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R <br /> DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (y afaq. <br /> CRISP Tu[Ume <br /> F.0.wxum <br /> SNIMM CA 93M <br /> (2o9)"1.= <br /> CLIENT <br /> NAME OF SUPPLIER. <br /> OWNER OR DEALR CS�1J•' DATE OF TEES' T'r%4E-S7ART- TIME FINISH LENGTH OF TEST <br /> ADDRESS(NO.d.STRE=-� n ^�^ WEATHER TEMPERATURE <br /> Cr AND'STATE s ^ ^rr <br /> TANK INFORMATION,�ID o00 1� I �� `d <br /> CAPACITY(NOMINAL) GALS. SIZE OF FILL OR TEST OPENING IN. CONTENTS(PRODUCT) <br /> CAPAC1 Y(CHART) GALS. TOP OFF TIME HOUR DATE GALLONS TANK MAiERIAL MEAL ) F:9egCL,AS5( ) <br /> DIMENSIONS. DIAME-,EA NUMBER OF GALLONS ADDED TO STAR ii=S APPROX.AGE <br /> LENGTH TANK NO. PUMP SYS,EM-TYPc_SU9 MAKE <br /> INCHES OF WATER - BEFORE-i-7 AF-cETE <br /> R TEST SUCTION <br /> LEAK DCTOR YES NO { ) <br /> TEST CALIBRATION TANK LAYOUT VAPOR RECOVERY SYS7ZM YES( ) NO( ) <br /> SI_OF CAL BAR 0n'ML'S AODEZ G_� - I C. _ ,00�7I PHASE 1 � PH <br /> IALMI (FA:�^AI ASE 2 PQ <br /> UNE MOV=M=NT OVERSPILL CONTAINER YES( )N0� <br /> ) <br /> t l� to 7S = LINES SHEAR VALVE YES PKL NO( <br /> 2 69Q to UN_S <br /> 3 -7 to 6,d = I LINES <br /> TOTAL LINES -3 = D LINES <br /> (ALMI <br /> ENO OF TEST CALIBRATION <br /> SiZE OF CAL BAR OR ML'S ADDED <br /> IAL.W (FACT.;;Al <br /> LINE MOVEMENT <br /> (a.4 to 77 = Il L!NES <br /> 2 /^ to -7`j = LINES <br /> 3 , to 791. LNES <br /> vTAL �� LINES - 3 = I L NES <br /> (ALN) <br /> MEASURED API SPE---,FIC G' VIS g <br /> PRODUCT TEMPERATURE -� <br /> API SPECIFIC GRAVITY c 60°F 5--n- - (FROM IASL A) <br /> COE=7-CIENT OF EXPANSION (FROM TABLE B) <br /> Q?>.oCCkr7��3�,OCc(o7859 ,2�/L� �'� lD,/Y`O a��'soi <br /> 0.EL X TOTAL CA►AcrrY IGALI VOL.CM NGEr F(FACTOR B) <br /> COMMENTS: <br /> OWNER OF SITE ADDRESS <br /> CITY STATE ZIP CODE <br /> OWNER OF TANK ADDRESS <br /> CITY STATE ZIP CODE <br /> COUNTY <br /> TECHNICIAN(S) DATE <br />