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14. Lo,y&S 7f4R 303 So 7�PAoY BLU© 7-R,4e- CA 3 S,4,1) 89 7-,6,4 - 2- Name of Supplier.Owner or Dealer ACdress No.and Streets) City State Date of Test 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From 7-7-;4 c 0 Station Chart /^y nR No./ ' Nominal Capacity /OQ ❑ Tank Manufacturer's Chart Identify by position / w/ p n �+f Gallons �•)'rJ �C /7/_, ❑ Company Engineering Data -112— D/",*:' )G1 ElChartssupplied with ca Brand and Grade most accurate /O O Q ❑ Capacity chart available Other Gallons 17. FILL-UP FOR TEST Total Gallons / Gallons ea.Reading Stick Water Bottom L/C - 115 rf before Fill-up in. /�J in. Inventory �7 to'A" Gallons Tank Diameter 7011:1 o FF zo 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ®Water in tank r 51ine(s)being tested with LVLLT WA TE R See manual sections applicable.Check below and record procedure in log(27). ®High water table in tank excavation /0Z_0^ use maximum allowable test pressure for all tests. 19. TANK MEASUREMENTS FOR Transfer total to line 25a SCJ Four pound rule does not apply to doublewalled tanks. TSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM ❑Stage I ❑Stage It Complete section below' Bottom of tank to grade' ............................ 3 in. itlQi(,J� Add 30"for'1"'probe assy........................... 30.in. 24b. COEFFICIENT OF EXPANSION t. Is four pound rule required) Yes ® No ❑ Total tubing to assemble—approximate............. in. RECIPROCAL METHOD Type of Product ........... ...0/_,o .� L ......... 2.Height to 12"mark from bottom of tank �3p in 20. EXTENSION HOSE SETTING Q I 1-/ Tank top to grade'.................................. v in. Hydrometer Employed ..... _,Y H y o 3 Extend hose on suction tube 6"or more Temperature in Tank �q O F 3. Pressure at bottom of tank P.S.I. After Circulation........... / •F below tank top...................................... in. Temperature of Sample.. S"yQ-F •F 4. Pressure at top of tank z •(D / P.S.I. 'If Fill pipe extends above grade.use top of fill. 1 22. Thermal-Sensor reading after circulation / Difference(•/-)............ •F digits / 2 -7 '. Depth of burial in. .S9-1!k •F Observed A.P.I.Gravi 3Z Between lY ............ ................. 23. Digits per•F in range of expected change 3Z0 7_/9S Page a •3"" Tank die. �� in. digits g 22. Thermal-Sensor reading after circulation � Reciprocal f Z/9,5- digits a /016,111 Z D a Water table in. •F - Between Total quantity Reciprocal Volume a NOTES: 23. Digits per•F in range of expected change FOR TESTING WITH WATER `;ee T C 6 DDDD ' dints 3 ti� JWID 22. Thermal-Sensor reading after circulation - digits Water Temperature afte culation .F Table C ....................... .......fin�'r......� •F Between 23. Digits per•F in range of expected change Coefficient of Water digits Table D .................................E:1;�':..... v rTt 26. Cit;, CsJ The above calculations are to be used for dry soil conditions to Added Surfactant? ❑Yes ❑No Transf£i COE to Line 2 establish P �a�sitivepressureadvantage,orwhenusingthefourpound rule to compensate for the presence of subsurface water in the tank area. Volume change per IF(25 or 24b) Digits per•F in test Volume chanThis ge per digit test Range(23) Compute to 4 decimal places. factor(a) Refer to N.F.P.A. 30, Sections 2-3.2.4 and 2-7.2 and the tank manufacturer regarding allowable system test pressures. 2. (a) = This is Volume change per•F(25 or 24b) Digits per•F in test Volume change per digit lest Range(23) Compute to 4 decimal places. factor(a) • 3• (a) = Tl::s is