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-11-1-111111111 1 111- 11.1 1 v __. .11 -11 -1 --- se—_ 7�t -'— 642 S Name of supplier. Owner or Dealer Address No. and Streets) City State Date of Test 15. TANK TO TEST 15a. BBIEF JNAGRAM OF TAN FIELD t IJ 16. CAPACITY F`°"' Station Chart qW !N---- t P daurerb Chart Nominal Capacity ) ❑ Tank Mamd -- --- - Identity by position Hydrometer Employed .................................. H Gallons �s ❑ Company Engineering Data , _-- Brand and Grade 4 LElCharts supplied with By m051 accurate ❑ Other BELLA VISTA, CA 96009 N U t*IT capacity chart available Gallons :... ri 17. FILL -UP FOR TEST Stick Water Bottom before Fig -u0 in. to a" 5 Gallons s Tank Diameter In. 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑ Water In tank ❑ Llnefs) being tested with LVLLT See manual sections applicable. Check below and record procedure In log (27). ❑ High water table M tank excavation Use maximum allowable test pressure for all tests. Four pound rule does not apply to doublewalled tanks. Complete section below: 1. Is four pound rule required? 2 Height to 12" mark from bottom of tank 3 Pressure at bottom of tank 4 Pressure at top of tank of burial in. Aa. 96 In. / table " ( A in. NOTES: } ✓vNg1k�\A)vr, , - rttalw The above calculations are to be used for dry soil conditions to establish a positive pressureadvantage, or when using the four pound rule to compensate for the presence of subsurface water In the tank area. Refer to N.F.P.A. 30, Sections 2-3.2.6 and 2-7.2 and the tank manufacturer regarding allowable system test pressures. s Inventory ref L t- ransfer total to line 259 Total Gallons ea. Reading (916) 275-6667 = 21. VAPOR RECOVERY SYSTEM R1 stage 1 tag- n W.ho 24b. COEFFICIENT OF EXPANSION RECIPROCAL METHOD DIALYSIS NORTH Type of Product ........................................ CERTIFIED PETRO -TITS TANK TESTERS Hydrometer Employed .................................. H RUSSELL E. ROOER3 P.O. 80X 95 Temperature M Turk Aftw Circulation ........................................ °F OWNERIOPERATOR BELLA VISTA, CA 96009 Temperature of Sample ................................. OF 22. Thermal -Sensor reading after circulation 12.(049 C5g °F Difference ('/-)......................................... °F Observed A.P.B. Gravity ................................. 23. Digits per OF in range of expected change 8 digits Reciprocal Page 9 _ COEFFICIENT OF EXPANSION (Complete after circulation) r 24a. Corrected A.P.I. Gravity Total quantity In Reciprocal Volume change In fug tank 116 or IT) this tank per OF Observed A.P.I. Gravity ................................... Transfer to Line 26s. Hydrometer employed ................................... _ H Observed Sample Temperature ......................... OF 24c. FOR TESTING WITH WATER see Table C 6 D Corrected A.P.I. Gravity Water Temperature after Circulation r y (q WF. From Table A .................................... __ Table C................................................OF Coefficient of Expansion Coefficient of Water 00 UQ %°a % forInvolved Product • Table O ................................................ FromTeale B ............................................ Transfer COE to Line 25b. Added Surfactant? ❑ Yes ❑ No Transfer COE to Line 25b. 25. Ua — 5 x (b) 4 poop %J S7 _ (c) ` 4 44-6.76Z gallons Total quantity In full tank (16 or 17) 26. (a) -- Coefficient of expansion for Involved product 3 2` 1 Volume change In this tank per OF st C r ® � = 9 p 1..% t Y 4 J 7 This is Volume change per OF (25 or 24b) Digits per °F in test Range (23) Volume change per digit test Compute 10 4 decimal places factor fal