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DATA CHART FOR TANK .SYSTEM TIGHTNESS TEST <br />(EZY CHEK) <br />CRISP TANK TESTING <br />P. 0. BOX 30487 <br />STOCYTO;I, CA 15213 <br />CLIENT <br />1209) 931-1813 <br />NAME OF SUPPLIER, <br />2$ LINES _ <br />OWNER OR DEALER �Rr w4(S �`�AS <br />£7 LIQUOR�t <br />DATETEST TIME START 1130 TIME FIP <br />ADDRESS (NO. & STREET) -(100 E en <br />FREoin <br />WEATHER ®� /�:.,ti;, <br />CITY AND STATE _- STOCKTl1 ) _CA, <br />_/ <br />gg205 <br />SIZE OF CAL. BAR OR ML'S ADDED <br />OS _304 _ ODS <br />TANK INFORMATION <br />(ALM) FACTOR A) <br />CAPACITY (NOMINAL) ICl QD_Q GALS. <br />SIZE OF FILL OR TEST OPENING IN. <br />CAPACITY (CHART) GALS. <br />TOP OFF TIME HOUR ., �%/Dp DATE / /� GALLONS <br />DIMENSIONS: DIAMETER <br />NUMBER OF GALLONS ADDED TO STA RT TEST t� <br />LENGTH <br />TANK NO. <br />,:... " _..... . .__... <br />INCHES OF WATER - BEFORE TESTI AFTER TEST 4__TEST <br />CALIBRATION <br />SIZE OF CAL. BAR OR ML'S. ADDED <br />TANK LAYOUT <br />_ 2-7 <br />LINE MOVEMENT <br />(ALM) (FACTOR A) <br />4 <br />1 , to <br />2 to <br />= LINES <br />LINES <br />3 to <br />2$ LINES _ <br />TOTAL <br />LINES _ 3 LINES <br />.003 <br />(ALM) _. <br />END OF TEST CALIBRATION <br />7;, I <br />SIZE OF CAL. BAR OR ML'S ADDED <br />OS _304 _ ODS <br />LINE MOVEMENT <br />(ALM) FACTOR A) <br />1 43 to 73 <br />_ -2C LINES <br />2 43 to %'`. <br />_ _ LINES <br />3 43 to 7� <br />_ <br />_ '!+ LINES <br />TOTAL <br />Cly LINES : 3 LINES <br />,:... " _..... . .__... <br />(ALM) <br />MEASURED API SPECIFIC GRAVITY <br />- <br />PRODUCT TEMPERATURE <br />API SPECIFIC GRAVITY @ 60° F <br />• . - (FROM TABLE A) <br />COEFFICIENT OF EXPANSION > / (FROM, TABLE B) <br />C.O.E. <br />TOTAL CAPACITY IGAL) VOL. CHAMGc7o F 3iCTOR B) <br />PRODUCT UNE TESTING"SYSTEM <br />Tune Reading <br />(MY) NO. <br />PRODUCT MONITO+NG 0 i LL <br />Start End T X Factor A <br />Pmduct <br />`-} <br />2.' 1 -4— <br />.003 <br />g <br />10() <br />7;, I <br />-Y <br />1 .00 <br />I " <br />Y15 13 17o <br />i <br />-1-4- <br />14- <br />1 .00 <br />I _a- <br />a - <br />s _7 - <br />_77- <br />. 00 <br />I <br />1 <br />1 <br />I <br />Serial Nvmber� <br />f. <br />COMMENTS: <br />OF <br />TEMPERATURE <br />CONTENTS (PRODUCT) DIESEL <br />TANK MATERIAL METAL(X) FIBERGLASS( ) <br />APPROX.AGE <br />PUMP SYSTEK-6YPE_S.UB0() MAKE <br />SUCTION <br />!_EAK "DETECTOR YES (YQ - NO (F <br />VAPOR RECOVERY SYSTEM YESF7 NO( ) <br />PHASE 1 ( ) PHASE 2 ( ) <br />OVERSPILL CONTAINER YES (K) NO <br />SHEAR VALVE YES Ot;) NO ( ) <br />OWNER OF SITE ADDRESS <br />CITY STATE ZIP C_nE <br />OWNER OF TANK �AhnE ADDRESS <br />CITY STATE ZIP CODE <br />COUNTY15%N Lba wl <br />l.�AtA,21\ C IGT H. I%-qZ <br />TECHN:C:AN(_-) DATE <br />E <br />