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Mame of supplier.Owner or Dealer Address No.and,tnef(®) CRY State Date of Teat <br /> FMM <br /> 15a.BRIEF DIAGRAM OF TANK FIELD 16.CAPACITY En <br /> 15. TANK TO TEST ion Chart <br /> P v jj� j {.-(} f l Nominal Capacity 12.1000 Tank ManuteaxWrt <br /> N1 Cha <br /> actions ❑Company t3iffineabg ata <br /> Identity by position <br /> �dd� ry Qy ❑ Chub supplied with <br /> By most char ere ' --?f. t ❑ Otho <br /> Brand aeM Grade oeWcgll oh®A available�.—=Gallons <br /> Total Gallons <br /> 17. FILL-UP FOR TEST es.stag <br /> qua Water foam " inventory .--�— � <br /> before FUWp <br /> b W- Cidlons Tank Diameter <br /> t <br /> .�l• <br /> 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑wow In tank ❑ uneat being tested with LST <br /> Us Manuel sections sppgc&M Cheof,below and record procedure in fog 04 ❑►Ugh water table In an+k excavation 12,031— <br /> Transfer total b tine 25e - <br /> use maximum allowable toe p—for all testa. 19. TANK MEASUREMENTS FOR <br /> Fan pound rule does not apply b t-btewalle t tanks• TSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM ❑,case t nt.1, <br /> Complete section below: Bottom ofunk to grade'............................ 104 <br /> Add se'for-(-probe any..................•........ 30 In, 24b.COEFFICIENT OF EXPANSION <br /> t.Is four pond ruts required? Ten ❑ hb ❑ Total tubing to assemble—approximate............. 1 RECIPROCAL METHOD <br /> Type of product.......................................: <br /> 20. EXTENSION HOSE SETTING <br /> 2 Fleisht b/2"merit from Dorton Of tank in � HY EnWleYad.................................. <br /> Tank by to grade'.................................. <br /> e Extend hoes en suction tube,"o mon T In Tank_ After Circulation......................................: 'F <br /> Pressure at bottom of tam P.S <br /> below tank top.................................:.... <br /> Temperature of,annWe................................. <br /> P.&I. 'N Fill pipe extents above grade.use top of fel. o�Iq <br /> 4 al by tank 22. thermal t—t N�! 2, Difference N/a...:•............. <br /> •F <br /> reading arta drartat�e di..s—�--g�-- <br /> - •F observed A.P.I.Gravity................................. <br /> Depth of burial In. <br /> Between <br /> 23. Diggs per•F In range of expected change -3 digits W <br /> r t [ iieawrow �e <br /> Tank da. in. COEFFICIENT OF EXPANSION (Complete after circulation) 1X187 • 8e0?6160 <br /> Total quantity in Reniprocd Volans change In <br /> 24a.Corrected A.P.I.Gravity full tank(te or 17) this tank pa•F <br /> Water.able Im Observed A.P.I.Gravity................................... Transfer to Lis 26a. <br /> NOTES: <br /> Hydrometer employed................................... H <br /> 24c.FOR TESTING WITH WATER bee Two c It o <br /> observed Semple Temperature "F <br /> - Corrected A.P.I.Gravity Water Te rm after Circulation eF <br /> eVF.From Table A.................................... Tate C................................................ <br /> Coefficient of Expansion Coefftwd of Water <br /> Tis above calculations aro to be used for dry aoN conditions to <br /> for involved product Tab D................................................ <br /> From Table B..........:................................. <br /> establishspoa(t,"pres ureadvantage.orwtsmaingthefourpowed . <br /> rule to compensate for presence of subsurface water in the tank Transfer COE to one 26b Added,uAewtant?❑v« ❑No Transfer coE b t kn. <br /> a <br /> (c) italics <br /> (tater to N.F.PJL 30. Section 2-9.21 and 2.7.2 and the tank 25. (a) <br /> Total*a n"in coefficient of for Volwme change In this tank <br /> manufacturer regarding ago wabte system tset Rressures - -. - <br /> full tank(teo17) I �C7 * CSQ <br /> .. involved product _ Per0 2�37 F This b <br /> 26. (a} n 0 [ �1 -angd <br /> Yoa,m.Dena �gk test <br /> vo0wrs change per•F(28 a 24b) Pangs <br /> p�F In t comae b e decimal ptacss tactor(a) <br />