Laserfiche WebLink
DATA CHART FOR TANK SYS T EM TIGHTNESS TEST <br />(EZY CHEK) <br />I <br />CUENT <br />NAME OF SUPPLIER, <br />OWNER OR DEALER DATE OF TEST Q-137-S`I <br />ADDRESS. (NO.& STREET) N -F. WEATHER <br />CITY AND STATE e-- =, <br />TANK INFORMATION <br />CAPACITY (NOMINAL) '10,90 GALS. <br />CAPACITY (CHART)- GALS. <br />DIMENSIONS: DIAMETERR <br />LENGTH <br />TART'.I'l. � L% T <br />SIZE OF FILL OR TEST OPENING4 IN. <br />TOP OFF TIME HOUR / g. DATE a-1,2 GALLONS <br />NUMBER OF RECONS ADDED TO START TEST __ 41! e -A / <br />TANK NO. 1 _ <br />INCHES OF WATER - BEFORE TEST FTER TEST fir" <br />TEST CALIBRATION <br />SIZE OF CAL. BAR OR MUS ADDED <br />V, <br />(ALM) IF iCTOR A( <br />LINE MOVEMENT <br />t � 1 1), to s _ 17 LINES <br />2 -2 g to Z = a U LINES <br />3 02 / to /. [e = 5 LINES <br />TOTAL 7 Li LINES _ 3 = Z4 _ LINES <br />(ALM) <br />END OF TEST CALIBRATION / O <br />SIZE OF CAL. BAR OR ML'S ADDED <br />alo , b =.211-7 <br />(ALM) (FACTOR A( <br />LINE MOVEMENT q <br />PRODUCT MONITORING ON LL Pmdua <br />Gain <br />Start End +� X Fa=r A +-LOSS <br />.003 <br />.00 <br />1 4 I to <br />_ <br />- <br />LINES <br />I I <br />2 1 c to 5 <br />= 1 h <br />LINES <br />3 3 2 to (e C <br />= 2�LA <br />LINES <br />CITY <br />TOTAL jo <br />LINES _ <br />3 = b 1 (D _ LINES <br />(ALM) <br />MEASURED API SPECIFIC GRAVITY <br />L C' <br />r_ <br />PRODUCT TEMPERATURE <br />i <br />DATE <br />API SPECIFIC GRAVITY ® 60° F <br />5 7 <br />(FROM TABLE A) <br />COEFFICIENT OF EXPANSION <br />O S cl a <br />(FROM TABLE B) <br />e 6a 0 fir! ;I_3 <br />x (� i� <br />_ �0 (FACMR B) <br />C.O.E. <br />TOTAL CAPACITY (GAL) <br />VOL. CHANGE/' F <br />PRODUCT UNE TESTING <br />Time Reading <br />(Military) No. <br />PRODUCT MONITORING ON LL Pmdua <br />Gain <br />Start End +� X Fa=r A +-LOSS <br />.003 <br />.00 <br />00 <br />.00 <br />I I <br />I I <br />SYSTEM <br />Serial Number, <br />�1 <br />I <br />—2sy LENGTH OF TEST <br />TEMPERATURE <br />CONTENTS (PRODUCT) IR-yR Gl " <br />TANK MATERIAL METAL( cxJP'YBERGLASS( ) <br />APPROX. AGE E{(L-4X ,fid- <br />PUMP SYSTEM TYPE-SUBf>c) MAKE <br />SUCTION <br />OWNER OF SS'IT F -,A,, <br />_'�j/,QRES/���) <br />i� G( L{, <br />CITY /�C�C,// <br />STATEL7T <br />ZIP CODE9S,9%(, <br />OWNER OF TANK56A/ <br />L <br />�5 %1&tle ADDRESS <br />CITY <br />STATE <br />ZIP CODE <br />_ <br />COUNTY <br />r_ <br />TECHNICIAN S <br />DATE <br />