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i <br />Address No, and Streel (s) <br />TYPO of Product .......................................:.*" <br />z <br />15. TANK TO TEST <br />TO TEST THIS TANK <br />City <br />Slats <br />W <br />15a. BRIEF DIAGRAM OF TANK FIELD <br />16. CAPACIT� <br />� r <br />Identity by <br />`' <br />la <br />position <br />t 4-, <br />ca <br />Nomin�ai"Capacity <br />" <br />Gallons <br />W - <br />19. <br />"-Complete <br />section below: <br />CD <br />By most accurate <br />1 U�/ f <br />��Iseas <br />aa� <br />SOHO <br />capacity Chart available <br />°`Ito"` <br />Stick Water Bottom <br />Add <br />o <br />Total <br />5 <br />CD <br />2 Haight to 12' mark from <br />' <br />alone <br />r v <br />grade <br />3 <br />Tank <br />Ha' <br />3. Pressuro st bottom of tank <br />; <br />Exton <br />x. <br />a <br />A <br />z cc <br />to <br />,+ <br />4 Pressure at top of tank1_ <br />�K /� P. S. 1. <br />yi <br />Depth of burial <br />1 r <br />— In, <br />usE <br />PN5 <br />v a <br />a a <br />Los <br />O <br />p�ey1a <br />444 4 <br />Cc <br />7 <br />d 9 <br />�1 r <br />t" <br />rye# <br />$49T�P N ti <br />rn s <br />? i <br />�r <br />H <br />❑❑ <br />I <br />zrs <br />FrLu <br />W <br />3 <br />J <br />. <br />Name of Supplier. Owner or Do Olar <br />Address No, and Streel (s) <br />TYPO of Product .......................................:.*" <br />z <br />15. TANK TO TEST <br />TO TEST THIS TANK <br />City <br />Slats <br />.F <br />15a. BRIEF DIAGRAM OF TANK FIELD <br />16. CAPACIT� <br />and record <br />Identity by <br />`' <br />la <br />position <br />t 4-, <br />ca <br />Nomin�ai"Capacity <br />" <br />Gallons <br />is vG J <br />Brand and Or do <br />19. <br />"-Complete <br />section below: <br />By most accurate <br />1 U�/ f <br />n 17. FILL -UP FOR TEST <br />SOHO <br />capacity Chart available <br />°`Ito"` <br />Stick Water Bottom <br />Add <br />o <br />wrote FIJI -up In. <br />l0 'A" <br />'3allona In. <br />Tank Diameter <br />22.. <br />i .G' <br />Tank dia. <br />In. <br />23,. c <br />Water table to lank bottom In, <br />NOTES: <br />c The above calculationslife to be used for diy sell oartdllfolra to <br />establish a positive pressure advantage, or when using the four pound <br />rule to compensate for the presence of subsurface water In the tank <br />area, <br />Rola to NAPA. 30. Sections 2.3,24 and 2.7.2' and the lank <br />manufacturer regarding allowable system lost pressures. <br />LJ Walor In lank ❑ Llne(a) being lasted will) LVLLT <br />❑ High water table in lank excavation <br />TYPO of Product .......................................:.*" <br />z <br />18. SPECIAL CONDITIONS AND PROCEDURES <br />TO TEST THIS TANK <br />t/ n <br />V .P <br />See ManuN;eetlons applicable, Check below <br />.F <br />Difference (��-►............. ....... <br />0 <br />and record <br />procedure in top (21), <br />Observed A.P.I. Gravity <br />Uao maximum allowable Iasi pressure for oil last,. <br />ca <br />I <br />Four pound"ruts dons not apply to doublewalled tanks, <br />19. <br />"-Complete <br />section below: <br />` <br />SOHO <br />{ <br />.:. <br />is le four pound rule required? <br />YeaNo ❑ <br />Add <br />o <br />Total <br />2 Haight to 12' mark from <br />20, <br />r v <br />grade <br />In <br />Tank <br />F` <br />3. Pressuro st bottom of tank <br />r(, J i� <br />Exton <br />x. <br />z cc <br />below <br />,+ <br />4 Pressure at top of tank1_ <br />�K /� P. S. 1. <br />•If Fill <br />Depth of burial <br />1 r <br />— In, <br />usE <br />PN5 <br />22.. <br />i .G' <br />Tank dia. <br />In. <br />23,. c <br />Water table to lank bottom In, <br />NOTES: <br />c The above calculationslife to be used for diy sell oartdllfolra to <br />establish a positive pressure advantage, or when using the four pound <br />rule to compensate for the presence of subsurface water In the tank <br />area, <br />Rola to NAPA. 30. Sections 2.3,24 and 2.7.2' and the lank <br />manufacturer regarding allowable system lost pressures. <br />LJ Walor In lank ❑ Llne(a) being lasted will) LVLLT <br />❑ High water table in lank excavation <br />/~ire\ •_. <br />Date or Teal <br />From <br />t_.J Station Chart <br />(1'3Tank Manufacturer'. Chart <br />''7 <br />rLf''''.' I1 Company Engineering Data <br />t_I Charts supplied with Tank Test., <br />❑ Other <br />Total Gallons <br />as. Reeding <br />Inventory In Tank ^°t <br />Water Bottom - r <br />Top off equipment i tti <br />Total Ouanilly <br />c 1, minim HtUUVtHY SYSTEM U stage l ❑ sl.g. R <br />- - •,­ I .vr..ra r Vr LAJ7MJj0JUIY <br />RECIPROCAL METHOD( <br />TYPO of Product .......................................:.*" <br />z <br />Hydrometer Employed ................................. H <br />Temperature In Tank <br />After Circulation .................... <br />t/ n <br />V .P <br />Temperature of Sample ................. <br />.F <br />Difference (��-►............. ....... <br />0 <br />Observed A.P.I. Gravity <br />Rsclprocal I A� <br />ca <br />I <br />Volume change In <br />this tank per IF <br />r <br />� N <br />z <br />o <br />Cc <br />F` <br />® <br />$ <br />z cc <br />U) U <br />n <br />/~ire\ •_. <br />Date or Teal <br />From <br />t_.J Station Chart <br />(1'3Tank Manufacturer'. Chart <br />''7 <br />rLf''''.' I1 Company Engineering Data <br />t_I Charts supplied with Tank Test., <br />❑ Other <br />Total Gallons <br />as. Reeding <br />Inventory In Tank ^°t <br />Water Bottom - r <br />Top off equipment i tti <br />Total Ouanilly <br />c 1, minim HtUUVtHY SYSTEM U stage l ❑ sl.g. R <br />- - •,­ I .vr..ra r Vr LAJ7MJj0JUIY <br />RECIPROCAL METHOD( <br />TYPO of Product .......................................:.*" <br />Hydrometer Employed ................................. H <br />Temperature In Tank <br />After Circulation .................... <br />t/ n <br />V .P <br />Temperature of Sample ................. <br />.F <br />Difference (��-►............. ....... <br />Observed A.P.I. Gravity <br />Rsclprocal I A� <br />�Page <br />Total quantity In Reciprocal <br />full tank (17) <br />Volume change In <br />this tank per IF <br />Water Temperature aflerbm< <br />Table C from Thermal Soneor., <br />coefficient of w <br />ATER se. Test D <br />' i1Cn for VOIumO Cheng. In Ihb Unk gallons <br />I.uli tank " .I7) In <br />volved refect <br />0n0n0np Per <br />IF <br />