COMPLIANCE INFO_1986-1996 - Laserfiche WebLink

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14. M — Name of Supplier. Owner or Dealer 15. TANK TO TEST 116n 4rz Identity Dy position /i✓%1iVoa't upuT Brand and Grade 17. FILL -UP FOR TEST Stick Water Bolton before Fitl-up O in. to w ® fit, 2°° G+ ®e In. Inventory Gallons Tank D ager a 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK 'Ei Water In tank ® Line(s) being tested with LVLLT t See manual sections applicable. Check below and record procedure In log (27). 'LNJ High water tabl4 In tank excavation Use maximum allowable test pressure for all tests. 19. TANK MEASUREMENTS FOR transfer total to line 25a A. Four pound rule does not apply to doublewalked tanks. TSTT ASSEMBLY .. �} Complete section below: /3 21. VAPOR RECOVERY SYSTEM - ❑ stage t'..�^J stage 11 Bottom of tank to grade* . •......... .. / in. ' Add 30" for •TProbe away ........................... 30 In. 241). COEFFICIENT OF EXPANSION 1r is four pound rule required? Yes ❑ No �. Total tubing to assemble — approximate ............. % •! In. RECIPROCAL. METHOD 2. Height to 12' mark from bottom of tank 16:7 In. 20. EXTENSION HOSE SETTING Type of Product ................ ...... •..`.... �� r Tank to to grade* ....... L% Hydrometer Em ,,,, , P 9 In. Employed ...... : .... H Extend rose on auction tube 5" or more Temperature In Tank 3. Pressure at button of tank P.S.I. Atter Circulation ....... ..5. ...... - L2, A °F .......... - - below tank top ...................................... G in. ,: . .r: Temperature a Semple ...... .�,.... -F 4. pressure at top of tank &S S P.S.I. 91 Fill pipe extends above grade• use top of fill 13'] 22. Thermal -sensor reading after circulation _./ 3 /43 Difference (N-) , , , , ' • ._ eF d t digits .... .. Depth of burial _ In. / b _{a - & " `0 F Observed A.P.I. Gravity .... ... ' �(I . Tank die. is 23. Digits per °F In range of expected change digits Reciprocal C Page R �_ COEFFICIENT OF EXPANSION (Complete after circulation) 76 y 24a. Corrected A.P.I.Gravity Taal quantity In . Reciprocal Volume change in Water table ... in.. full tank (18 or 17) this tank per °F Observed A.P.I. Gravity ...................................; r Transfer to LIM 28a. I Hydrometer employed ................ H ✓ i r „,,#_ x -} 3 24c. FOR TESTING WITH WATER Table`C d D rz 0 Observed Sample Temperature ........................ °F .. Z .. ._ Z G Corrected A.P.I. Gravity Q 50°F. From Table A .................................... Water Temperature alter Circulation Table C ................................................ °F .. Coefficient of Expansion Coefficient a Water for Involved Product The above osithr calculations aro dv be used for dry loll conditions t0 ......... Table D ................................................ eefeDliahe skive rosaureadvent From Table a ....................... po p �,orwhen�Ingthe4ourpound rule to compensate for the presence of subsurface water In the tank Transfer COE to Line 25b. Added Surfactent? ❑ Yes ❑ No: Transfer COE to L lne 25b. "' 1 area Refs► to NAPA. 3Q Sections 2-12.4 and 2.7.2 and the tank 25. (a) 7G ya x (b) , (c) panores manufacturer regarding allowable system test pressures. Teel quantity In Coefitcient of expanelon for Volume Mange in Mia tack full tank (16 or 17) Involved product per °F 102 { 26. a 3 Y �3 y _ von,r� �Im �4r�O�,. MDigits . - This Volume change per °F (25 or 24b) ; ° /`"t/ Range (23) Compute to 4 decimal places. factor (a)l r Address No. and Street(s) N4 City State 7 Date of Teat 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From ❑ Station Chart; ". . Nominal Capacity Gallons ❑ Tank Manufactuns.s CharC • > - " -^. •, ❑� Company Engineering Data g } tI Charts supplied with By most accurate Capacity chartaveilable -- -7 ( 3 ❑ Other Gallons - Total Gallons J.'..� _. Gallonsea. Reeding A ® fit, 2°° G+ ®e In. Inventory Gallons Tank D ager a 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK 'Ei Water In tank ® Line(s) being tested with LVLLT t See manual sections applicable. Check below and record procedure In log (27). 'LNJ High water tabl4 In tank excavation Use maximum allowable test pressure for all tests. 19. TANK MEASUREMENTS FOR transfer total to line 25a A. Four pound rule does not apply to doublewalked tanks. TSTT ASSEMBLY .. �} Complete section below: /3 21. VAPOR RECOVERY SYSTEM - ❑ stage t'..�^J stage 11 Bottom of tank to grade* . •......... .. / in. ' Add 30" for •TProbe away ........................... 30 In. 241). COEFFICIENT OF EXPANSION 1r is four pound rule required? Yes ❑ No �. Total tubing to assemble — approximate ............. % •! In. RECIPROCAL. METHOD 2. Height to 12' mark from bottom of tank 16:7 In. 20. EXTENSION HOSE SETTING Type of Product ................ ...... •..`.... �� r Tank to to grade* ....... L% Hydrometer Em ,,,, , P 9 In. Employed ...... : .... H Extend rose on auction tube 5" or more Temperature In Tank 3. Pressure at button of tank P.S.I. Atter Circulation ....... ..5. ...... - L2, A °F .......... - - below tank top ...................................... G in. ,: . .r: Temperature a Semple ...... .�,.... -F 4. pressure at top of tank &S S P.S.I. 91 Fill pipe extends above grade• use top of fill 13'] 22. Thermal -sensor reading after circulation _./ 3 /43 Difference (N-) , , , , ' • ._ eF d t digits .... .. Depth of burial _ In. / b _{a - & " `0 F Observed A.P.I. Gravity .... ... ' �(I . Tank die. is 23. Digits per °F In range of expected change digits Reciprocal C Page R �_ COEFFICIENT OF EXPANSION (Complete after circulation) 76 y 24a. Corrected A.P.I.Gravity Taal quantity In . Reciprocal Volume change in Water table ... in.. full tank (18 or 17) this tank per °F Observed A.P.I. Gravity ...................................; r Transfer to LIM 28a. I Hydrometer employed ................ H ✓ i r „,,#_ x -} 3 24c. FOR TESTING WITH WATER Table`C d D rz 0 Observed Sample Temperature ........................ °F .. Z .. ._ Z G Corrected A.P.I. Gravity Q 50°F. From Table A .................................... Water Temperature alter Circulation Table C ................................................ °F .. Coefficient of Expansion Coefficient a Water for Involved Product The above osithr calculations aro dv be used for dry loll conditions t0 ......... Table D ................................................ eefeDliahe skive rosaureadvent From Table a ....................... po p �,orwhen�Ingthe4ourpound rule to compensate for the presence of subsurface water In the tank Transfer COE to Line 25b. Added Surfactent? ❑ Yes ❑ No: Transfer COE to L lne 25b. "' 1 area Refs► to NAPA. 3Q Sections 2-12.4 and 2.7.2 and the tank 25. (a) 7G ya x (b) , (c) panores manufacturer regarding allowable system test pressures. Teel quantity In Coefitcient of expanelon for Volume Mange in Mia tack full tank (16 or 17) Involved product per °F 102 { 26. a 3 Y �3 y _ von,r� �Im �4r�O�,. MDigits . - This Volume change per °F (25 or 24b) ; ° /`"t/ Range (23) Compute to 4 decimal places. factor (a)l r