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'')Z�' <br /> U) O O SILw �S FW— Fes— 3o Zin �� LJ—L.< C,LU <br /> c ®z0 F— ccs tnU <br /> W r N C-J d' Lri CO W <br /> J r T <br /> 0- <br /> 14.L4 <br /> -14.E/7V 0,i 416.6-, 15, 1 ri 7vd le7v,.j1 <br /> Name of Supplier,Owner or Dealer Address No.and Street(s) City State Date of Test <br /> 15. TANK TO TEST 15a. BRIE DIAGRAM OF TANX FIELD 16. CAPACITY From <br /> Ca P L\P N4 ®z ❑ Station Chart <br /> Ott Nominal Capacity Tank Manufacturer's Chart <br /> Identity by position Gallons ❑ Company Engineering Data <br /> t �^ +� __ <br /> d�a�- t-� ,., By most accurate <br /> Brand and Grade / ❑ Charts supplied with Tank Tester <br /> � L ' <br /> °� capacity chart available 0 ❑ Other <br /> Gallons <br /> llons <br /> 17. FILL-UP FOR TEST Total a <br /> ea.Reeadingng <br /> Stick Water Bottom w.� Inventory in Tank <br /> before Fill-up in. in. ! <br /> 730 <br /> to%" Gallons Tank Diameter <br /> Water Bottom <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 Ouantity l <br /> use maximum allowable test pressure for all tests. 19. TANK MEASUREMENTS FOR <br /> Four pound rule does not apply to doublewalled tanks. <br /> TSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM ❑Stage I Stage 11 <br /> Complete section below: <br /> Bottom of tank to grade' ............................ 38 in. <br /> Add 30"for­r,probe assy......................... 30 in. 24b. COEFFICIENT OF EXPANSION ''.. <br /> 1. Is four pound rule required? Yes ❑ No [:] Total tubing to assemble—approximate. / in. RECIPROCAL METHOD <br /> Type of Product ..... <br /> 2.Height to 12"mark from bottom of tank in. <br /> 20. EXTENSION HOSE SETTING •����������������•��•��••��•������ �� �� <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. below tank top...................................... "' in. After Circulation........................................ 62 <br /> °F <br /> '. <br /> Cs, <br /> Temperature of Sample................................. I °F <br /> a `If <br /> 4. Pressure at top of tank P.S.I. Fill pipe extends above grade,use top of fill '. <br /> Difference(•�a......................................... °F <br /> USE WITH THERMAL SENSOR <br /> Depth of burial n PN5039 (Blue Box) Observed A.P.I.Gravity <br /> 22. Thermal-Sensor reading after circulation I <br /> digits Reciprocal a A 6 Page tF <br /> Tank dia. in. �® <br /> Between °F // 7 go - o 7, 3 <br /> 23. Digits per°F in range of expected change Total quantity in Reciprocal Volume change in <br /> Water table to tank 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 24c. FOR TESTING WITH WATER see Table c&D <br /> OR OC-2000 WHICH READ 1000 DIGITS <br /> PER OF TRANSFER 1000 TO LINE 26, <br /> Water Temperature after Circulation '. <br /> DIGITS PER OF IN TEST RANGE. Table C from 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 25. (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) , 7,1 ` _ f _ 7 This is <br /> Volume change per°F(25 or 24b) Digits per°F in test Volume change per digit test <br /> Range(23 or 24a) Compute to 4 decimal places. factor(a) ® " <br />