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14. <br />Name of Supplier, Owner or Dealer Address No. and Street (s) City State Date of Test <br />15. TANK TO TEST 15a. BRIEF DIAGRAM OF TgNK FIELD <br />- / g Identity position <br />and and Grade <br />17. FILL -UP FOR TEST <br />Stick Water Bottom <br />before Fill -up in. <br />to W' <br />Tank Diameter <br />16. CAPACITY <br />1. Is four pound rule required? <br />Add 30" for "T' probe may ........................... <br />Total tubing to assemble'— approximate ............. <br />6`0to0— <br />Nominal Capacity <br />3. Pressure at bottom of tank <br />24c. FOR TESTING WITH WATER <br />Gallons <br />By most accurate <br />f?" <br />capacity chart available <br />Depth of burial <br />in. <br />_.. _ Gallons <br />18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑ Water in tank ❑ Line(s) being tested with LVLLT <br />See manual sections applicable. Check below and record procedure in log (27). 0 ❑ High water table in tank excavation <br />Lies maximum allowable teat pressure for all teats. 19. TANK MEASUREMENTS FOR <br />Four pound rule does not apply to doublewalled tanks. <br />TSTT ASSEMBLY <br />Complete section below:., <br />yea ; filo ❑ <br />n. <br />® P.S.I. <br />in. <br />The above calculations are to be used for dry soil conditions to <br />establish a positive pressure advantage, or when using the four pound <br />rule to compensate for the presence of subsurface water in the tank <br />area. <br />Refer to N.F.P.A. 30, Sections 2-3.2.4 and 2-7.2 and the tank <br />manufacturer regarding allowable system test pressures. <br />Bottom of tank to grade ............................ <br />1. Is four pound rule required? <br />Add 30" for "T' probe may ........................... <br />Total tubing to assemble'— approximate ............. <br />2. Height to 12" mark from bottom of tank <br />in. <br />3. Pressure at bottom of tank <br />24c. FOR TESTING WITH WATER <br />4. Pressure at top of tank <br />tJ <br />Extend Pose on suction tube S" or more <br />❑ <br />Depth of burial <br />in. <br />Company Engineering Data <br />❑ <br />Tank die. <br />❑ <br />Water table to tank bottom <br />Temperature of Sample ................................. <br />NOTES: <br />yea ; filo ❑ <br />n. <br />® P.S.I. <br />in. <br />The above calculations are to be used for dry soil conditions to <br />establish a positive pressure advantage, or when using the four pound <br />rule to compensate for the presence of subsurface water in the tank <br />area. <br />Refer to N.F.P.A. 30, Sections 2-3.2.4 and 2-7.2 and the tank <br />manufacturer regarding allowable system test pressures. <br />Bottom of tank to grade ............................ <br />m. <br />Add 30" for "T' probe may ........................... <br />Total tubing to assemble'— approximate ............. <br />30 <br />in. <br />20. EXTENSION HOSE SETTING <br />24c. FOR TESTING WITH WATER <br />Tank top to grade' .................................. <br />tJ <br />Extend Pose on suction tube S" or more <br />❑ <br />below tank top ...................................... <br />in. <br />'If Fill pipe extends above grade, use top of fill. <br />USE WITH THERMAL SENSOR <br />PN5039 (Blue Box) <br />22. Thermal -Sensor reading atter circulation <br />23. Digits per °F in range of expected change <br />�dvit!, <br />F <br />digits <br />Total Gallons <br />ea. Reading <br />w <br />Inventory in Tank <br />Water Bottom <br />Top off equipment <br />Total Quantity <br />21. VAPOR RECOVERY SYSTEM ❑ <br />Stage I ❑ Stage 11 <br />(From <br />L] <br />Station Chart <br />24c. FOR TESTING WITH WATER <br />see Table C a D <br />tJ <br />Tank Manufacturer's Chert <br />❑ <br />H <br />Temperature In Tank <br />Company Engineering Data <br />❑ <br />Charts supplied with Tank Tester <br />❑ <br />Other <br />Total Gallons <br />ea. Reading <br />w <br />Inventory in Tank <br />Water Bottom <br />Top off equipment <br />Total Quantity <br />21. VAPOR RECOVERY SYSTEM ❑ <br />Stage I ❑ Stage 11 <br />24b. COEFFICIENT OF EXPANSION <br />RECIPROCAL METHOD <br />24c. FOR TESTING WITH WATER <br />see Table C a D <br />Type of Product ........................................ <br />OR OC -2000 WHICH READ 1000 DIGITS <br />Hydrometer Employed .................................. <br />H <br />Temperature In Tank <br />e <br />After Circulation ........................................ <br />F <br />® °F <br />Temperature of Sample ................................. <br />'F <br />Difference (+/-) ......................................... <br />if °F <br />Observed A.P.I. Gray.................................v F " <br />Reciprocal Pe e M <br />-- 0 = iC3T <br />Total quantity in j Reciprocal Volume change in <br />full tank (17) this tank per °F <br />Transfer to Line 20a. <br />24a. <br />IF USING THERMAL SENSOR OTS -2000 <br />24c. FOR TESTING WITH WATER <br />see Table C a D <br />OR OC -2000 WHICH READ 1000 DIGITS <br />PER OF TRANSFER 1000 TO LINE 26, <br />DIGITS PER OF IN TEST RANGE. <br />Water Temperature after Circulation <br />Table cfromThermal Sensor ............................ <br />'F <br />Coefficient of Water <br />TableD ................................................ <br />Added Surfactant? ❑ yes ❑ No Transfer COE to Line 25b. <br />25. <br />(a) x (b) <br />_ (c) <br />gallons <br />Total quantity in Coefficient of expansion for <br />Volume change in this tank <br />full tank (17) ® tyf involved roduct <br />7 /,/yf <br />per °F <br />l 0 a <br />26. <br />(a) , 6 9 <br />= <br />This is <br />Volume change per °F (25 or 24b) Digits per °F in test <br />Volume change per digit <br />test <br />Range (23 or 24a) <br />Compute to 4 decimal places. <br />factor (a) <br />