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BATA CHART FOR TANK .SYSTEM TIGHTNESS TEST <br />(EZY CHEC)J <br />-3 <br />1 J , t <br />��•..1 f 0 <br />vii J <br />CLIENT f G <br />NAME OF SUPPLIER, <br />OWNER OR DEALER [ O CJ .r .n {^ f DATE OF TEST�'o%y-p TTM START TIME FINISH LENGTH OF TEST <br />ADDRESS (NO. & STREET) WEATHER AND STATE ' <br />TEMPERATURE a <br />TANK INFORMATION <br />CAPACITY (NOMINAL) l %1 Gti GALS. SIZE OF FILL OR TEST OPENING `T <br />CAPACITY (CHART) GALS. TOP OFF TIME HOUR DATE IN. CONTENTS (PRODUCT) C <br />DIMENSIONS: DIAMETER NUMBER OF GALLONS ADDED TO START TEST _ GALLONS TANK MATERIAL _METAL (}�) DER - ASS ( ) . <br />LENGTH TANK NO. M\ �-- APPROX. AGE <br />INCHES OF WATER - BEFORE TEST PUMP SYSTEM-TYPE-SUB <br />f.FTER TEST / r SUCTION <br />TEST CALIBRATION _654K DEE I.Imt.TOR YES NO <br />SIZE OF CAL. BAR OR ML'S ADDED r D �, � _ `� � - � TANK LAYOUT VAPOR RECOVERY SYSTEM YES G ) NO( ) <br />UNE MOVEMENT (ALM) (FSCTOR A) <br />1t0 $3 <br />2 to �f %— LINES _ <br />3 to _ l = —�— LINES <br />_ _ / S LINES <br />TOTAL -- (LINES _ 3 = Z3 . <br />. LINES <br />(ALM) <br />END OF TEST CALIBRATION <br />SIZE OF CAL. BAR OR ML'S ADDED _ 4� ` _ D <br />LINE MOVEM T (ALM) (FACTOR A) - <br />t to <br />2 `f es to = - LINES <br />3k = - _ LINES <br />to = __ LINES <br />TOTAL __ o! LINES _ 3 LINES <br />(ALM) . _. _... <br />MEASURED API SPECIFIC GRAVITY <br />PRODUCT TEMPERATURE _ <br />API SPECIFIC GRAVITY ® 60° F 11 • 14(FROM TABLE A) <br />COEFFICIENT OF EXPANSION - 00 n /) TABLE B) <br />(FROM--� <br />�..��_ x s <br />coe _ X . ,.12{ or?o (F.KCTOR B) <br />-_ TOTAL CAPACITY (GAL) _ MOL. CtIANGE!' F <br />..... . :..ua., ,. <br />PRODUCT LAVE TESTING <br />T PRODUCT MONITORING ONLL - . a- - — OWNER OF SITE <br />7) Start End -Loss -E�s CITY ADDRESS <br />I <br />Afift <br />ESS <br />STATE ZIP CODE <br />' OWNER OF TANK ADDRESS <br />CITY - STATE ZIP CODE <br />COUNTY <br />r=$ <br />TECHNICIAN S DATE <br />E <br />