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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (EZY CHEK) 0 - 7 SS - `- <br /> . ��Y IIS (♦) l7 <br /> !77, 'S?I3 <br /> 1-.-; i:1ti3i3 <br /> CLIENT <br /> NAME OF SUPPLIER, t1 D <br /> OWNER OR DEALER 1 r �-e S DATE OF TEST/O-�aIM - TART TIME FINISH LENGTH OF TEHYS <br /> ADDRESS(NO.6 STREET) WEATHER O%K" A l i TEMPERATURE <br /> CRY ANDSTATE <br /> TANK INFORMATION /1.. /on.1 <br /> CAPACITY(NOMINAL) I n(� GALS. SIZE OF FILL OR TEST OPENING / IN. CONTENTB(PRODUCT) FIBER B�A53( <br /> CAPACITY(CHART) GALS. TOP OFFTIME HOUR 1'150 OATE(O�SN�9 GALLONS TANK MATERIAL METAL <br /> DIMENSIONS: DIAMETER NUMBER OF GALLONS ADOEO TO START TEST Y G 1%L APPROX.AGE <br /> LENGTH TANK NO. Oh`� - PUMP SYSTEM-TYPE-SU MAKE- <br /> INCHES OF WATER - BEFORE TEST"_ i.FTER TEST SUCTION <br /> -.LEAK DETECTOR YES NO <br /> TEST CALIBRATION - D _ S rh = rdOf40 T'WK"YOUT- VAPOR RECOVERY SYSTEM YES NO( ) <br /> SIZE OF CAL.BAR OR ML'S ADDED 1 - <br /> (ALMI If iC1GR Al - <br /> LINE MOV . NTg _ <br /> 1 to a - __ _3_ ' - LINES <br /> 2 tjk - to LINES <br /> 3 -W ft to = LINES <br /> TOTAL YD I LINES +3- 5�I _LINES <br /> END OF TEST CALIBRATION -r O - - - , <br /> SIZE OF CAL BAR OR ML'S ADDED - <br /> (ALMI 7FKi0RA1 <br /> LINE MOVEMENT <br /> 1 �f I to — <br /> LINES - <br /> 2 4.T tom = LINES - <br /> 3 L/1 tom_ LINES . <br /> - - TOTAL V D-] LINES _3 = 3S,Co _LINES <br /> p (ALMI <br /> MEASURED API SPECIFIC GRAVITY�_p 5- <br /> PRODUCT TEMPERATURE- 192n <br /> API SPECIFIC GRAVITY 0 BOR FJ - (FROM TABLE A) <br /> COEFFICIENT OF EXPANSION I (FROM TABLE B) <br /> X D n O O - (F.ICTOR B) - <br /> MaACITYIGALI =WL CHANGFYF <br /> I <br /> PRODUCT LINE TESTING .. _.SYSTEM - <br /> PRODUCTMONITORINGONLL Pmdoo OWNER OF SITE PB I,,5L ffA /SPCAODRESS� I <br /> Tie - Reading Serial Number 1- / - <br /> 101" No. Stan EM + XFWWA CITY 1- rE A e. GA iM G STATE J ZIP COCe/Cl I <br /> .003 OWNER OF TANK Sea m P DDRESS <br /> .003 CITY - STATE ZIP CODE <br /> s <br /> 0 r. <br /> � COUNTY 0 VI n -- <br /> 0 <br /> Ce ward F1� fc <br /> STEC NICIAN(5) DATE <br />