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p <br />DATA CHART FOR TANK .SYSTEM TIGHTNESS TEST <br />(EZY CHEK) <br />CUENT <br />NAME OF SUPPLIER. <br />OWNER OR DEALER DATE OF TEST J eTM TART TINE FINISH LENGTH OF T <br />EST <br />ADDRESS (NO. & STREET)WEATHER < /� a t'- TEMPERATURE <br />CITY AND STATE S }G `g .$ F r <br />TANK INFORMATION <br />CAPACITY (NOMINAL) f C> r3n GALS. SIZE OF FILL OR TEST OPENING IN. CONTENTS (PRODUCT) <br />CAPACITY (CHART) GALS. TOP OFF TIME HOUR J2:^,} DA7E� .' �_ Ctn GALLONS CONTENTS <br />NETAL X11 FIBERGC AA5Sf' ) <br />le 7 <br />DIMENSIONS: DIAMETER NUMBER OF GALLONS ADDED TO START TEST APPROX. AGE <br />LENGTH <br />TANK NO. _ PUMP SYSTEMrTYPE-SUB ( ) MAKE <br />INCHES OF WATER -BEFORE TEST �9- FTER TEST SUCTION <br />TEST CALIBRATION LEAK. DETECTOR YES - NO <br />SIZE OF CAI. BAA OR ML'S ADDED bi� , Tau1c Latour VAPOR RECOVERY SYSTEM YES G-) NO( <br />LINE MOV NTiALMr tF . <br />2 to — `p = ® LINES _ ti <br />— _ .LINES - <br />3 to _ �- 3 _ �! _� LINES <br />TOTAL ri 7 LINES _ 3 = I q LINES <br />(ALM) <br />END OF TEST CALIBRATION aJ <br />SIZE OF CAL. BAR OR ML'S ADDED <br />LINE MOVE NT tALMr sACMR AI - <br />t to _ 5s _ 7 LINES a <br />2 to d LINES <br />— 3 to = e "7 <br />LINES <br />TOTAL <br />LINES e 3 = 17 a LINES <br />(ALM) t :� <br />MEASURED API SPECIFIC GRAVITY <br />PRODUCT TEMPERATURE <br />API SPECIFIC GRAVITY SD° F47 s <br />COEFFICIENT OF EXPANSION_- :'MQLl -,a40 (FROM BLE A) <br />(FROM BLE B) <br />srora� cavacm tt;aLt .71 <br />R B) 9. , <br />VOL CMANGEP' F <br />P ODUCT EINE TESTING n f SYSTEM — <br />o, T_ .PRODUCTMONIiDAINCsONLL OWNER OF SITE ADDRESS <br />1Arm"-.. , Serial umber w ry <br />Stot End <br />CITY STATE <br />" <br />ZIP CODE,003 <br />OWNER OF TANK ADDRESS <br />.. _ <br />.903_ <br />CITY STATE <br />�. <br />n. ZIP ' CODE <br />COUNTY <br />:'-� ; TECHNICIAN DATE ^�' a <br />