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14. x',41 ek1r®n 62 p <br /> h 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 /> ElStationChart <br /> Nominal Capacity I `�' y® v Tank Manufacturer's Chart <br /> Identity by position Gallons ❑ <br /> Company Engineering Data <br /> AMR <br /> to k i �L Fes— 1' Yf 1 1 ,/°�%Cb By most accurate }+ / ❑ Charts supplied with Tank Tester <br /> Brand and Grade t' capacity chart available l I ❑ Other <br /> Gallons <br /> 17. FILL-UP FOR TEST Total Gallons <br /> ea.Reading <br /> Stick Water Bottom ® Inventory in Tank <br /> before Fill-up in. in. ' t✓ <br /> to'A" Gallons Tank Diameter <br /> Water Bottom - g� <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 <br /> use maximum allowable lest pressure for all tests. 19. TANK MEASUREMENTS FOR / <br /> Four pound rule does not apply to doublewalled tanks. <br /> Complete section below: <br /> TSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM ❑Stage I Stage II <br /> ' <br /> Bottom of tank to grade' ............................ in. <br /> Add 30"for••T probe easy,,....*...... 30 in. 24b. COEFFICIENT OF EXPANSION <br /> 1. is four pound rule required? Yes ❑ No4�l I' 6 RECIPROCAL METHOD <br /> Total tubing to assemble—approximate. in. <br /> 2.Heigh to 72°mark from grade in. <br /> 20. EXTENSION HOSE SETTING Type of Product ........................................-� <br /> y . <br /> Tank top to grade'.................................. in. Hydrometer Employed ............. .................... H <br /> Extend hose on suction tube 6"or more Temperature in Tank . <br /> 3.Pressure at bottom of tank �._P.S.I. After Circulation........................................�—°F <br /> below tank top...:.................................. in. <br /> Temperature of Sample................................. °F <br />_ 4.Pressure at top of tank t I' p S 1 'If Fill pipe extends above grade,use top of fill. <br /> Difference(.-)......................................... —Z <br /> USE WITH THERMAL SENSOR —°F <br /> Depth of burial in. PN5039 (Blue Box) Observed A.P.I.Gravity 6-6Z <br /> 22. Thermal-Sensor reading after circulation <br /> /✓'�� dighs Reciprocal...�^'-t-`to Page ff '�Q'`� <br /> Tank dia. • in. °F // ? t�q C� - �e ( V ` , <br /> 0 <br /> Between - <br /> 23. Digits per°F in range of expected change Total quantity in L Reciprocal Volume change in <br /> Water table to tank bottom in. - digits full tank If 7) 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 C a D <br /> PER OF TRANSFER 1000 TO LINE 26, <br /> Water Temperature after Circulation <br /> DIGITS PER OF IN TEST RANGE. Table cfrom Thermal Sensor............................ °F <br /> Coefficient of Water <br /> The above calculations are to be used for dry soil conditions to Table D................................................ <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 /> Refer to N.F.P.A. 30, Sections 2-3.2.4 and 2-7.2 and the tank P5, (a) x (b) _ (C) 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) ?, -A3-?g"�E;,3 , i0®D = 0®-7??g? <br /> This is •po7a- <br /> Volume change per°F(25 or 24b) Digits per°F in test Volume change per digit test <br />