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14. 7//7/92 <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 TANK FIELD 16. CAPACITY From <br /> I lJ Station Chart <br /> I Nominal Capacity �oV ❑ Tank Manufacturer's Chart <br /> Identity by position I Gallons ❑ <br /> Company Engineering Data <br /> Q- `(�,v; S p ❑ Charts supplied with Tank Tester <br /> Brand and Grade da- `7 Z bah ( ca most accurate <br /> capacity chart available � ❑ Other <br /> C Gallons <br /> 17. FILL-UP FOR TEST Total talions <br /> ea.Reading <br /> Stick Water Bottom Inventory in Tank <br /> before Fill-up JA¢ ;y in. -6 in. U/ <br /> to W' Gallons Tank Diameter <br /> Water Bottom - aq <br /> 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water in tank ❑ Line(s)being tested with LVLLT Top off equipment + <br /> See manual sections applicable.Check below and record procedure in log(27). ❑High water table in tank excavation Total Quantity /e } <br /> 1lse maximum allowable test pressure for all tests. 19. LANK MEASUREMENTS FOR <br /> Four pound rule does not apply to doublewalled tanks. <br /> TSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM ❑stage 1 Stage u <br /> Complete section below: <br /> Bottom of tank to grade'............................ � 3 in. <br /> Add 30"for'T'probe assy........................... 30 in. 24b. COEFFICIENT OF EXPANSION <br /> 1. Is four pound rule required? Yea ❑ No ® Total tubing to assemble—approximate............. �v in. RECIPROCAL METHOD <br /> 2.Height to 92'mark from grade in. / <br /> 20. EXTENSION HOSE SETTING Type of Product ................................"•..... �L <br /> Tank lop to grade'.................................. y3 in. Hydrometer Employed ..................................__.lam H <br /> /�� Extend hose on suction tube 6"or more Temperature in Tank --y <br /> 3. Pressure at bottom of tank `i1 P.S.I. ® _ After Circulation........................................ / °F <br /> below tank top...................................... in. <br /> ``11 Temperature of Sample................................. '� °F <br /> 4. Pressure at top of tank �P.S.I. -if Fill pipe extends above grade,use top of fill. y <br /> USE WITH THERMAL SENSOR Difference(+/-)......................................... °F <br /> Depth of burial y In, PN5039 (Blue Box) / Observed A.P.I.Gravity <br /> 22. Thermal-Sensor reading after circulation ppp <br /> digits Reciprocal Page a <br /> Tank dia. in. ,F //6'y Ij71 ��4 = �!/7U 2 306 <br /> 23. Digits per°F in range of expected change Total quantity in Reciprocal Volume changee i o <br /> n <br /> Water table to lank bottom in. digits full tank(17) this tank per°F <br /> Transfer to Line 26a. <br /> NOTES: <br /> 24a. IF USING THERMAL SENSOR DTS-2000 <br /> OR OC-2000 WHICH READ 1000 DIGITS 24C. FOR TESTING WITH WATER see Table CBD <br /> PER OF TRANSFER 1000 TO LINE 26, <br /> Water Temperature after Circulation <br /> DIGITS PER OF IN TEST RANGE. Table Brom Thermal Sensor............................ 0/ f. °F <br /> Coefficient of Water a )1/f <br /> The above calculations are to be used for dry soil conditions to Table D ................................................ �V /Y" <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 Added Surfactant? ❑Yes ❑No Transfer COE to Line 25b. <br /> area. <br /> f Refer to N.F.P.A. 30. Sections 2-3.2.4 and 2-7.2 and the tank 25. (a) /tI x (b) )JI _ (C) k gallons <br /> manufacturer regarding allowable system test pressures. Total quantity in Coefficient of expansion for Volume change in this tank <br /> • full tank(17) involved product per°F <br /> 26. (a) 7. /Ir;7CI J / 0o n _ , OO-7 This is <br /> Volume change per°F(25 or 24b) Digits per OF in test Volume change per digit test <br /> Range(23 or 24a) Compute to 4 decimal places. factor(a) <br />