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Name of Supploer.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 /> yr/ r, i.�.--.---t C Ll Station Chart <br /> ------------ X- - Nominal Capacity `�"W,� Y_SI Tank Manufacturer's <br /> cturer's Cnart <br /> ldentitY b b "- Gallons <br /> Y position <br /> (LI Company Engineering Data <br /> ��`�7-�±' , ❑ Charts supplied with <br /> _—__-._____. tee._.____-____-______..—_ <br /> Brand and Grade ca most accurate /®L/ L7 <br /> capacity Chart available (.,/1 / Other _ <br /> I E Galkxns <br /> 17. FILL-UP FOR TEST Total Gallons <br /> Gallons ea.Reading <br /> Stick Water Bottom ^"r / 17 <br /> before Fill-up -- - in. ` in. Inventory L'L <br /> t 'k" Gall na Tank Diameter <br /> 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water In tank ❑ une(s)being tested with LVLLT w 7�yZ _ Or_ <br /> See manual sections applicable.Check below and record procedure In log(27)• ❑High water table In tank excavation <br /> Ilse maximum allowable test pressure for all tests. 19. TANK MEASUREMENTS FOR Transfer total to line 25a <br /> Four pound rule does not apply to doublewalled tanks. <br /> Complete section below: <br /> TSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM 11stage I Elstage If <br /> - I <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' Y08 ❑ No ® t ^ <br /> Total tubing to assemble—approximate............. RECIPROCAL METHOD/ 7 fJ in. <br /> 2.Height to 12"mark from bottom Of tank in. <br /> 20. EXTENSION HOSE SETTING Type of Product ............... .�1............. j/�S <br /> Tank top to grade................................... _In. Hydrometer Employed .................................. H <br /> Extend hose on suction tube 6"or more Temperature in Tank , r�j. A e <br /> 3. Pressure at bottom of tank P.S.I. 5- After Circulation.......... t %-� ,." ............ F <br /> below tank top...................................... C// in. <br /> Temperature of Sample ........... "�' 4' ^F <br /> 4. Pressure at top of tank PSI 'if Frot pipe extends above grade.use top of fill. ...................... <br /> 22. Thermal-Sensor reading after circulation Difference(-/-)......................................... 7 'F <br /> digits /n <br /> Depth of burial in. 'F Observed A.P.i"Gravity ................................. <br /> 23. Digits per*F in range of expected change 3 togits Reciprocal /y�`� Pages <br /> digit / <br /> Tank disc in. <br /> COEFFICIENT OF EXPANSION (Complete after circulation) ®60, - /`/,/ <br /> 24a. Corrected A.PA.Gravity Total quantity in Reciprocal Volume change in <br /> Water tablein60 full tank(16 or 17) this tank per*F <br /> . <br /> Observed A.P.I.Gravity................................... Transfer to Line 26a. <br /> NOTES: <br /> Hydrometer employed.o.................................. —s.iL—H <br /> Observed Semple Temperature ......................... F 24c. FOR TESTING WITH WATER ..Table C&D <br /> Corrected A.P.I.Gravity Water Temperature after Circulation <br /> @ 60'F.From Table A.................................... Table C................................................ 'F <br /> Coefficient of Expansion Coefficient of Water <br /> The above calculations are to be used for dry soil.conditions to for Involved Product Table D................................................ <br /> establish a positive pressure advantage,or when using the four pound From Table B............................................ <br /> rule to compensate for the presence of subsurface water in the tank Transfer COE to Line 25b. 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(116 or 17) involved product per*F <br /> r. 26. (a)q,/.?.r 7 T ✓ '�^ _ / /n/-)� <br /> / This is <br /> Volume change per-F(25 or 24b) Digits per'F in test Volume change per digit test ^ ` <br /> Range(23) Compute to 4 decimal places. factor(a) Y✓7 <br />