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io, <br />DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br />(EZY CHEK) <br />CRISP TANK TESTING <br />P. 0. BOX 20437 <br />0 <br />1209) "Il1-IU3 <br />CLIENT <br />NAME OF SUPPLIER <br />OWNER OR DEALER 9711,f 42(--/t/e DATE OF TEST 3-��/-fi:i�-TTME START TIME FINISH,7YLENGTH OF TEST_ AX_4-1 <br />ADDRESS (NO. & STREET) WEATHER c- P A TEMPERATURE <br />CITY AND STATE 77—i -2C <br />TANK INFORMATION <br />CAPACITY (NOMINAL) GALS. SIZE OF FILL OR TEST OPENING T IN. CONTENTS (PRODUCT)1,0/mdedA,� <br />CAPACITY (CHART) GALS. TOP OFF TIME _ HOUR DATE GALLONS TANK MATERIAL METAL( 1 FIBERGLASS( <br />DIMENSIONS: DIAMETER NUMBER OF GALLONS ADDED TO STAPT TEST APPROX. AGE <br />LENGTH TANK NO. ZZI 10 . PUMP SYSTEM,7-TYPF--SUB(X) MAKE <br />PRCDUCT LINE TESTING <br />Tirrie Reading PRODUCT MONITORING ON LL - Product <br />(Military) N.. St. End G.. I X Fa=t A <br />-Lcss _Lm <br />.003 <br />.003 <br />.003 <br />.003 <br />SUCTION— <br />{.[EAk-DETECTOR YES (X)- NO <br />VAPOR RECOVERY SYSTEM YESP�-) NO() <br />PHASE 1 ()-9 PHASE 2 <br />OVERSPILL CONTAINER YES NO <br />SHEAR VALVE YES t)4) NO <br />SYSTEM OWNER OF SITEADDRESS ;21 e. <br />Serial [Numbe-" <br />CITY STATE (4 Z I P C 0 D Eqj'3 7, - <br />OWNER OF TANK ADDRESS <br />CITY STATE ZIP CODE <br />COUNTY <br />-'TECHNICIAN S) DATE <br />INCHES OF WATER — BEFORE TEST <br />AFTER TEST <br />TEST CALIBRATION <br />TANK LAYOUT <br />SIZE OF CAL. BAR OR MUS ADDED <br />(ALMI f ffACM.Ft A) <br />LINE MOVEMENT <br />to <br />LINES <br />2 to17 <br />LINES 0 7-N S <br />3 to <br />LINES <br />TOTAL LINES 3LINES <br />(AL) . <br />L <br />END OF TEST CALIBRATION <br />SIZE OF CAL. BAR OR MUS ADDED <br />Z90o26L <br />!R <br />(ALM) FACTOR A) <br />LINE MOVEMENT <br />1 to <br />LINES <br />2 »— to <br />LINES <br />3 > to <br />LINES <br />�D AL LINES 3 LINES <br />4r <br />(ALMI <br />MEASURED API SPECIFIC GRAVITY <br />PRODUCT TEMPERATURE <br />API SPECIFIC GRAVITY ca 60° F <br />r <br />.(FRONi TABLE A) <br />COEFFICIENT OF EXPANSION <br />FROM TABLE 9) <br />6 0, <br />'tLf(FAC—,OR B) <br />, 2f, <br />TOTAL CAPACITY iGALI VOL CHANGE[* F <br />PRCDUCT LINE TESTING <br />Tirrie Reading PRODUCT MONITORING ON LL - Product <br />(Military) N.. St. End G.. I X Fa=t A <br />-Lcss _Lm <br />.003 <br />.003 <br />.003 <br />.003 <br />SUCTION— <br />{.[EAk-DETECTOR YES (X)- NO <br />VAPOR RECOVERY SYSTEM YESP�-) NO() <br />PHASE 1 ()-9 PHASE 2 <br />OVERSPILL CONTAINER YES NO <br />SHEAR VALVE YES t)4) NO <br />SYSTEM OWNER OF SITEADDRESS ;21 e. <br />Serial [Numbe-" <br />CITY STATE (4 Z I P C 0 D Eqj'3 7, - <br />OWNER OF TANK ADDRESS <br />CITY STATE ZIP CODE <br />COUNTY <br />-'TECHNICIAN S) DATE <br />