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17 <br />DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br />(EZY CHEK) <br />i <br />S- Tank Top to Grade 7� � n <br />Send Re ort to: <br />C. Tank Diameter Cf n <br />Client a P- <br />_� <br />0. Test Level above grade 1 <br />Address <br />—n <br />E. Depth of water in tankPhone <br />" <br />City, State <br />F. Depth for taking sample / <br />1n <br />G. Temp. Probe depth n <br />( ) <br />Attn. <br />(connector) <br />H. Test level to Tank Bot.1 �y n <br />CERTIFICATION This IS to cendy that this tank System was tested <br />I. Groundwater above tank bottom _�_n <br />on date shown. Those indicated "Tight" meet the criteria estaotisned <br />by the National Fire Protection ASSouahon Pamphlet 329. <br />J. Product Pressure per 1" height aPsi - <br />Tank No. <br />Test Pressure Formula - <br />Tight <br />fix,-=- x .036 )_ <br />Leakage.lndlcated + �µ <br />n9' OR _ <br />M , , NE-. TEST <br />Technician <br />PRESSURE <br />Date Tested <br />