Laserfiche WebLink
DATA CHART FOR TANK .SYSTEM YIGHTNESS TEST <br />(EZY CHEK) <br />CLIENT <br />NAME OF SUPPLIER, <br />OWNER OR DEALER GReW_ _s CTaS baiiDR <br />ADDRESS (NO. & STREET) _41Q9 E. 1=h'£$ IT <br />CITY AND STATE ST=To I CA 45705 <br />TANK INFORMATION <br />CAPACITY (NOMINAL) GALS. <br />CAPACITY (CHART) GALS. <br />DIMENSIONS: DIAMETER <br />LENGTH <br />CRISP TANK TESTIAG <br />P. 0. BOX 30437 <br />STOC:(*,Ott, CA ?_3;3 <br />(209) 931.1923 <br />OATS OF TEST' '''� TIME START O{7 ZI9 TIME t INSSHO�U9 LENGTH OF TEST 2 - <br />WEATHER <br />WEATHER '< ° TEMPERATURE <br />SIZE OF FILL OR TEST OPENING Y' IN - <br />TOP OFF TIME HOUR 144 0n DATE t / 1h`aa­ GALLONS <br />NUMBER OF GALLONS ADDED TO START TEST <br />TANK NO. I — <br />— <br />INCHES OF WATER — BEFORE TEST -4L .. AFTER TEST <br />TEST CALIBRATION— <br />PRODUCT MONITORING ON LL <br />Star End +Gan� ( X Factor A i <br />p�ya <br />-LOSS <br />SIZE OF CAL. BAR OR ML'S ADDED <br />C P r -003 <br />-9-• <br />LINE MOVEMENT 8 ,,_ _ <br />' .0o,.003 <br />(ALM( ;FACTOR A) - <br />, <br />1 t' to <br />= LINES <br />2 to 9.5 <br />_ LINES <br />3 to <br />LINES <br />TOTAL <br />"- LINES s 3 =-: <br />LINES <br />_ <br />(ALM) <br />ENO OF TEST CALIBRATION <br />SIZE OF CAL. BAR OR ML'S ADDED <br />.071, _ <br />2, <br />30 =. CC 1 <br />" ... <br />LINE MOVEMENT <br />(ALM) FAC'DR A) <br />1 to / _ <br />_ �. LINES <br />2 to = <br />= LINES <br />3 to ? - <br />_ LINES <br />TOTAL <br />LINES _ 3 = <br />?y _ LINES <br />_ .. <br />(ALM) <br />MEASURED API SPECIFIC GRAVITY <br />' '-> • 1 <br />PRODUCT TEMPERATURE <br />5 ,5 <br />APt SPECIFIC GRAVITY a 60° F <br />(FROM TABLE A) <br />COEFFICIENT OF EXPANSION <br />(FROM: TABLE 8) <br />CC�':7fi x - <br />b, <br />4.�cb> (j;kcTOR B) <br />C.O.E. <br />TOTAL CAPACITY (GAL) .. <br />VOL CHANGED F <br />PRODUCT UNE TESTING <br />SYSTEM <br />i,In Reading <br />(Military) I No. <br />PRODUCT MONITORING ON LL <br />Star End +Gan� ( X Factor A i <br />p�ya <br />-LOSS <br />0 9 a a <br />C P r -003 <br />-9-• <br />' .0o,.003 <br />Serial lNumberl <br />TANK LAYOUT <br />COMMENTS: <br />CONTENTS (PRODUCT) U � i C --}- <br />TANK MATERIAL METAL(X) FIBERGLASS_() - <br />APPROX.AGE <br />PUMP SYSTEMr,TYPE--.SUB( ) MAKE <br />SUCTION <br />(.EAVDETECTOR YES NO <br />VAPOR RECOVERY SYSTEM YES6X) NO( ) <br />PHASE i (x) PHASE Z ()() <br />OVERSPILL CONTAINER YES (X) NO ( ) <br />SHEAR VALVE YES (%) NO ( ) <br />OWNER OF SITE �p M _ ADDRESS <br />CITY STATE ZIP `'ODE <br />DWNER OF TANK ADORESS <br />ITT Y STATE ZIP CODE <br />LEnnlpa2l C` P) Sid 11 17 _q2_ <br />_'�N.'_DATE <br />_ANIS) <br />