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14. C 17Y 0/= °S !4165r 5 L//ei t�J ,N'" rJ C.r4 Cy ` �" %D <br /> Nam of Supplier,Owner or Dealer Address No.and Street(B) City Sate Date of Test <br /> 15. TANK'0 TEST 15a. BRIEF DIAGRAM OF TAN IG FIELD 16. CAPACITY From <br /> ❑� Station Chart <br /> Nominal Capacity IJ Tank Manufacturers Chart <br /> identity by position - Gallons ❑ Company Engineering Data <br /> j���'G µK ❑ Charts supplied with Tank Tester <br /> 1r Brand and Grade 8y most accurate <br /> capacity chart available ®, ® ` ❑ Other <br /> 4alions <br /> 17. FILL-UP FOR TEST Total Galion <br /> ea.Reading <br /> Sick Water Both K..� Inventory in Tank <br /> before Fill-up A � in. kl. u ., <br /> to 11" — Gailons Tank Diameter <br /> ..Water Bottom <br /> 18. SPECIAL,CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water In tank ❑ Une(s)being tested with LVLLY Top off equipmentAOL <br /> See manual sections applicable.Check below and record procedure in kg(27). ❑High water table in tank excavation Total Quantity t p -y q0 <br /> FUseou maxi um allowable test pressure for all tests. 19. TANK MEASUREMENTS FOR �LL��IL� <br /> Four pound rule does not apply to doublewalled tanks. <br /> TSTT ASSEMBLY <br /> 21. VAPOR RECOVERY SYSTEM ❑Stage I ❑Stage 11 <br /> Complete section.below: <br /> Bottom of tank to grade'............................ �e-Ig in. <br /> Add 30"for•T•probe assy........................... /�,. 0 In. 24b.COEFFICIENT OF EXPANSION <br /> 1. Is four pound rule required? Yes El NO ❑ Total tubing to assemble—approximate............. eo In. RECIPROCAL METHOD <br /> 20EXTENSION HOSE SETTING <br /> Type of Product .................................I...... �� t <br /> �� <br /> . <br /> 2.Height to 12"mark from bottom of tank in. - <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........................................ 7°F <br /> ,. <br /> Temperature of Sample................................. °F <br /> 4. Pressure at top of tank P S.i 'If Fill pipe extends above grade,use top of fill. <br /> Difference(.-)......................................... G��Q�� °F <br /> USE WITH THERMAL SENSOR <br /> Depth of burial in. PN5039(Blue Box) Observed A.P.I.Gravity ................................. <br /> 22. Thermal-Sensor reading after circulation /67.20 ° <br /> digit Reciprocal ! Page e Ida <br /> Tank dia. In. y e / y [/ <br /> ® <br /> 23. Digits per°F In range of expected change ;k Total quantity in y Reciprocal Volume change In <br /> Ortable to tank bottom in. digits fulltank(17) this tank per°F <br /> Transfer to Line 26a. <br /> NOTES: r - <br /> 24a. IF USING THERMAL SENSOR DTS-2000 <br /> OR OC-2000 WHICH READ 1000 DIGITS 24c. FOR TESTING WITH WATER see Table C&D <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 thefour 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.PA 30, Sections 242.4 and 2-7.2 and the tank 25. (a) x (b) _ (0) gallons <br /> manufacturer regarding allowable system test pressures. Total quantity In Coefficient of expansion for Volume change in this tank <br /> full tank((1177) Involved rpprrod9uctt ,per°F <br /> _ 26. (a}!r D�`!Z71, I� .7®`Oc = (:/•D �7 D!1ILL This is <br /> Volume change per°F(25 or 24b) Digits per°F in test Volume change per digit test a <br /> Range(23 or 24a) Compute to 4 decimal places. factor(a) <br />