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^--^'r!wv-rrsw .7@iawahMpfiw._ '.,� <br /> PAGE OF V TANK NO. 2 <br /> DATE 22- 11 TEL-A- LEAK I TM <br /> PRODUCT A VGA S / (7Ll -/ � y <br /> LOCATION SA Al 109 W t ti 1 i 1 ,v C, FIELD SHEET HEIGHT OF: Test Stand <br /> ADDRESS Z. V �`/�u- 1�ti V fU C- fZ P, ) Fill PipeI- <br /> CITY L Product Temp. (6 (. TOTAL Tank Diam. / L <br /> PHONE Measured Gravity (AP V x $ PSI <br /> PRESSURE APPLIED <br /> Temp. Indicator. A O C D TO TANK BOTTOM WATER TABLE <br /> Coefficent Average �S. O if known <br /> TYPE OF SYSTEM <br /> WATER IN TANK ❑ Inches <br /> 1 Hand ❑ Turbinea-' Manifold 7� <br /> Siphon ❑--� <br /> Suction ❑ Linetest❑ Vent Size -L Fill Size <br /> Vapor Recovery Stage 1 0- Stage 2 ❑ Tank Monitor Well Point ❑ Remote Fill ❑ <br /> TYPE of COVER <br /> Overspill ❑'` Droptube with Float Valve ❑ Concrete 3-- Blacktop ❑ <br /> x • �J J U� y -J o - -r- L. > (g) <br /> Leak Detector ❑ <br /> Extractor Valve 6-`" Earth ❑ Other TANK SIZE COEFFICIENT B FACTOR <br /> LEVEL LEVEL GAIN+ x(a) LEVEL TEMP TEMP GAIN+ x(B) TEMP FINAL Start <br /> START �END LOSS- FACTOR RESULT START END LOSS- FACTOR RESULT RESULTS Time <br /> x o -UJ 3Y - _ x 17 L) t_ t]J6� ! J <br /> — = x ZU — O v = G7 x ,. 0 <br /> x - 4V = 4 x o <br /> - <br /> L4 A5, _ p x v - = x U o 4f <br /> 4S = x o u - o o = 0 x ca <br /> _ = x " 4 - `f' _ 'f- Oa ' x .. w "3 -L <br /> 1f4 = ,il x x toa3t - 00(01 <br /> x 41 L - _ - 001 x <br /> x O - OL1- = +,vii x + OJ3L <br /> - = x 4S! - S'I = O x 0 <br /> - Cn'; - = x +. c�3L - 0061. 1 S5 <br /> RTIFY <br /> REMARKS: 9 ^ Q YE@--F❑ <br /> Test Results fir: <br /> Operator . <br /> License#92-1000 <br />