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14. _ Name of Supplier,Owner or Dealer Address No.and Street(s) City State Date of Test 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From 15. TANK TO TEST Station Chart Nominal Capacity ❑ Tank Manufacturer's Chart Gallons ❑ Company Engineering Data iC Identity by posn �+t'i� ❑ Charts supplied with By most accurate Brand d Grade capacity chart available • F - ❑ Other Gallons Total Lallans 17. FILL-UP FOR TEST Gallons ea.Reading Slick Water Bottom before FillupJJJfff�" in. in. Inventory to'h ahons Tank Diameter 1$. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water in tank ❑ Linels)being tested with LVLLT , J" /l'✓ See manual sections applicable,Check below and record procedure in lag(27). ❑High water table in tank excavation Use maximum allowable test pressure for all tests. 19. TANK MEASUREMENTS FOR Transfer total to line 25a Four pound rule does not apply to doub[ewalled tanks TSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM ❑Stage I ❑Stage II Complete section below' Bottom of tank to grade' ........... . .. ...... in. Add 30"for"r•probe way...... .... ... SO In. 24b. COEFFICIENT OF EXPANSION 1. Is four pound rule required? Yes Total tubing to assemble—approximate............. in. RECIPROCAL METHOD Type of Product ........................................ Z0. EXTENSION HOSE SETTING ,/Q' 2.Height to 12"mark from bottom of tank lo_ 5`0 In. Hydrometer Employed.................................. H Tank top to grade'.................................. Extend hose on suction tube 6"or more Temperature in Tank }�(j P,S.I. / After Circulation........................................ F 3.Pressure at bottom of tank below tank top...................................... 60 in. Temperature of Sample........._...................... °F PSI 'If Fill pipe extends above grade,use top of fill. —� 4, Pressure at top of tank ...... Difference(*!-}.............. ...................... °F 22. Thermal-Sensor reading after circulation digits Depth of burial in. 2°F Observed A.P.I.Gravity, .................................. r/ n t 23. Digits per°F in range of expected change Reciprocal �� Pa digits / - a2qw- n Tank dia. in' - _ / COEFFICIENT OF EXPANSION (Complete after circulation) 24a. Corrected A.P.L Gravity Total quantity In 1 Reciprocal - Volume change in full tank(16 or 17) this tank per°F Water table in. ,,,., Transfer to Line 26a. Observed A.P.{.Gravity.............................. NOTES: Hydrometer employed._.......................... H 24c. FOR TESTING WITH WATER see Table C&D Observed Sample Temperature ......................... -°F Corrected A.P.I.Gravity Water Temperature after Circulation @ 60F,From Table A.................................... Table C................................................ °F Coefficient of Expansion Coefficient of Water for Involved Product Table D.................................................. The above calculations are to be used for dry soil conditions to From Table 6......................................_. establishepositive pressureadvantage,orwhen using the four pound Added Surfactant? ❑Yes El No Transfer COEtoLine 2Sb. rule to compensate for the presence of subsurface water in the tank Transfer COP to Line 25b, area. r25 b (C) a x = _ gallons Refer to N.F.P.A. 30, Sections 2-3.2.4 and 2-7.2 and the tank J Coefficient of expansion for Volume change in this tank 1 full tank(16 or 1 7} manufacturer regarding allowable system test pressures. Total quantity Involved pro uct per°F ./(^J 26. (a) oZe7zl = /0 6 l el( This is Volume change per°F(25 or 24b) Digits per°F In test Volume change per digit test Range(23) Compute 10 4 decimal places. factor(a)