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14d17V <br /> Name of Supplier.Owner or Dealer Address No.and Street(a) city State Date of Test <br /> 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From <br /> ­A11Station Chart <br /> Nominal Capacity / wo _ ® Tank Manufacturer's Chart <br /> Identity by position allons <br /> 'o RR ❑ Company Engineering Data <br /> (��'U I,S Js ❑ Charts supplied with Tank Tester <br /> Brand and Grade By most aocurate ®® ry?® <br /> jwj3 C=fnK Capacity Chart available ®7 ❑ Oth,¢r <br /> Gallons` -r, <br /> 17. FILL-UP,FOR TESTTotal Gallons <br /> -a ea.Reading <br /> Stick Water Bottom Inventry in'Tank <br /> before Fill-up In. la o <br /> to K" Gallons Tank Diameter - Waterfiottom <br /> 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water in tank ❑ Line(s)being,tceted with LVLLT gym' Trap off equipment + y <br /> See manual sections applicable.Check below,and record procedure In lag(27). ❑High water table In tank excavation Total Quantity qi <br /> 7 7.� <br /> Use maximum allowable test pressure for all tests. 19. TANK MEASUREMENTS FOR <br /> Four pound rule does not apply to doublewalled tanks. <br /> Complete section below: <br /> TETT ASSEMBLY 21. VAPOR RECOVERY SYSTEM ❑stage 1 ElStage n <br /> Bottom at tank to grade'............................ in. <br /> Add alt"for"T"probe&say........................... In. 24b. COEFFICIENT OF EXPANSION <br /> 1. Is four pound rule required? Yes ❑ No ❑ Total tubing to assemble—approxknate.............—� in. RECIPROCAL METHOD <br /> 2.Height t0 12"mark from bottom of tank in, <br /> 20. EXTENSION HOSE SETTING Type of Product........................................ Wit C4 t J> <br /> Tank top to grade'.................................._37 in. Hydrometer Employed.................................. 49) _H <br /> Extend hose on auction tuba 6"or more �,/!� Temperature in Tank --ff <br /> 3. Pressure at bottom of tank P.S.I. /(dam After Circulation........................................ °F <br /> belowtank top...................................... In. / .( <br /> Temperature of Sample................................. °F <br /> 4. Pressure at top of tank P S.1 'If Fill pipe extends above grade.use top of fill. <br /> USE WITH THERMAL SENSOR Difference(•-)......................................... <br /> Depth of burial in. PN5039(Blue Box) observed A.P.I.Gravity . .� 7 <br /> 22. Thermal-Sensor reading attar circulation <br /> 9.................... <br /> its Reciprocal / Pa e s <br /> Tank die. in. •F /V16-1 <br /> Betwe��7en <br /> T <br /> 23. Digits per°F in range of expected change 30•A 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 seeTableCdD <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............................ <br /> •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.orwhen 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) a (C) gallons <br /> .r 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. ys yytA9 319a = y,0 //0zy17 B! This is <br /> volume change per•F(26 or 24b) Digits per*F in test Volume change per digit test ®®� <br /> Range(23 or 24s) Compute to 4 decimal places. factor(a) <br />