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DATA CHART FOR TANK .SYSTEM TIGHTNESS TEST <br /> (EZY CHEK) <br /> G,RIS? TANK TESTING <br /> P.O.3OX '0437 <br /> CLIENT <br /> NAME OF SUPPLIER, 6:LDi TTM TART G'9eO TIME; FINISH r 1104 LENGTH OF TEST •., <br /> OWNER OR DEALER DATE OF TEST, - <br /> ADDRESS(NO.S STREET) 4 '''{ V -- - WEATHER TEMPERATURE <br /> CITY AND STATE CA,-2",Lu "24 <br /> TANK INFORMATION <br /> CAPACITY(NOMINAL) Yr'1 O GALS. SIZE OF FILL OR TEST OPENING IN. CONTENTS(PRODUCT) <br /> CAPACITY(CHART) GALS. TOP OFF TIME HOUR DATE - GALLONS TANK MATERIAL METAL( ) °TBERGLASS( ) <br /> DIMENSIONS: DIAMETER NUMBER OF GALLONS ADDED TO START TEST APPROX.AGE <br /> LENGTH TANK NO. t_icF` PUMP SYSTE4I:TYPE-S>JB(V) MAKE <br /> INCHES OF WATER - BEFORE TEST AF TER TEST SUCTION <br /> VERY'DETECTOR YES - NO <br /> rAFrxLArcuT <br /> TEST CALIBRATION E <br /> _ VAPOR RECOVERY SYSTEM YESES6;,) NO( ) <br /> SIZE OF CAL BAA OR ML'S ADDED _•J J/% PHASE I 00 PEASE 2 (-K') <br /> (RENT tFACTDA AJ. <br /> ovEIz.SPfLI. coNTalNaa Y>as ) NO (k7 <br /> LINE MOVEMENTr T SHEAR VALVE YES (K) NO <br /> 1 `f tp 4 = - s LINES <br /> 2 to _ 1' = 3 3 LINES Cot[*!EN S: <br /> 3 LINES <br /> TOTAL - _ LINES_3 = } rte• LINES <br /> (ALM) - <br /> END OF TEST CALIBRATION / <br /> SIZE OF CAL.BAR OR MLS ADDED - — <br /> (AL.MI PAZ-DR Al . <br /> LINE MOVEMEN 7 <br /> 1a '�_ - LINES <br /> 2 to - LINES <br /> 3 to = LINES <br /> TOTAL /( LINES 3 �'�% LINES <br /> {ALM) <br /> MEASURED API SPECIFIC GRAVITY 7 <br /> PRODUCT TEMPERATURE <br /> API SPECIFIC GRAVITY a 60°F . ' (FROM TABLE A) <br /> COE.=FICIENT OF EXPANSION_ z;, S (FROgw.TABLE B) <br /> 5jd (r 7 x nt�l� _ ? (FACTOR S) <br /> G.a.c TOTAL('•,APACITY 4GAL1 VOL CHANGE-c <br /> PRODUCT UNE TESTING SYSTEM OWNER OF SITE,�,i�nryrsa lr._r<;"�fC GA5DRESS <br /> PRCDUCT MONITORING ON Ll Pr=ctSerial Number' <br /> SkilJ <br /> nme Reading +Gam ++GaiS I CITY ,�i`i,,r STAT= <br /> IferiJary) Na rl ! End I -IHSS I X FaCr A �---��`� - - <br /> I ( CC3 I OWNER OF TANK � `_ ADDRESS <br /> I ( .CO I CITY STATE ZIP CODE <br /> COUNTY <br /> I I I } I .0Q3 <br /> I I i I <br /> TECHNICIAN(S) OA+E - - <br />