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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (EZY CHEK) , <br /> CRISP TANK TESTING - <br /> _' P.0.E0;4 20,137 <br /> 5TCC.",',.;:, C_ 9=213 MR <br /> CLIENT (203) <br /> NAME OF SUPPLIER, p <br /> . OWNER OR DEALER II Co L ksl 1 / I,,�) )no-) DATE OF TEST�,��2 TT"1E START 14^_-- TIME FINISH &0�^ILENGTH OF TEST <br /> ' ADDRESS(NO.6 STREET WEATHER TEMPERATURE <br /> CITY AND STATE <br /> TANK INFORMATION �1 <br /> CAPACITY(NOMINAL) E( GALS. SIZE OF FILL OR TEST OPENING T 1N. CONTENTS(PRODUCT) L') � <br /> CAPACITY(CHART) GALS. TOP OFF TIME HOUR/ >f OU DP.TE _ - GALLONS .5 L � TANK MATERIAL' METALQk) SERGLASS( ) <br /> DIMENSIONS: DIAMETER NUMBER OF GALLONS ADDED TO START TEST /S) APPROX.AGE <br /> -LENGTHTANK NO. PUMP SYSTEM.-TYPE-SUE()C MAKE <br /> _ - INCHES OF WATER - BEFORET_EST AFTER TESTS SUCTION <br /> TBEAK-DETECTOR YES .�( - NO <br /> EST CALIBRATION <br /> TAW LAYOUT VAPOR RECOVERY SYSTEM YES(y0 ANO( ) <br /> SIZE OF CAL.BAR OR MUS ADDED -PHASE 1 � PHASE 2 (�Q <br /> (ALM) JAC,OR AI <br /> LINE MOVEMENT�/ _ I OVERSPfLL CONTAINER YES OC) NO l -) <br /> 1 ( ip _ r LINES i SHEAR VALVE YES (y) No ( ) <br /> 2- to ;-7a- _ LINES COMMENTS: <br /> 3 L/ to c _ / 3 LINES <br /> TOTAL 3 5 LINES _ 3 = // �_LINES <br /> END OF TEST CALIBRATION <br /> SIZE OF CAL.BAR OR ML'S ADDED I D r, <br /> (ALM) FACTOR AI <br /> LINE MOVEMENT- - _ t - ' <br /> 1 It� to S-5 _ / 7 LINES <br /> 2 39 to ` _ % ? LINES <br /> 3 3 7 to _ > 7 LINES <br /> -:.- TOTALj r7 LINES _ 3 = /(ALM) _LINES <br /> MEASURED API SPECIFIC GRAM 7Y <br /> PRODUCT TEMPERATURE t17 - <br /> API SPECIFIC GRAVITY a 60'F J 3 7 (Fr'.Otvi TABLE A) . - <br /> COEFFICIENT OF EXPANSION (FROM TABLE B) <br /> IOR B)�OTAL CAPACITY(GAL) VOL.CHANGE"F - - - <br /> PRODUCT LINE TESTING --- __ . - ._-- _ _ -`- SYSTEM <br /> OWNER OF SITE ADDRESS <br /> I PRODUCT MONITORING ON LL ProductSeri <br /> _- al Numbe^ <br /> Time .� Reading <br /> (Hilary) I No. Start I End , +Gain I XFacorA I {Gain j, CITY STATE Z_P CODE <br /> I .003 J OWNER OF TANK ADDRESS <br /> I .00 I CITY STATE ZIP CODE <br /> .00' <br /> ..,00 t I COUNTY <br /> I 44-92, <br /> I TECHNICIAN(S)D) DATE <br />