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SITE PREPARATION AND SYSTEM DATA Page 5 <br />THREE -TANK SYSTEM <br />CUSTOMER: )- L_ <br />DATE: <br />LOCATION NO.: SYSTEM NO.: _ <br />CITY/STATE: `� �U �l ' �-' '�. l +.1 L l <br />PRODUCT: <br />SITE PREPARATION <br />OTHER CONDITIONS <br />VAPOR RECOVERY ❑PLUGS ❑RISERS/ ❑OTHER <br />VENT ❑ NO PREPARATION ("❑ OPEN TO ATMOSPHERE ❑ P -V VALUE REMOVED ❑ OTHER <br />❑REMOTE/SUBMERSIBLE (DEPTH ) <br />❑ SUCTION (HEIGHT <br />I <br />CHECK VALVE STRAINER SUCTION CONNECTION <br />❑ BURIED ❑ REMOVED �.© UNION <br />❑EXTRACTABLE l_JINPLA( E ❑COUPLING <br />❑ REMOVED REMOVEpQ.6 COVER ❑ OPEN WITH FOIL <br />C� REPLPj,(; ? <br />�1INPLACE rr'' ❑OPEN NO FOIL <br />DOT -HER <br />❑ CAP REPLACE /`� LJ IN PLACE <br />❑ OTHER _ ❑ OTHER <br />CHECK VALVE <br />STRAINER <br />IMPACT VALVE <br />❑ REMOVED &OPEN <br />���� <br />LJ'fN//PLACE <br />❑CLOSED <br />_ <br />L]REMOVED REPLACED &COVER <br />❑OTHER <br />❑REMOVED <br />r�INPLACE <br />❑ REPLACED REMOVED &COVER <br />❑OTHER <br />❑ CLOSED <br />PLUG-IN <br />OOLOSED <br />til OPEN <br />-PEN <br />TEST 1 DATA <br />TANK 1 TANK 2 TANK 3 <br />LOCATION <br />FFILLGauge <br />DROP TUBE <br />LOCATION <br />DROP TUBE <br />LOCATION <br />DROP TUBE <br />Other (Specify) <br />IN <br />OUT <br />None <br />FILL <br />Gauge <br />Other (Specify) <br />IN <br />OUT <br />None <br />FILL <br />Gauge <br />Other (Specify) <br />IN <br />OUT <br />None <br />T. PROBE <br />BALANCE <br />CALIBRATION <br />LEVELS <br />LOCATION <br />METHOD q <br />LJ� SOLID ROD ❑ LIQUID <br />Time Tank 1 <br />Tank 2 <br />Tank 3 <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />START <br />END <br />! <br />i/'1p <br />CC'S <br />A DIVISION <br />•� <br />,\ <br />/ '1 <br />'—_ <br />AVERAGE <br />E <br />r� �) <br />r/ (/ <br />G <br />AVG. CC'S/DIV. <br />LEAK RAT LR) CALCULATION <br />LR = ±A DIVISIONS X CALIBRATION, CC = CC <br />IN OUT <br />OMINUTE <br />DIVISION MINUTE <br />LR= ---C /I (� � 6 <br />TEMPERATURE COMPENSATIO (Td) CALCULATION <br />COEFFICIENT OF EXPANSION 1/.F I b U <br />GRAVITY TEMPERATURE,�F <br />SOURCE ❑T159C <br />❑ A ❑ D ❑ CHART <br />❑ 8 ❑ E ❑ PUBLISHED DATA AT 60OF <br />❑ C ❑ OTHER <br />SYSTEM CAPACITY, GALLONS <br />OF <br />f Temp. Differential <br />T Time of Temp. <br />Differential, Min, <br />TANK 1 TANK 2 <br />TC - 3785 GT CE A'F <br />n TIME <br />TC <br />Cl GT TANK 1 <br />O /i D � A' F TC = <br />OTime .. <br />ABSOLUTE LEAK RATE (ALR) CALCULATION <br />- CC 'vv- IN OUT <br />OR <br />MINUTE <br />,Il IRc NMENTAL fjc/',LTH <br />TANK 2 TANK 3 TOTAL <br />ABSOLUTE LEAK RATE _ — — t✓ <br />_ ,>tETE TEMP. COMPENSATION CC/MIN lJ <br />X 0.015852 * 7 L <br />CC/MIN GAL/HOUR <br />❑ IF ALR> ± 0.05 GPH, A CHECK TEST WAS CONDUCTED WHICH CONFIRMS THE ABOVE RESULTS (CALCULATIONS ON CHART) <br />❑ A CHECK TEST WAS NOT CONDUCTED. <br />* 60 MINUTES/HOUR _ 3785 CC/GALLON = 0.015852 <br />V Ivn 14 v 1 G <br />