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14. Name of Supplier,Owner or Dealer Address No.and Street is) city State Date of Test 15. TANK TO TEST 15a. BHJEF DIAGRAM OF TANK FIELD 16. CAPACITY From ,, Station Chart Nominal Capacity D®� ❑ Tank Manufacturer's Chart Identity by Pon ion Gallons TT��II L� I / L l Company Engineering Data _ V � Charts supplied with Brand and Grade By most accurate Capacity chart available /OC7 ❑ Other Gallons 17. FILL-UP FOR TEST Total Gallons Gallons ea.Reading Stick orBottom f.✓� f.b 6+' f .✓ beforee Fill-up Fill-up C� - in. `T(,� yam` Inventory to W, Gallons rA Tank Diameter 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water in tank ❑ Llnefs)being tested with LVLLT See manual sections applicable Check below and record procedure in fog(27). ❑High water table in tank excavation iUse maximum allowable test pressure for all tests. 19TANK MEASUREMENTS FOR Transfer total to line 25a. Four pound rule does not apply to dou blew .alled tanks. TETT ASSEMBLY _ Complete section below. LTL 21. VAPOR RECOVERY SYSTEM ❑Stage l ❑Stage II Bottom of tank to grade' ............................ In. Add 30"for'"F"probe easy........................... - in. 241). COEFFICIENT OF EXPANSION 1. Is four pound rule required? Yes ElNo IV/ �` %,y Totat tubing to assemble—approximate ._ ____ _.... in. RECIPROCAL METHOD r�,.s,+�✓i1 2Height to i2"mark from bottom of tank in. 20. EXTENSION HOSE SETTING j Type of Product ........................................ . Tank top to grade'.................................. in. Hydrometer Employed .................................. Extend hose on suction tube 6"or more Temperature in Tank 3. Pressure at bottom of tank P.S.I. After Circulation........................................ below tank tap......................................�#n. Temperature of Sample................................. 'If Fill pipe extends above grade,use top of fill. , 4. Pressure at tap at tank P.S.I. 22. Thermal-Sensor reading after circulation Difference(+!-)......................................... df Depth of burial in. °F Observed A.P.I.Gravity ................................. 23. Digits per'F in range of expected Change Reciprocal Page# t/J` Tank din. in. digits COEFFICIENT OF EXPANSION (Complete after circulation) 24a. Corrected A.P.I.Gravity Total quantity in Reciprocal Volume change in Water table in. full tank(16 or 17) this tank per°F NOTES' Observed A.P.I.Gravity................................... Transfer to Line 26a. Hydrometer employed.........._........................ H S Observed Sample Temperature ......................... °F 24c. FOR TESTING WITH WATER ee Table C s D Corrected A-P.I.Gravity Water Temperature sitar Circulation (u?60°F.From Table A.................................... Table -.... °F' Coefficient of Expansion Coefficient of Water The above calculations are to be used for dry soil conditions to for Involved Product Tabfe D"................................... From Table B......................... ...,....... establish a positive pressure advantage,or when using the lour pound ��•��••-��•• rule to compensate for the presence of subsurface water in the tank Transfer COE to Line 25b. Added Surfactant? ❑Yes ❑No Transfer COE to Line 25b. area. Rotor to N.F.P.A. 30, Sections 2-3.2.4 and 2-7.2 and the tank 25, a) X (b = (e) gallons manufacturer regarding allowable system test pressures. Total quantity in GoelRcient of expansion for Volume change In this tank. full tan (1 f6 or 17)�y't�. ` invol d product per°F 26. (a) .! This is Volume change per"F(25 or 24b) Digits per°F#n test Volume change per digit test Range{23) Compute to 4 decimal places. factor(a)