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14. jC S COL Al 5 mrermj 4 0,x- 'o <br /> Nami+of Supplier,Owner or Dealer Address No.and Streets) City State Date of Test <br /> 15. TANK TO TEST 15a. BRIEF DIAGR M OF TANK FIELD 16. CAPACITY From <br /> ❑ Stenon cnan <br /> Nominal Capacity �"v U® Tank Manufacturer's Chart <br /> Identity by posit n ®T Gallons <br /> LL ❑ Company Engineering Data <br /> G� $ ov$s - By most accurate f j 1:1 Charts supplied with Tank Tester <br /> too <br /> Brand and Grade // 7-3® ,❑ Other <br /> Cepecay Chart available <br /> Gallons <br /> 17. FILL-UP FOR TEST Total Gallon; <br /> ea.Reading <br /> Stick Water eottoll - invetrtory in Tank ��73 <br /> before Fill-up .— In. in. <br /> t Gillons, Tank Diameter Water Bottom <br /> Alk <br /> 18. SPECIAL;CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water In tank ❑ Une(s)being tested with LVLLT Top off equipment + �--- <br /> See manual sections applicable.Check below and record procedure in tog(27). ❑High water table In tank excavation 4 Total Quantity <br /> 117-51 <br /> / -yS <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 <br /> Complete section below: 21. VAPOR RECOVERY SYSTEM ElStage1 ❑Stage II <br /> 2 <br /> Bottom of tank to grade"............................ J In. <br /> Add 30"for cur•'probe eas...... 30 In. 24b. COEFFICIENT OF EXPANSION <br /> 1. Is four pound rule required? Yes ❑ No ElTotaltubing to assemble—approximate............... in. RECIPROCAL METHOD <br /> Type of Product ........................................ <br /> 2.Height to 12"mark from bottom of tank i, 20. EXTENSION HOSE SETTING [� <br /> Tank top to grade'...................... ........... �7 in. <br /> Hydrometer Employed................................., H <br /> Extend hose on auction tube 6"or more Temperature in Tank '� / <br /> 3.Pressure at bottom of tank P.S.I. Atter Circulation........................................_7'F <br /> below tank top...................................... {n. <br /> + - Temperature of Sample................................. `r" IF <br /> d. Pressure at top of tank P.S.I. 'if Fill pipe extends above grade,use top of fill. <br /> USE WITH THERMAL SENSOR Difference(-/-)......................................... ® S "F <br /> Depth of burial in. PN5039(Blue Box) ®� observed A.P.I.Gravity .......�......................... ✓' <br /> 22. Thermal-Sensor reading after circulation <br /> edigit Reciprocal Pages <br /> Tank dia. In. V <br /> o e �waeen <br /> 'F �t-7 y = 5 3 e�•3�10�O 7 <br /> 23. Digits per IF in range of expected change 3.2: - Total quantity in y 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 a 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 eF IN TEST RANGE. TablsCfrom 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. 34 Sections 2-3.2.4 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 /> a full tank(17) / ®y Involved product per <br /> peerr°F ® / J <br /> 26. (a)S,3 ,2&00O ; J®'�a�J = QQz1JS6Z003 This is <br /> Volume charms per IF(25 or 24b) Digits per IF in test Volume change per digit test <br /> Range(23 or 24a) Compute to 4 decimal places. factor(a) <br />