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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (� CHM. <br /> CRISP LU[M71111fi <br /> P.0.sox 3067 <br /> 5=014 CA 9s2u <br /> (2W f3148n <br /> CLIENT o e <br /> NAME OF SUPPLIER, <br /> . l;4 f ATES:8/ /5 <br /> TIMESTARTTIME FINISH/O 0T LENGTH OF TEST <br /> OWNER OR DEALER I � rV YWEA7HEa TEMPERATURE <br /> ADDRESS(NO.&SIRE- <br /> CT'AND-SATE 5'>`'�) c :.-q� <br /> TANK INFORMATION D� ,, IN. CONTENT S(PRODUC�Iq <br /> �G9 P;J,,iPN Pie%h <br /> CAPACITY(NOMINAL) GALS. SIZE OF FiC OR TES OPENING F c - - METAL ) F'E=;T-9cc( ) <br /> CAPACITY(CHARM GALS. TOP OFF TIME GALLONS TANK MATERIAL - - <br /> D IONS: DIAMETER NUMBER OP GALLONS ADDED TO SART i cSl _ APPROX.AGE <br /> LENGTH TANK N0. tj 0 PUMP SYS7==M-TYPE-SUE ) MFK= <br /> SUCTION <br /> INCHES OF WATER - 8EFZR TEjT AFTER TEST LEAK DETECTORY <br /> -.SES NO ( 1 <br /> TT CALIBRATION ��� r KLAYOUT VAPOR RECOVBnY jYj7EM YEj( ) NO>(" <br /> Si_OF CAL BAR OR MLS ACDE.`. ' �-� - 3 '�lV/ PHASE I ( ) PHASE 2 ( ) <br /> /�, rA�u IFAC +r OVERSPILL CONTAINER YES( )NO(04 <br /> LINE MOVEMENTto 5Q _ LINES SHEAR VALVE YES( O NO <br /> ) <br /> , <br /> 2 dS tC S 4 = LINa- COMMENTS: <br /> 3 -3 to 57 = `f LINES <br /> ,ZTAL /0 a+ LINES - 3 = 3 �' LINES <br /> (ASMI <br /> END OF TE-V CALIBRATION ,�. <br /> Si=OF CAL SAR OR ML'S ADDc7 p�,Mr IF.: AI <br /> LINE MOVEMENT <br /> 7 = -3% <br /> LINE3 <br /> 23 o to G/ = 3/ LINES <br /> 3 a 3 to SlkLINES <br /> i'vTAL LINEj - 3 :.NES <br /> In.NI <br /> MFED API SPECIFIC GRAVITY r.' S• G <br /> PRS TEMPERATURE <br /> API SPECIFIC GRAVEi f 4: 600 F (FROM TA3LE A) <br /> COE.ICIENT OF EXPANSION . 000 C�00 (FROM TA.3LE 3) <br /> 0n ,� SS22x 1L90> 00� (FAC"OR B) <br /> CCE TOTAL C AC.TY IW VVOL.CNAN' F <br /> COMMENTS: <br /> OWNER OF SITE ADDRESS <br /> CITY STATE Zip COOS <br /> OWNER OF TANK ADDRESS <br /> CITY STATE ZIP CODE <br /> COUNTY <br /> TECHNICIAN S � DATE <br />