Laserfiche WebLink
DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (EZY 04eq <br /> CRISP TANK I"ll I <br /> F.0.WX 7041117 <br /> SIOCKI M.CA 9= <br /> ' Ro+l nix <br /> CLIENT <br /> NAME OF SUPPLIER. - -- -- - - -- <br />)WNER OR DEALER _ S�r O fW I '0 DATE OF TcS" 1-" TTME"START TINE FINISX /a/i LENGTH OF TFSr <br /> WEATHER 0�.•>'•• = - TEMPERATURE ^� _ <br /> ANK <br /> ON <br /> APACITY(NOMINAL)OMINAL) �'J 0 o GALS. S=-OF FILL OR TES OPENING - IN. CONTENTS(PRODUCT) !Un S 12<7 <br /> APACrTY(CHART) GALS. TDP OFF TIME HOUR . 7p 0 TE J• 1• GALLONS TANK MATERIAL METAL(`F) FISEROLASS( ) <br /> IMENSIONS: OIAMENUMBER OF GALLONS ADDED TO SRI ATES APPROX.AGE <br /> Tc.R <br /> LNGIri TANK NO. �" PUMP SYSEM-EM ) MAKE <br /> INCHES OF WATER - BEFORE TEST i= <br /> A :ER TEST SUCTION _ <br /> LEAK OEi a 100. v_7 NO (�) <br /> S CALIBRATION _ 7 TANK LAMC VAPOR RECOVERY SvSTEH Y. <br /> ) NO <br /> 1ZE OF GAL BAR OR M'-'S AOC�ED ' �� -7 - ��' =•mQ�Q7 PHASE I ( ) PHASE 2 ( ) <br /> OVERSPILL CONTAINER YES('')NOOq <br /> NE MOVEMENT 9 - 7 ✓ SHEAR VALVE YES( ) NCCI,) <br /> 1 y'-� to LINES <br /> 2 - ✓ LINES - <br /> 3 to LINES <br /> TOTAL F 3 ' LINES - C LINES <br /> IALUI <br /> 10 OF TEST CALIBRATION <br /> OF GAL BAR OR ML'S ADD-L- -39, 3 <br /> - <br /> (ALVI <br /> VE MOVEMENT <br /> tJr ?. = _ <br /> t 4 x 3 ,'y_S <br /> tc `Y 3 LINES <br /> 3 to -3 3 L.'NES qq <br /> iuTAL i." LINES t O x 3 J• LINES <br /> IALH� <br /> ASURED API SPECIFIC GRAVITY 'V <br /> OOL' TFEMPERATURE <br /> I SP• r GRAVITY C 60"F r). (FROM TASLE A) <br /> E-1CIENT OF EXPANSION �/ `-f 47 (FROM WLz-B) <br /> x /n l (FACTOR B) <br /> C1E - TOTAL:?FACiTY 1WLl WL F . <br /> COMMENTS: <br /> OWNER OF SITE b6,) +r..i ADDRESS 2 oLAoieA� <br /> CITY "s-7-0c k-roil STATE 0A ZIP COOEq<�2 <br /> OWNER OF TANK O;� I. Ate) ADDRESS .? 0 6 CL, <br /> CITY STATE ZIP CODE Sao <br /> COUNTY S " <br /> + ECHNICIAN(5) YDATE <br />