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P,r,'0$4p <br /> Task Testa DATA .HART FOR TANK .SYSTEM TIGHTNESS TESTS g i (EZY CHEK) <br /> Piccoii Lane #09 <br /> Stockton, Calif, 95205 <br /> (209) 931=182$ i y <br /> CLIENT <br /> NAME OF SUPPLIER, S �� a �!_ <br /> OWNER OR DEALER `d 7 Y' DATE OF TEST f` ' TIME' START TIME FINISH LENGTH' DF T <br /> ADDRESS (NO. & STR ET) 0 0 WEATHER a I TEMPERATURE <br /> CITY AND-STATE 5 Q(c ? D fir <br /> i <br /> TANK INFORMATION <br /> CAPACITY NOMINAL _..., p n d GALS. SIZE OF FILL OR TEST OPENING y IN. CONTENTS (PRODUCT) �' <br /> CAPACITY (CHART) GALS. TOP OFF TIME HOUR DATE -a -$$ GALLONS TANK MATERIAL METAL FIBERGLASS( ). <br /> DIMENSIONS: DIAMETER R`6, NUMBER OF GALLONS ADDED TO START TEST 5 APPROX. AGE <br /> LENGTH TANK NO. t1 PUMP SYSTENk.=TYPE SQB(>e) MAKE <br /> INCHES OF WATER - BEFORE TEST . AFTER TEST SUC' IDN C-7 <br /> TANK LAYOUT <br /> LEAK.`DE.TECTOR YES �NO <br /> TEST CALIBRATION � VAPORRJ=COVERY. :SYSTEM YES(?-4:. NO( } __ <br /> SIZE OF CAL. BAR OR ML'S ADDED <br /> (ALM) (FACTOR A)'* <br /> LINE MOVEMENT <br /> I <br /> 1 to 1) 6 = 3 LINES <br /> 2 4 ! --- to 1� z = , G LINES I <br /> 3 _ to `72 _ - _ LINES <br /> TOTAL I a LINES 3 LINES <br /> • (ALM) <br /> } <br /> END OF TEST CALIBRATION # ;f <br /> SIZE OF CAL. BAR OR MUS ADDED <br /> (ALM) AFACTOR A) <br /> LINE MOVEMENT =. •'• <br /> 1 to = 3 J LINES <br /> 2 3 to S 9 = 3/6 LINES <br /> 55 to cl U - 3-5 — LINES <br /> TOTAL T LINES _ 3 = , LINES <br /> (ALM) . <br /> MEASURED API SPECIFIC GRAVITY + <br /> PRODUCT TEMPERATURE _ <br /> API SPECIFIC GRAVITY ® 60° F Lf (FROM TABLE A) <br /> COEFFICIENT OF EXPANSION - 0 (FROM TABLE B) <br /> 00 ^ _ q 4 Q C� - _ - . (FACTOR B) <br /> C.O.E. NOTAL CAPACITY (GAL.) VOL.CHANGE/9 P <br /> PRODUCT UNE TESTING SYSTEM <br /> OWNER OF SITE V1e v s ADDRESS o , s f• <br /> PRODUCT MONITORING ON t.l Product Serial Number <br /> Time Reading +Gain +Gain - <br /> (Military) Na. Slant End -Loss X Factor A _mss CITY , ?� �' STATE ZIP C OD E� a7 J <br /> .003 OWNER OF TANK ,4 /3- 11aw r _ AODRL_SS S,?De Al&t2q <br /> ff r <br /> . .003 CITY ,S t# F � M STATE f ZIP CODE S � - <br /> .•.. <br /> i <br /> .003 COUNTY o _ <br /> .00 <br /> TECHNICIANS) P '` <br /> : <br />