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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (EZY CHM <br /> CRISP TMK Mvis <br /> P.0.pox 301p <br /> Smaaft a 9SW <br /> (2")93t4JIn <br /> CLIENT <br /> NAME OF SUPPLIER. <br /> OWNERDEALER h 1 5 c7 h ..( i'h �`f� i1� DATEOFT-OFT. -`- 7S T-ME STARTD7rj 7 TIME FINISH09 S7 LENGTH Cv TEST <br /> ADDRESS <br /> S((N0.b ri RE=� n U LTA `lh i t o '� '• WEATHER ��'D r TEMPEr�ATURE 2q <br /> �L� <br /> C;TY AND STATE Sf r )*'To F r a <br /> TANK INFORMATION C� J IN. CONTENTS (PRODUC�I/H /P°CeI R''^ <br /> CAPACITY(NOMINAL) ' � �� GALS. SIZ=OF FILL OR TEST OP=NI(J?i - ME FTS=RO'_sSS( ) <br /> CAPACITY(CHART) GALS. TOP OFF TIME HOURl.r)7 DATE' - /-9S GALLONS TANK MATERIAL - - <br /> DIMENSIONS. DIAMETER NUMBER OF GALLONS AOCEO TO STARTi cSi APPROX.AGE <br /> LENGTH TANK NO. 0 H e. P'JMP SYSScM-TYP=-SJa ) MAKE <br /> SUCTION( <br /> 1 I N CH ES OF WATER - 6E FO'n5 T=aT AF"ER TEST !EAK NO-TOR YES NO ( ) <br /> TE. LILIBRATION T'`"K urcur VAPOR RBCOVERY ShS- YES( ) NO TQC) <br /> S1=OF WL BAR OR M_S AC:: s OS - =�r2?/ PHASE 1 ( ) PHASE 2 ( ) <br /> OVERSPILL CONTAINER YES( )NOb4 <br /> LINE MOVE MENT�� � b _ SHEAR VALVE YES(}A) NO( ) <br /> to _ LINES <br /> 2 S S tC LINES COMMENTS: <br /> sa tG LINES �/ � <br /> ,,ALa LINES -O = LINES <br /> ALMA <br /> END OFTEST CALIBRATION r� � <br /> Sly OF CAL BAR OR ML'S AOCBO IAL,w <br /> LINE MOVEMENTL!N63—, _ <br /> LINES <br /> � �y' to = a I LIZ __ <br /> ICTAL �+5 UNE- - 3 = 26 �N__ <br /> IAIMI - <br /> MEASURED API SPECIFIC GRAV7Y <br /> PRCOUCTEMPERATURE <br /> AP' PIC GRAVITY C 60° F SS 9 (FROM TA3L A) <br /> CC XIENT OF EXPANSION 0 00 h Ci l 4' (FROM TA.3LE S) <br /> OI066/L x 6000 .3,W94 (FAC-ORS) <br /> C." TOTAL CAPAG:TY IGALJ YCL CMAM F <br /> COMMENTS: <br /> OWNEP OF SITE ADDRESS <br /> CITY STATE ZIP CODE <br /> OWNER OF TANK ADDRESS <br /> CITY STATE ZIP CODE <br /> COUNTY <br /> or SLY%!' r ��^ /- `� _ <br /> TECHNICIAN S I DATE <br />