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and ;w.,•:-. ,_a. -_z -; ��. - .,.....-,_.. -_ �_ _ _�,. - ._ <br />DATA CHART FOR <br />TANK SYSTEM TIGHTNESS TEST <br />, <br />SE_ <br />EZ� CHMq_ <br />W r <br />" -'� <br />C61S! UK= <br />�Y <br />CLI <br />NAME OF SUPPLIER. <br />OWNER OR DEALER � Y S ' J <br />DATE OF TEST i TTW-START- TIME FINISH LENGTH OF TEST _ <br />ADDRESS (NO. 3 STREET) <br />WEATHER <br />TEMPERATURE <br />CITY AND. STATE <br />"' • i44 'LANK INFORMATION <br />CAPACITY (NOMINAL) 0 � GALS. <br />CAPACITY (CHART} GALS. <br />DIMENSIONS: DIAME i ER <br />LENGTH <br />TEST CALIBRATION _....-- <br />S=Z= OF CAL BAR OR ML'S ADDED <br />UNE MOVEMENT <br />1 <br />2 <br />3 <br />SaE OF FILL OR TESTI OPENING IN. CONTENTS (PRODUCT) ✓ P <br />TOP OFF TIME HOUR DATE GALLONS TANK MATERIAL METAL FIBERGLASS(' ) <br />NUMBER OF GALLONS ADDED TO START TE -371 APPROX. AGE <br />TANK NO. PUMP SYS-EM-TYPC SUB MAKE 77-7 <br />INCITES OF WATER - BE.^'ORE TEST � AFTER TEST SUCTION? ) <br />_ LEAK, DETECTOR YES NO 4 ) <br />TANK LAYOUT - VAPOR RECOVERY SYSTEM YES(j�) NO( ) <br />iyrt-FFA-C-,;;At PHASE i PHASE 2 'f,-4 <br />OVERSPILL CONTAINER YES( -NO( ) <br />to = UNES SHEAR VALVE YES NO( ) <br />to = UNES <br />to = UNES <br />TOTAL UNES - 3 = UNES <br />(ALM( <br />END OF TEST CALIBRATION <br />S=- OF CAL BAR OR ML'S ADDED <br />- - (ALMI (FAC. -JR A( <br />UNE MOVEMENT <br />1 = UNES <br />2 to = UNES <br />3 to = LINES <br />TOTAL UNES - 3 = UNES <br />(ALM( <br />MEASURED API SPECIFIC GRAVITY <br />PRODUCT TEMPERATURE `T <br />API SPECIFIC GRAVITY a 60° F (FROM TABLE A) <br />COE-ICIENT OF EXPANSION (FROM TABL= B) <br />x <br />(FACTOR <br />. <br />TOTAL C41ACiTY (WU d <br />G'F <br />s <br />"_ w COMMENTS <br />,vvnnIA i/1- Vl£fir' ►nPSSe[a2S <br />yrb ���1 �..- 44?� �.i'11fi�i �.' �^Evr 9�`;_• �., x-.i�4—_7!>_��•'Sex'4'.� �']�'�...'� ..� <br />OWNER OF SITE ADDRESS <br />CITY STATE ZIP CODE <br />.~ OWNER OF TANK - ADDRESS i <br />C <br />I <br />STATE ZIP CODE 7.1 <br />•sea*#":,..n+•`.�r.'t .c •-e {`e=B' <br />COUNTY '+.?i •.� y_ <br />TECHNICIAN S - <br />• M <br />yrb ���1 �..- 44?� �.i'11fi�i �.' �^Evr 9�`;_• �., x-.i�4—_7!>_��•'Sex'4'.� �']�'�...'� ..� <br />OWNER OF SITE ADDRESS <br />CITY STATE ZIP CODE <br />.~ OWNER OF TANK - ADDRESS i <br />C <br />I <br />STATE ZIP CODE 7.1 <br />•sea*#":,..n+•`.�r.'t .c •-e {`e=B' <br />COUNTY '+.?i •.� y_ <br />TECHNICIAN S - <br />