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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br />(EZY CHEK) <br />CLIENT <br />NAME OF SUPPLIER, 1 n r <br />OWNER OR DEALER S C D �/ ,J c0 i f fa C <br />T-EAHER EST- c <br />ADDRESS (NO.& STREET) WT <br />!L� <br />CITY AND STATE -]-r ( (o <br />TANK INFORMATION OO <br />CAPACITY (NOMINAL) 3 0 0 O GALS. <br />CAPACITY (CHART) GALS. <br />DIMENSIONS: DIAMETER <br />LENGTH <br />T -')?E START r" C TIME FIN <br />H <br />SIZE OF FILL OR TEST OPENING IN. <br />TOP OFF TIME HOUR / )�'C 6 DATE=)- <br />NUMBER OF GALLONS ADDED TO START TEST <br />TANK NO. DI1�e_ <br />INCHES OF WATER - BEFORE TEST I-' .FTER TEST'q" • <br />TEST CALIBRATION <br />SIZE OF CAL. BAR OR ML'S ADDED <br />(ALM) (F%CTOR A( <br />UNE MOVEMENT <br />1 O 9 to L F _ LINES <br />2 to_ _ / 7 LINES <br />3 1 LL to - _ �1 <br />TOTAL S/ 1 LINES _ 3 = / ' .�6 _ LINES <br />(ALM) <br />END OF TEST CALIBRATION <br />I PRODUCT MONITORING ON LL Prddpp <br />I Start End �Gjn X Factor A +LS <br />.00 <br />.00 <br />SIZE OF CAL. BAR OR ML'S ADDED <br />S <br />I <br />_ LI 13 = 14r5 Q <br />- <br />(ALM) (H.CTOR A( <br />LINE MOVEMENT <br />9 <br />1. to <br />= <br />L� <br />LINES <br />2 :� to to _' C <br />= <br />=J <br />LINES <br />3 S to 5/ <br />_ <br />TOTAL <br />LINES <br />LINES = 3= �Li 3 _LINES <br />`� 3 <br />(ALM) <br />MEASURED API SPECIFIC GRAVITY <br />�o O <br />PRODUCT TEMPERATURE <br />g <br />API SPECIFIC GRAVITY ® 60° F 5 <br />7. % <br />(FROM TABLE A) <br />COEFFICIENT OF EXPANSION <br />(FROM TABLE B) <br />boos 9%-a, <br />x �3 <br />0 0 O <br />Qy <br />C.O.E. <br />=4,'71'1 (F.ICTOR B) <br />TOTAL CAPACITY (GAL) VOL CHANGE(* F <br />PRODUCT LJNE TESTING <br />SYSTEM <br />Time Re=a,mg <br />;Mdrtarv) No. <br />I PRODUCT MONITORING ON LL Prddpp <br />I Start End �Gjn X Factor A +LS <br />.00 <br />.00 <br />.00 <br />.00 <br />I <br />Serial Number, <br />I <br />i <br />754 LENGTH OF <br />TEMPERATURE <br />CONTENTS (PRODUCT) 00 /P .7 _: )r R Pd <br />TANK MATERIAL AL(X1 7IBERGLASSf ) <br />APPROX. AGE METU <br />PUMP SYSTEM TYPE -SUB (`,rj MAKE <br />SUCTION <br />OWNER OF SITE_CSi' ,r- S d7 QDDRESS,� 6,,J4, At <br />CITY Q L / / STATEC14 ZIP CODEq I,o <br />OWNER OF TANK LIs �Jk-y-( ADDRESS <br />CITY STATE ZIP CODE <br />COUNTY <br />TECHNICIANS) DATE <br />