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OELTA-C]EN P. C T B X 3343 TESTING&NC- <br /> -tea g« yaa <br /> r MODESTO, CA 95353 <br /> r <br /> (209) N OV 1 7 1999 <br /> — REPERM <br /> KA <br /> AINLAY TANK ' TEGRITY TESTER PERMIT/SERVICES <br /> Finish time. <br /> Start Time //!✓�- - <br /> Date of Test-�1 - -�,1; _--Air Temperature <br /> -------- <br /> —________ /�-J JlJ H 4 1/! <br /> Time lank Filled j/_ 7__-_- <br /> -- Address e <br /> p r S _ <br /> Company Nam -- - Grade of product <br /> _-�� ; <br /> owner of Tank S c_�_ ------ Expansion e0C) y�_✓� <br /> / API Gravity <br /> Coefficient of --- <br /> Gallons /y l" l This is <br /> X Gallons Factor s/S /_�__________ <br /> -�_---- shift- <br /> Coefficient <br /> **,r***w****r***a***********,r******t�***a+*****s* <br /> Coefficient of Expansioneach degree of temperature <br /> figure that is used in this test for to <br /> * Times * Change Due <br /> *******************************Net*********�**********Temperature** <br /> * (+ or --) <br /> Time * <br /> Thermometer * Shift_' * Equals * _____________ <br /> * Start Finish * (+ or _*-____-_- <br /> -*--------*------- * X 25% <br /> --------*------- * - p L _ ---------~--- <br /> * ---- *---------*-------- <br /> #1 Top * 6 1 5'/ _*--------*------ * X 50% * 0 /------*------- * -1 L) ----------- <br /> * G �. �y <br /> #2 Mid * G3 - -*------ - <br /> -*------- * fi UGS ---------- <br /> #3 Btm * (1 `�. D 0 *-----------*-------- <br /> *--------*----- <br /> -------- Total or Average * <br /> Temperature Shift <br /> Volume Change due <br /> Avg Temp = only to Temp Change___ <br /> Shift - v / X Factor :3_ <br /> -= - Amount added or <br /> removed to get <br /> Slopetube back to <br /> NOTE'. SEE PLOT PLAN starting Point -_-- <br /> ATTACHED. <br /> Net Loss or (Gain <br /> TEST RESULTS: _____ <br /> [� This tank 1s tight according to NFPA Standards as of -- - <br /> See comrt,entz. <br /> Q This tank does not meet NFPA Standards. <br /> COMMENTS: Th a 1'ci S ✓n <br /> 0A (f Gah fa p <br /> } �f CG2 /, d�k frcr is✓, G/ 57cf /e c� <br /> -two C J) _P� �IJICI/� / 4 IC . /I IfJ <br /> "s <br /> fe I',.ti ,Y <br /> Tester' s Cert. No. <br /> Signature of Tester_Cy�Ls✓ _�"_- <br />