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or <br /> tl \ IV <br /> Or I E o <br /> N� Xaa Pry r <br /> ,. <br /> Lr <br /> Y $ U <br /> � r <br /> eCDS <br /> CD <br /> c\w D p, 7 s yyaXC!0. 1 ply •H <br /> \f CL. X11 ® U <br /> 0 El <br /> _.*am <br /> n cc O H <br /> to 17-11 <br /> N- ❑ <br /> r, tl `I <br /> z E. P <br /> ca v a z • <br /> ( }-� <br /> Y P a `� <br /> cc <br /> Uj v �: <br /> s %4;Z <br /> V C4 <br /> H ® ® <br /> Q' a3 w U IcaCn <br /> Q z i. <br /> H i cc rn > o & .. ®rn o o <br /> cc <br /> c w o vi yc xcc Uj )... <br /> IAj <br /> w o curt¢ �D5 a. c�z a�:€•c, pu" <br /> ` rn 1—• eat- Q,'¢ w x< w 1" � u:F <br /> G Q <br /> p , ..a co rw� <br /> r <br /> z <br /> eta <br /> _._...:P-- <br /> 5- <br /> Name <br /> � <br /> _ <br /> n,- .5"-...,.�. .':..- -- . .. . . ..._. .. .. c fT"zV` a� •'°i.`' .fix <br /> �� �� 14 /L�Q .3��c� / �"G2G •; /U11 J"Cc �r�. 1;. ,,'•" 'r. <br /> • Nurse of SuPWier.Owner or Deafer Address No.and Street(a) city f Slats -pole of Tear <br /> a. . <br /> '15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From <br /> © j�^�J(/-^'►�- _ ���((jj //'� Station Chart <br /> Identity by position CI QO ' Nominal Capacity �yI t;f ❑ Tank Monufaclurses Chart <br /> Gallon <br /> ❑ Company Engine ring Oala <br /> ❑ Charts supplied with Tank Towler <br /> Brand and Grade By most accurate <br /> capacity chart available 01har <br /> ` Gallon; ❑ Y, <br /> ± 17 FILL UP FOR TEST <br /> Total(3.11°,� <br /> on.Reading <br /> Stick Water Bodoni, / <br /> Y before Fl"p " :w_ In, V Inventory In Tank x /� <br /> X <'' s" to u" ONlana Tank Olameler In. G7 v f <br /> Water Bottom - it <br /> t:/ <br /> 18:_SPECJAL CONDITIONS AND PROCEDURES TO tESYJHIS TANK ❑Waist In lank ❑ Llne(s)being toiled with LVLLT Top oft equipment + <br /> ._ x, <br /> See manual aaoBona applicable.Check below and record procedure in log(27). ❑Nlgh water table to lank excavation Told Ouanllly /"} <br /> ' the maximum allowable teal pressure for all tests, i <br /> Few pound(We does not apply to doumewdted tanks. 19. TANK MEASUREMENTS FOR <br /> " TSTT ASSEMBLY <br /> ' <br /> Complete section below: � � ( � S 21. VAPOR RECOVERY SYSTEM ❑stapa t ❑Stage 11 <br /> Al, <br /> as BoUom o0 lank to grade In <br /> ❑ Add 9g"for dr probe easy................... in. 2 N <br /> `►1 '� ® 4b. COEFFICIENT OF EXPANSIO <br /> '. 1 is few rpound rwarequkada YuNO �--_In. RECIPROCAL METHOD <br /> Told tubing to ueembla—approximate, <br /> 9 ,.,•' �� <br /> 20. EXTENSION HOSE SETTING Type of product ...... ....................... ........ �y� <br /> R te 18'mak from prba in, <br /> Tank top to grade'.... In. Hydrometer Employed........... H <br /> µ �'�®�" p 5.1.• Extend hose on auction lube c or more Temperature In Tank <br /> S Preuure at bottem of tank <br /> After Circulation ... F <br /> below tank lop...............................:...... �In. <br /> U <br /> �;: ......_ �r ! '11 Fill 1 Temperature of Sample....................... ......... <br /> he we.Pressure M top of lank - P.S.I. pipe extends above grade,use lop of fill. <br /> USE WITH-THERMAL SENSOR Difference v/► _ <br /> £, { Depth of burial V te. PN5039 (Blue Box) <br /> c r Observed AAI.Gravity}' Y <br /> 22. Thermd•Sensor reading after circulation Lip •• <br /> £ .Tank ego. i J dl s Reciprocal 7 O� Pago M m <br /> "F } <br /> y-r- 23. Digits per•F in range of expected change Total quantity In Reciprocal • Volume dleoge bt <br /> Water table to tank bottom v in, digits full tank f 17) IMe lank per OF <br /> . . .: <br /> NOTES:, Transfer to I.Ine lsa. . <br /> i 24a. IF USING THERMAL SENSOR DTS-2000 <br /> OR OC-2000 WHICH READ 1000 DIGITS 24c. FOR TESTING WITH WATER s"TebleCtO <br /> PER eF TRANSFER 1000 TO LINE 26, <br /> DIGITS PEROF IN TEST RANGE. Waist Temperature alter Circulation � . <br /> Table C from Thermal Sensor.:.... . <br /> Ul <br /> zr <br /> a• .res "��•F <br /> ee ahw lcul rose are <br /> eto Coefficient of Water <br /> ' Ther ow Oabulellone ua to hi used for dry soil conditions to Tem•D <br /> Poli P ldlago.orwhenusingthefourpound ....... ... ........ <br /> 1414 to Compensate for the proals"Co of subsurface water In the lank <br /> Added Surfaclanta ❑Yee Trsnater coo to Out M <br /> for to KF.P,A. 906 SecIj#na,2.9.8,.1 and 2.7.2 and the lank 25. (a x b a <br /> �tliwNlfsower reoadkte it"Ovalke system isal pleasure$. Told quantll M Sedtene <br /> t z Y Co lliclenl of as onelon for Volume eh•noe In Ihf Isnfr <br /> .r lW1 lank(17) Involved or odtrel Per If <br /> (49902T")�w q a <br /> 'y _ -`i`,,s�x 1 all '�14� - f l 3 000 .A11--A am Af .. :>x m&.`.,..i' •,,;-r'f <br /> r U <br />