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DATA <br />CHART <br />Jilff4' •t <br />CLIENT <br />NAME OF SUPPLIER, r r u <br />OWNER OR DEALER,' 1®i lC.,`s'.� /! yr !'' DATE OF <br />ADDRESS (NO. & STREP 1 WEATHER <br />CITY AND STATE <br />TANK INFORMATION <br />CAPACITY (NOMINAL) ®� GALS. SIZE OF FILL OR TES! OPENING IN. <br />CAPACITY (CHART) GALS. TOP OFF TIME HOUR®y DA i E j-/Vm GALLONS O <br />DIMENSIONS: DIAMET=_ NUMBER OF GALLONS ADDED TO STAR T TEST _L9-5 <br />LENGTH TANK NO. <br />INCHES OF WATER - BEFORE TEST AFTER TEST <br />TEST CALIBRATION 0 =000 7g9 TANK LAYOUT <br />Si= OF CAL. BAR OR \ALS AUL' J <br />(Ai..'AI (FA„ , ;; Al <br />LINE MOVEMENT //�� T <br />1 T6 to ® = I� LINES <br />2 47 to ® _ , LINES COMMENTS: <br />3 `'f ? to G 2 _ !3 LINES <br />TOTAL 3_ LINES - 3 = % 3 LINES <br />(Auw <br />END OF TEST CALIBRATION ) (4 <br />SIZE OF CAL. BAR OR ML's ADDED <br />(ALMI <br />UNE MOVEMENT "3`7tO I = 1 NES <br />2 ®® to _ % `t LINES <br />3 ri to 5! _ _ LINES <br />ivTAL LINES - 3 = LINES <br />(AIM) <br />MEASURED API SPECIFIC GRAVITY , ,-- <br />PRODUCT TEMPERATURE <br />API SPECIFIC GRAVI7Y 9 60° F _____ (FROM TA3LE A) <br />COEFFICIENT OF EXPANSION ® StS 3l (FROM TA 3L= B) <br />. 0 f6i 3 x Z24>00 :15• t37A (FACOR S) <br />C.O.E. TOTAL CAPACITY IGALI VOL CNANGEI F <br />COMMENTS: <br />OWNER OF SITE <br />9 <br />TEMPERATURE <br />CONTENTS (PRODUCT) aticl�eJe./ <br />TANK MATERIAL METAL( ) FI9E3GL.4SS(5 <br />APPROX. AGE - a S <br />PUMP SYSTEM:-TYPE-SUBi� LAK= <br />SUCTION( , <br />LEAK DETECTOR YES (N, NO ( ) <br />VAPOR RECOVERY SYSTEM YES(X) NO( , <br />PHASE 1 (}a) PHASE 2 ( ) <br />OVERSPILL CONTAINER YEStA)NO( j <br />SHEAR VALVE YES( ) NO(X) <br />ADDRESS <br />CITY STATE ZIP CODE <br />OWNER OF TANK ADDRESS <br />CITY STATE ZIP CODE <br />COUNTY <br />Ll <br />u <br />