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I4-iI 111` *J I .J I A-101 1 /i.II 1 1 14 L_%A J 1 `J / <br /> (EZY CHEK' <br /> CLIENT <br /> NAME OF SUPPLIER. <br /> OWNER OR DEALER �'�I' DATE OF TEST "Z <br /> ADDRESS(NO.a STREET) 5/ ';° WEATHER WO` 4 0 2204 TEMPERATURE s <br /> CITY AND STATE <br /> TANK INFORMATION <br /> CAPACITY)NOMINAL)�0 GALS. SIZE OF FILL OR TEST QPENING �4 IN. CONTENTS(PR T) U L <br /> CAPACITY(CHART) _ ®I L_GALS. TOP OFF TIME N Z Z 4.3 GALLONS TANK MATERIAL <br /> DIMENSIONS. DIAMETER 9 NUMBER OF GALLONS ADDED TO START TEST ",/ APPROX.AGE <br /> LENGTH N Zr TANK NO. AII41 'PUMP SYSTEM(TYPE) lk 414, <br /> INCHES OF WATER - BEFORE TEST_ AFTER TEST <br /> TEST CALIBRATION / TAM LAYOUT <br /> SIZE OF CAL.BAR OR ML'S ADDED o� a 2S : ,6b" <br /> IALMI IFACIOA Al <br />.INE MOVEMENT to 9s ' Z� • <br /> = LINES <br /> 2® to 13 . LINES <br /> 3 M •_ Z` LINES / <br /> TOTAL LINES s 3 = Z6 LINES <br /> (µM1 <br /> No OF TEST CALORATION <br /> RE OF CAL.BAR OR ML'S ADDED 1 ® a Z�j• • ®7,( <br /> 1µM1 q <br /> INE MOVEMENT <br /> 1 ' M B( _ -- LINES <br /> 2 10 9( =i, LINES <br /> 3 65 b ev = Z LINES <br /> TOTAL LINES e 3 = yg•l$ LINES <br /> JAL <br /> AEASURED APO SPECIFIC GRAVITY <br /> RODUCT TEMPERATURE <br /> PI SPECIFIC GRAVITY 160°F (FROM TABLE A) <br /> OEFFICIENT OF EXPANSION fROM TABLE 0) <br /> o'av�9 x (FAC e) <br /> TOTAL CAPACITY IGAL.1 VDI <br /> PFUDIXT WE TE "..o fp 0,41 'f5f • US y/ SYSTEM <br /> TW* Rt <br /> PRODUCTION Serial Number <br /> II <br /> ILNo. SIm End � x Fxtw A <br /> ,ls ►/ .0031 <br /> o Y L 00 1 ®9D1r <br /> .00 41 <br /> LI; TECH CIAN(S) DATE <br /> �� b ®ol <br /> RI �G�Q�Y r 1�1• °I r,/ ,_,r . ",moi �,G <br />