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" ZunWk'! Lac ors � K( rcn > �/� � 1 ! I2 � odr' C' y Name of Suppilar.Owner at pa at Address No.and Slreetp) CITY St.re Dab of Teat 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From �'7 . q A ® Station Chan W Q y s / NomM.l Capacity ��--�/./ O ` ' ❑ Tank Manufacturer's Ch.rl IdanlkY Dy poaiiio p.lpn. ❑ Company Enpbaatlnp O.la Ian f BY meal acWrtle ElChub supplied with - . Br.na and c,ad. Capacity Chan available 1 n l O 2 ❑ D1ner Gallons 17. FILL-UP FOR TEST Total Gallons Gallons so.Reading Stla kklalat Bonam // �� t. r beton Flhap — In. Y In. m.mfory y �� _ -4 to W O.Ilona Tank Dlametrt F?Cf-t —Fop 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water htank ❑ Un.(.)being tested wllh LVLLT = Bea Manuel section..Pptl..blo.Check below .it record ph;Cedun In tag(27). ❑High water table In tank excavation Los maximum allowable last pressure for all last$. 19. TANK MEASUREMENTS FOR Trans,.,total to line 23. " Four pound rub does not apply to doublewalled tanks, complete action below: TSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM El90901 EllStage II Bottom of tank to grade•............................ 11/0 In. Add 20'for'r probe easy........................... 30 Is. 24b. COEFFICIENT OF EXPANSION 1. Is four pound rub reouired? Yes ❑ ato n ❑ Total tubing to aemble—approx mate............. In. RECIPROCAL METHOD ^J I— 2.Height to 12"man from bosom of tank 15? m. 20. EXTENSION HOSE SETTING Type of product ...I.................................... Re - Tank lop to grLIZ In. Hydrometa,Employ ad.............I.................. H ?;. Extend Mae on s.ctbn lube d'or more Tempenlura In Tank ,..r 3.Pressure al Dolton of tank '• �� P.B.I. AN.,Clreuietlon........................................ G � Of, below lank top...................................... In. Temperalun of S'-pte ................................. 70 r d .F . Pmsmre al sup of lank �(L—P.SI. 'll FIII pipe ulmda above pude,use lop of Int. 22. Thatmal.S.nsor reading after circulation f Carotene,(-/-)......................................... 1G• O •F ,U, digit. Depth of bursa In , IF Observed A.P.I.Omlry ................................. 57' D alvnan 23. Dlglla per OF In range of expected change yy Reciprocal Page. Tank of.. In. dlgha COEFFICIENT OF EXPANSION (Complete alter circulation) /0� / / I y 3 24a. Corrected A.P.I.Gravity Tobi guanllry In Reciprocal Volume change In Water bole N. lull lank(IS or 17) this tank For OF Observed A.P.I.Gravity................................... Translat 10 Line 234. NOTES: - Hdrometer employed................................... N Observed Sunpls Temperelute ......................... .F 24c. FOR TESTING WITH WATER see Table C 3 D Contacted A.P.I.Gravity Water Temperature eller Circulation Will.From Table.................................... Table C................................................ OF Coefficient of Expansion Coefficient of Wale, The above calculations are to bs used for d7 soil condlllona 10 for Involved Product Table D................................................ es4bllahs positive pressureadvantage,orwhen using lit four pound From Tawe B............................................ Nle to compensate for the preaance of subsurface water In the lank Transfer COE to Un.206. 1 All Surfactant? ❑Yea ❑No Transfer COE to Line 2S6. area, Refer to Mir.P.A. 30. Section$ 2.7.2.4 and 2.7.2 and the lank 25, (8) r (b) s (c) gallons manufacturer regarding allowable system text pressures. Total Ruanflty M Cmotlkbnt of exile elYll fW Volume Change in Not tank full tank(IS W 17) kwoww product per IF Q 26. (a)G.212216Q , J LC/ As , Q2 /7 / 53 Tnla is 1. Volume change pet•F(23 W gab) Cliffs peat IF M bet Volume change Per Cecil lul Q 2 7 Range 12M Compute 10 4 decimal phut factor(s)