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14. <br />Name of Supplier. Owner or Dealer <br />15. TANK TO TEST <br />— �� <br />Identity Dy.Ilp i <br />)TATI 1 I OW Brand and Grade <br />17. FILL -UP FOR TEST <br />Stick Wale, Cottom <br />r before Fdbup _In. <br />I to N" <br />Q <br />Address No. and <br />cf:) <br />st.l. <br />- `R _QC) <br />Due of Teat <br />lJ V L <br />L.�81EF�Q TANK FIELD 16. CAPACITY From <br />❑ Slalbn Chart <br />• Nominal Capacity❑ Tank Manufacturer'$ Chart <br />Oalbn <br />I ❑ Company Engineering Data <br />_,/ <br />I nmy most accurate ❑ Chane supplied with <br />- `J. opacify Chart available G ❑ Other <br />(�T <br />1 allon$ <br />In. <br />Gallons Tank Dk~or <br />Inventory <br />18, SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑ Water M lank ❑ Une(s) being tested with LVLLT <br />Total Gallons <br />❑ <br />to. Reading <br />See manual 1e0110na applicable. Check below and record procedure In log (27). <br />High water table In lank excavation <br />JI.lO <br />TOD-OFF <br />` <br />use ma— ton allowable loot pressure to, all lest$ <br />19. TANK MEASUREMENTS FOR <br />Four pound rule does not apply to doublewanec lank$. <br />Complete $action below� <br />TSTT ASSEMBLY <br />I I 1 <br />Bosom of tank to pr.4............................. <br />__�LL��� In. <br />Add 30' for ..r. prow a asy.......................... <br />30 In: <br />w ,n <br />1. Is fod rule requlre:j • yea No <br />❑L^ I <br />Total tubing to assombie — approximate <br />2. Height to 12" mark from bottom of tank M. <br />20. _EXTENSION HOSE SETTING <br />I <br />Reciprocal 1 Pagger+•0 <br />Tank lop to grade' .................................. <br />_ In. <br />Total quantity In Reciprocal <br />Extend hoM on auction tube f)' or "we <br />full tank (18 or 17) <br />3. Pressure of bottom of lank <br />Transfer to Line 26.. <br />below tank top ................... .......:........... <br />In. <br />4. Prueure at top of tank _ P.il. <br />r <br />•t Fill pipe extends above grace, use lop of fill. <br />22. Thermal -sena reading ane$ circulation <br />. i <br />Depth of burial M. <br />•. <br />•F <br />23. Digits per OF In range of expected Change <br />J <br />7enk cin. In, <br />digits <br />COEFFICIENT OF EXPANSION (Complete after circulation) <br />24a. Corrected A.P.t, Gravity <br />Water la isle M. <br />Observed A.P.I. Gravity ...... .............. <br />NOTES. <br />Hydrometer employed ................................... <br />H <br />'F <br />.. <br />ODarved Sample Temperature .......:................. <br />Corrected A.P.I. Gravity <br />\ <br />I001Prom Table A... <br />'+• <br />coefficient of Eapanalon <br />The above oaloulallonl off to be used fr,r dty $oil Condillons 10 <br />for Invahod Product <br />Mtobllah:„„sitivepressure adMltnge.orwhon usIng the four pound <br />from Table 1111 ..........................................5. <br />rule to compensate for the presence of subsurface *alar In the lank.• <br />Tran$Nr COE to Line tab. <br />' <br />wa <br />Refer to N F.P.A. 30. Sections 2.3 2.4 —.1 2-7 2 and the tank <br />25, a 1 <br />x b <br />m•.. •ngsrdIr" <br />Tow ovonwv M <br />C04,1111iM1 01 eapaMlon 10r <br />r ,n . I <br />Aug <br />24b. COEFFICIENT OF EXPANSION <br />Total Gallons <br />Gallons <br />to. Reading <br />TAm K <br />l I ko"07 <br />JI.lO <br />TOD-OFF <br />` <br />1_5 <br />ToTA L <br />Transfer total to line 25o <br />21. VAPOR RECOVERY SYSTEM <br />❑ stage I ❑ stage it <br />24b. COEFFICIENT OF EXPANSION <br />RECIPROCAL METHOD <br />Typeof Product ........................................ <br />Hydrometer Employed .................................. <br />_ H <br />Temperature In Tank <br />After Circuit lon........................................ <br />•F <br />Temperature of Sample ................................. <br />IF <br />Dinennu 1•-1 ........................................ <br />1 IF <br />Observed A P.I. Gravity <br />...................... ....... <br />..• <br />I <br />Reciprocal 1 Pagger+•0 <br />1 <br />Total quantity In Reciprocal <br />Volume change <br />full tank (18 or 17) <br />this tank per IF <br />Transfer to Line 26.. <br />24c. FOR TESTING WITH WATER $« T.bl. C t D <br />Water Temperature after Circulation <br />Table 0 .......... .............. „ „ 'F <br />CoOl01en1 of Wolof <br />Table D ................. <br />Added Surfactant? ❑ yea ❑ No Transfer COE to Une 25b. <br />Vcwme change M this tank <br />