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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (EZY CHEK) <br /> . L- -.•+oi3� <br /> CLIENT <br /> NAME OF SUPPLIER, <br /> OWNER OR DEALER � �`r� '»� 7" 'J• '. DATE OF TEST�S'i�'�C M TART TIME FINISH LENGTH OF TEST <br /> ADDRESS(NO.&STREEIT")'ad AL C R r a Th f WEATHER�1 TEMPERATURE S I <br /> CITU AND STATE ��vs <br /> TANK INFORMATION ' <br /> CAPACITY(NOMINAL)/a "I GALS. SIZE OF FILL OR TEST OPENING 4 IN. CONTENTS(PRODUCT) i ° <br /> CAPACITY(CHART) GALS. TOP OFF TIME HOUR DATE GALLONS TANK MATERIAL METAL(") °IBERGLASS( ) <br /> ` DIMENSIONS. DIAMETER NUMBER OF GALLONS ADDED TO START TEST_ APPROX.AGE <br /> J LENGTH TANK NO. PUMP SYSTEM TYPE-SUB( ) MAKE <br /> _3 <br /> INCHES OF WATER - BEFORE TEST ,FTER TEST SUCTION Bd <br /> TEST CALIBRATION 7 TANK LAYOUT LEAK DEI. CTOR VES NO <br /> 52�— <br /> SIZE OF CAL.BAR OR ML'S ADDED Q - /� 4 = •On), VAPOR RECOVERY SYSTEM VES(- ) NO dCI <br /> (ALM) V'Liu.A) <br /> LINE MOVEMENT <br /> T Lf,;L to G f9 LINES <br /> 2 -38 to LINES <br /> 3 36 to LINES <br /> TOTAL S 9 LINES - 3 = I q, I _ LINES <br /> IPLM) � <br /> END OF TEST CALIBRATION <br /> SIZE OF CAL.BAR OR MCS ADDED (ALMI _. (NGRon(a <br /> LINE MOVE NT <br /> T to T LINES <br /> 2 to 6 ?O LINES <br /> 3 1,,( to = as LINES n <br /> TOTAL 1 I LINES -3= /� _LINES <br /> MEASURED API SPECIFIC GRAVITY.PRODUCT TEMPERATURE <br /> 1API SPECIFIC GRAVITY®60°F (FROM TABLE A)>- <br /> COEFFICIENT OF EXPANSION GAO n I D - (FROM TABLE B) <br /> DDf1GS137) X / Don = S S (FkCTOR B) r <br /> TOTALC FACITY IGAL) - \OLC ANGVF { <br /> PRODUCT• LANE TESTING __ ..._._ _. __ .. .... -. -.. SYSTEM OWNER OF SITE ADDRESS <br /> ' <br /> PRODUCT MONITORING ON U. - Pmoutl Ser7a1 Nnmter - -- <br /> '.. IMMaryI N0. SM EW �- XFaarA -� � -- -� CITY STATE ZIP CODE <br /> .CC5 <br /> ..—. _..___- .. OWNER OF TANK ADDRESS . <br /> _.. 00 _. .- i CITY STATE ZIP CODE.003 <br /> ,a <br /> COUNTY -... . " <br /> .003 <br /> _ I <br /> TECHNICIAN(S) GATE <br />