COMPLIANCE INFO_1985-2003 - Laserfiche WebLink

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Name of Supplier. Owner or Dealer Address No. and Slreef fs) rh',44 �` 15. TANK TO TEST . ---- ----------- Identity by pos�itiogn W! �- rc- Brand and Grade 1 a. RfF DI GRAM OF`TANK GFIELD ( P 17. FILL -UP FOR TEST .. Slick Water Bottom r" before Fill -up in. to Sf" Gallons f ,- Tank Diameter M City State 16. CAPACITY Nominal Capacity 1,2100o Gallons By most accurate ' 214.1 capacity chart available _— Gallons 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑ Water in lank ❑ Limits) being tested with LVLLT See manual sections applicable. Check below and record procedure In loll 427). ❑ High water table In lank excavation Use maximum allowable lest pressure for all tests. Four pound rule does not apply to doublewalled tanks. Complete section below: 1 (916) 275-6667 = 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 53 In. dle. b In. table ..PP.L2— In. NOTES: �� i hEG�I� Ll, �k♦� �� The above calculations are to be used for dry soil conditions to establish a positive pressure advantage, or when using the four pound rule to compensate for the presence of subsurface water In the tank ales. Refer to N.F.P.A. 30, Sections 2.3.2.4 and 2.7.2 and the lank manufacturer regarding allowable system test pressures. Inventory 061h-0 DIALYSIS NORTH CERTIFIED PETRO-TITE TANK TESTERS i RUSSELL E. ROGERS P.O. BOX 95 OWNER/OPERATOR BELLA VISTA, CA 96008 22. Thermal -Sensor reading after circulation /7-62,4 digit d �' Q F Date of Test From Reciprocal Page n ❑ YV A- .I121 Hydrometer Employed .................................. Station Chart Temperature In Tank r After Circulation ........................................ Tank Manufacturer's Chart ❑ •F Difference4•i-) ......................................... Company Engineering Data ❑ Observed A.P.I. Gravity .......... . ................ . ....... Charts supplied with ❑ Other Total Gallons Gallons ea. Reading Transfer total to line 250 21. VAPOR RECOVERY SYSTEM $4staga I N6aoe it 24b. COEFFICIENT OF EXPANSION RECIPROCAL METHOD Reciprocal Page n Type of Product YV A- .I121 Hydrometer Employed .................................. H Temperature In Tank r After Circulation ........................................ -F Temperature of Sample ................................. •F Difference4•i-) ......................................... .F Observed A.P.I. Gravity ................................. Observed A.P.I. Gravity .......... . ................ . ....... 23. Digits per IF In range of expected change .2AW1 Reciprocal Page n (c)04 C��j gallons digits Coefficient of expansion for Involved product I Digits per IF in test Range (23) Volume change per digit test Compute to 4 decimal places faclnr (a) COEFFICIENT OF EXPANSION (Complete after circulation) r 24a. Corrected A.P.I. Gravity Total quantity M Reciprocal Volume change M fun tank J16 or 17) this lank per IF Observed A.P.I. Gravity .......... . ................ . ....... Transfer to Line 26®. Hydromeler employed ....................... ............ _ -- H 24c. FOR TESTING WITH WATER see Table C a D Observed sample Temperature ........ ................ - -- •F Corrected A.P.1. Gravity Water Temperature after Circulation �/� r 60°F. From Table A .................................... Table C ................................................ ...0 IF Coefficient of Expansion Coefficient of Water ®� for Involved Product Table D .................................................. From Table B ............................................ ❑ ❑ Transfer COE to Line 25b. Added Surfactant? Yes No Transfer COE to line 25b. 25. wj170 --- Total quantity in full tank (16 or t7) 26. a % ' d �� — Volume change per IF (25 or 24b) �S�3_ (c)04 C��j gallons Volume change In this tank per IF 00034 = e d d This Is Coefficient of expansion for Involved product I Digits per IF in test Range (23) Volume change per digit test Compute to 4 decimal places faclnr (a)