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DATA CHART FOR TANK SYSTEM.TIGHTNESS TEST <br /> (EZY Q' <br /> caisr noir hsme <br /> - <br /> s"ara4 a 9=1 <br /> cuafr - --- <br /> NAME OF SUPPLIER. ( ` f ) DATE dFTr=Si 1=�/ f TTML-2 'ART` TIME FINIS14 LENGTH OF TEST <br /> OWNER OR DEAD. �l DEER /P ! t a ✓ TEMPERATURE �J <br /> ADDRESS(NO.A S T RE_=P] <br /> CFrY AND-S DO E <br /> TANK INFORMATION C S S <br /> CAPACITY(NOMINAL) 1 GALS. SjZE OF FILL OR TEST OPCNING IN. CONTENTS(PRODUCT) R E'er c <br /> CAPACi7Y(CHAFM GALS. TOP OFF 71ME HOUR DATE GALLONS TANK MATERIAL NE'AL ?:SERC'-AM } <br /> DIMENSIONS: DIAMFTER _ NUMBER OF GALLONS AUOED TO STA i MST^ - APPROX-AGE - <br /> LENG+N TANK NO._ ah pump SYScM-TYPE-5U9 ) MAK_ <br /> lNCzES Or WATER - SM.-CORE Tcas � iF':ER TESTSUCTION N <br /> LEAK OETECTOR Yc3 >C O { 1 <br /> TS CALIBRATION _ _ -_ �yJ^�Q TANK LAYOUT VAPOR RECOVERY SYSTE YESC<) NO( ) <br /> S=E OF CAL BAR OF,M=S A07,=-:D •1�� =JS.�1Q54L - -- _-__ PHASE 1 (�e) PHASE 2 C>') <br /> (FAC Al OVERSPILL CONTAINER YESC )NO{>4 <br /> LINE MOVE BENT -- -- <br /> _ SHEAR VALVE YES(>c) NO( ) <br /> 1 tp LINES - <br /> 2 to = LINES -- <br /> 3 to <br /> TOTAL JNcS LINES -- ----__ <br /> SALMI - <br /> ENO OF TEST CALIBRATION LID <br /> SiZ=OF CAL BAR OR MUS AODE7 - - _ <br /> LINEc MoVE3_N-� _ - to: LfNE� <br /> 2 <br /> to s LINES - <br /> 3 To <br /> iuTAL LINE, -S= 4� 3 _LINEj <br /> MrASURED- API SPE-:IFIC GRAV1 T Y - <br /> PROOUCT TVAPSRATURE _-_ - -.-------- -_- ----- <br /> API SPECIFIC GRAVITY 0 600 F (FROM TABU AJ - <br /> COE-=1CIENT OF EXPANSION 7 (FnflM TABL<B) l L <br /> �ono.o7Qfo7 x 000 RB r-- <br /> CG�. _ _— TOTAL JPAGTY IWL1 � �C7O ) <br /> COMMENTS: <br /> OWNER OF SITE ADDRESS <br /> CITY STATE ZIP CODE <br /> 4 <br /> OWNER OF TANK ADDRESS <br /> CITY - STATE ZIP CODE <br /> COUNTY <br /> TECHNICIAN(S) DATE <br /> I. <br />