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DATA CHART FOR TANK .SYSTEM TIGHTNESS TEST <br /> (EZY CHEK) <br /> CBIS? TAN TESTING <br /> P.0.=Z I0d37 <br /> CLIENT (2091°.'L-Mii <br /> NAME OF SUPPLIER, <br /> OWNER OR DEALER ` du �yl. rz DATE OF TEST �r '4 TTM TART1"90 TIME FINISH ` LENGTH OF TESTS <br /> ADDRESS(NO.&STREET) ,1�" ?" f �Jt/ 99 WEATHER C IP•J _ _ TEMPE,RATJRE <br /> CITY AND STATE <br /> TANK INFORMATION <br /> CAPACITY(NOMINAL) ! GALS. SIZE OF FILL OR TEST OPENING �� IN. CONTENTS(PRODUCT) 1 f' .`r _ <br /> - <br /> CAPACITY(CHART) GALS. TOP OFF TIME HOUR 15'00 DATE 6-1_ 7 GALLONS TANK MATERIAL METAL( ) c-IBERGLASS( ) <br /> DIMENSIONS: DIAMETER NUMBER OF GALLONS ADDED TO START TEST LO APPROX.AGE - <br /> LENGTH TANK NO. `'17'- PUMP SYSTEK7-7YPE-SU3(74 MAKE <br /> INCHES OF WATER - BEFORE TEST AFTER TEST SUCTION <br /> J-EAIC-DETECTCR YESNO ( ) <br /> TEST CALIBRATION 7 TANK LAYCUT VAPOR RECOVERY SYSTEM YE5W) NC( <br /> SIZE OF CAL.BAR OR MLS ADDED �� - �� yr_IJ/ PHASE L 0() PHASE 2 (J() <br /> IALM) (FACT OAA) OVERSPfLL CONTAINER YES ( ) NO [�') <br /> UNE MOVEMENT r, to g ?? LINES SHEAR VALVE YES (x) NO ( ) <br /> 2 } to -7 - LINES COKM.ENTS: <br /> 3 > to = 116 LINES <br /> TOTAL 9 5 LINES 3 = 7 LINES <br /> (AL1M - <br /> END OF TEST GILIBRATIDN - r � 1 <br /> SIZE OF CAL.8AR OR MICS ADDED O 7 - b <br /> (ALM) FACTOR Al <br /> LINE MOVEMENT <br /> t 7 to - LINES <br /> LINES <br /> 3 to = Z LINES , <br /> TOTAL _:'DES - 3 = S ONES i <br /> (ALM) <br /> ME.ASUREC API SPECIFIC GRAVITY S2 i <br /> PRODUCT TEMPERATURE <br /> API SPECIFIC GRAVITY c 60°F7 _ (FROM TABLE A) <br /> COEFFICIENT OF EXPANSION ni J .D iJ/�? (FROM TABLE B) <br /> (I f X - L'/C? _ 5. 3 3`f (F,kcTOR B) <br /> C.O.E- - - TOTAL CAPACITY AGA-: L^0'L CNANGe'J'P <br /> PRODUCT LINE TESTING SYSTE-M OWNER OF SITE,� • '• 31 <br /> 0DRESS� cc C1 a5 � <br /> I <br /> Time ReaC ng <br /> PROCUCT MONITDR(NG ON LL P:aauct Serial Numbed <br /> Gain <br /> (MiSitary) f Na. �Sll I E.°IdI moss I XI=..A I CITY ti fr., S ZIP CODE J.�-4 <br /> I .003 I OWNER OF TANK �,',t� c ADDRESS <br /> M I .003 I I i CITY STATE ZIP CODE <br /> I I .003 I I <br /> COUNTY <br /> .oc- <br /> I I I I I I EC-HN;�_-A,% _ DATE <br />