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Recommended Practices for the Testing and Verification of Spill,Overfill,Leak Detection and Secondary Containment Equipment at UST Facilities <br /> APPENDIX A-2 <br /> ZCL I XERXES" TRUCHEK® <br /> making a lasting difference DATA LOG <br /> Fill out the site location,tank information and test boxes below.Be sure to choose the correct test box according to the <br /> diameter of the tank being tested.Follow the test procedures on the other side of this form.A separate test form is needed <br /> for every tank.For additional copies of the form,contact the Customer Service Representative at the Xerxes manufacturing <br /> facility nearest you.(See back cover for information.) <br /> _ SITE LOCATION • ' • <br /> Site Location: Tank Information: <br /> Address: Nominal Gallons: <br /> Diameter: <br /> Phone: Approximate Standpipe Length:- <br /> Contact Name: _ _ Product Type: _ <br /> Test Date: Person Performing Test: <br /> 4-FOOT-, 6-FOOT- AND 8-FOOT-DIAMETER DOUBLE-WALL TANKS <br /> 95% -5% TEST 99% -1% TEST <br /> 1 a. Start level(inches in standpipe) 1b. Start level(inches in standpipe) <br /> 2a. End level after 4 hours 2b. End level after 10 hours <br /> 3. Difference(subtract 2a from 1 a) = 3. Difference(subtract 2b from 1 b) _ <br /> 4. Calibration factor x .20 4. Calibration factor x .20 <br /> 5. Volume change = 5.Volume change = <br /> 6. Test hours _ 4 6.Test hours _ 10 <br /> 7. Gallons-per-hour loss = 7. Gallons-per-hour loss = <br /> (If 0.05 gallons/hour or less,tank passed.) (If 0.05 gallons/hour or less,tank passed.) <br /> Note:maximum allowable dispensing volume during test: Note:No product dispensing allowed. <br /> 8-foot-diameter tank-1,200 gallons maximum <br /> 6-foot-diameter tank-500 gallons maximum <br /> 4-foot-diameter tank-300 gallons maximum <br /> 0-FOOT-DIAMETER DOUBLE-WALL <br /> 95% - 5%TEST 99%-1% TE! <br /> Ia. Start level(inches in standpipe) 1b. Start level(inches in standpipe) <br /> 2a. End level after 6 hours 2b. End level after 10 hours <br /> 3. Difference(subtract 2a from 1 a) = 3. Difference(subtract 2b from 1 b) _ <br /> 4. Calibration factor x .30 4. Calibration factor x .30 <br /> S. Volume change = 5. Volume change <br /> 6. Test hours - 6 6.Test hours - 10 <br /> 7. Gallons-per-hour loss = 7. Gallons-per-hour loss <br /> (If 0.05 gallons/hour or less,tank passed.) (If 0.05 gallons/hour or less,tank passed.) <br /> Note:Maximum allowable dispensing volume during test: Note:No product dispensing allowed. <br /> 10-foot-diameter tank-750 gallons maximum <br /> pei.org i . <br />