manual sections applicable.Check below and record procedure in log(27). 1�Q7 High water table In tank excavation7 3(O Liao maximum allowable test pressure for all teats. - 19. TANK MEASUREMENTS FOR Transfer total to line 25a Four pound rule does not apply to doublewalled tank$. TSTT ASSEMBLY Complete section below: � . . 21. VAPOR RECOVERY SYSTEM ❑stage l ®Stege II �e Bottom of tank to grade ............................ .2_in, Add 30"for-17'probe easy........................... 30 in. 24b. COEFFICIENT OF EXPANSION 1. Is four pound rule required? Vee ❑ No ® Total tubing to assemble—approximate............. In. RECIPROCAL METHOD 3 f 20. EXTENSION HOSE SETTING Type of Product ........................................ 0,07A 2.Height to 12"mark from bottom of tank - In. _ . '. Tank top to grade'.................................. In. hydrometer Employed......... .................. ...... H A Extend hose on suction tube 6"or more Temperature In Tank / 3. Pressure at bottom of tank - J P.S.I. in. After Circulation........................................ 'F belowtank top................................ n G�// Temperature Semple.. Z(�•F 4. Pressure at top of tank _' r VVl/ P,SI. 9f Fill pipe extends above grade use top of fill - 22. Thermal-Sensor reading atter circulation Difference(+/-)..................... ................ / •F di Is Depth of burial 1 In. F Observed A.P.I.Gravity . :a e+ ? Between 23. Digits per IF In range of expect ad change p �n X17 Tank du In. - digits Reciprocal Paps N COEFFICIENT OF EXPANSION (Complete after circulation) 24a. Corrected A.P.I.Gravity Total quantity In Reciprocal e Volume change In OWat,r table -,. in. full tank(16 or 17) this tank per IF _.. Observed A-P.I.Gravity................................... Transfer to Line 26m. iNOTES: I � Hydrometer employed................................... H 24c. FOR TESTING WITH WATERsee Table C&D m cO Observed Sample Temperature ....................... °FZ ZC Corrected A.P.I.Gravity Water Temperature after Circulation c 60'F,From Table A.................................... Table C ...... ....... ..... .... 'F Coefficient of Expansion Coefficient of Water The above calculations are to be used for dry soil conditions to for Involved Product Table D................................. . ............... establish a positive pressure advantage,orwtenusing the four pound From Table B............................:............... rule t0 compensate for the presence of subsurface watB In the tank - Transfer COE to Line 25b. Added Surfactant? ❑Yes ❑No Transfer COE to Line 25b. area RNer to N.F.P.A. 30, Soctlona 2-3.24 and 2.7.2 and the tank 25, (a) x (b) _ (c) gallons manufacturer regarding allowable system test pressures. Total quantity or 17) involved ntoof duclwnslon for _ VVolumeer change In this tankful / / �1/ �/J//� G / V 102 26. (a) lJ��G (i l ♦ 3 Z This Is Volume change per IF(25 or 24b) Digits per IF In teal Volume change Wr digit test Range(23) Compute to 4 decimal place*. factor(a)