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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (EZY CHEK) <br /> CLIENT <br /> NAME OF SUPPLIER, LLF <br /> OWNER OR DEALER Sfoc�7l2 r RDO/i /> ( o <br /> ADDRESS(NO.B STREET) DATE OF TEST _ TTME START TIME FINISH LENGTH OF TEST <br /> CITY AND STATE U WEATHER—_��e�v^ TEMPERATURE_}A-n <br /> TANK INFORMATION <br /> CAPACITY(NOMINAL) l 0 0 Q GALS. SIZE OF FILL OR TEST OPENING oZ p� � <br /> CAPACITY(CHART) HOUR IN. CONTENTS(PRODUCT)�]_.L�/� <br /> DIMENSIONS: DIAMETER GALS' TOP OFF TIME —DATE GALLONS TANK MATERIAL METpL(70 IB � <br /> 1 LENGTH NUMBER OF GALLONS ADDED TO START TEST_ APPROX.AGE <br /> TANK NO. PUMP SYSTEM-TYPESUB ) MAKE - <br /> TEST CALIBRATION <br /> INCHES OF WATER - BEFORE TEST �,FTER TEST SUCTION <br /> SIZE OF CAL.BAR OR ML'S ADDED TANK LAYOUT LEAK DETECTOR YES NO <br /> S _ __12Ga35 VAPOR RECCVERV SYSTEM VE54 ) NO <br /> LINE MOVE"T IA�I (FWMA A) <br /> to l7 <br /> 2— F, R to O n _ — il/--LINES <br /> 3_ sfi to A A LINES <br /> LINES <br /> TOTAL '? '� LINES - 3= j�i. _LINES <br /> (ALM) <br /> END OF TEST CALIBRATION <br /> SIZE OF CAL.BAR OR ML'S ADDED <br /> LINE MOVEMENT - )�(^LM) -.� C <br /> IFAcro <br /> 1 �� ro LINES <br /> 2 _ _ <br /> 3 to- (.L. �M1 LINES <br /> _- C 'f LINES <br /> i TOTAL -Z/ LINES - 3= �O _LINES <br /> ' 1^LMI <br /> MEASURED API SPECIFIC GRAVITY— 55, <br /> PRODUCT TEMPERATURE <br /> 1 API SPECIFIC GRAVITY®BO^F <br /> / COEFFICIENT OF EXPANSION O (FROM TABLE A) <br /> (FROM TABLE B) <br /> c.ae. x f U"AAL <br /> . U-f (F.ICTOR 8) <br /> TOTAL GVACITY IGALI =40L CHANGEI'F , <br /> PRODUCT LAVE TESTING SYSTEMI <br /> Tme Radng PRODUCT MONMRING ON LL Pim OWNER OF 317E ADDRESS <br /> IMfto'1'1 Na. SW EM ♦Gm XFt mA ♦Gm Serial Number _ <br /> -- lass 4CITY STATE ZIP CODE - <br /> Y .00 - - "�I OWNER OF TANK ADDRESS <br /> .00 1 CITY , <br /> STATE ZIP CODE <br /> _0 _ <br /> 0 COUNTY <br /> ! TECHNICIAN 5 <br /> DATE <br />