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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (EZY CHEK) <br /> CLIENT $MCF64il, Cil 9213 <br /> NAME OF SUPPLIER, <br /> OWNER OR DEALER4 DATE OF TEST TTM STARTO TIME FINIS 6 V LENGTH OF TEST <br /> ADDRESS(NO.&STREET) WEATHER C I n TEMPERATURE <br /> CITY AND STATE <br /> TANK INFORMATION <br /> CAPACITY(NOMINAL)��GALS. SIZE OF FILL OR TEST OPENING 19 IN. CONTENTS(PRODUCT) (A2,Q_5/? oI✓ <br /> CAPACITY(CHART) GALS. TOP OFF TIME HOUR DATE Cf-/ P GALLONS TANK MATERIAL METAL(] rIBERGLASS{ ) <br /> DIMENSIONS DIAMETER NUMBER OF GALLONS ADDED TO START TEST__ APPROX.AGE <br /> LENGTH TANK NO. Q if e- PUMP SYSTEM TYPE-SUB( ) MAKE <br /> INCHES OF WATER - BEFORE TEST AFTER TEST -� SUCTION <br /> TEST CALIBRATION LEAK DETECTOR YES NO <br /> SIZE OF CAL.BAR OR MUS ADDED Z 3 <br /> TANK LAYOUT VAPOR RECOVERY SYSTEM YES(, ) NO ) <br /> LINE MOVEMENT ASMI IFaCTORAI <br /> i to�� = 1 LINES - <br /> to - 3 LINES <br /> 3- <br /> 55-to = 13 LINES <br /> TOTAL 3 LINES _3 = � LINES <br /> (ALM) <br /> END OF TEST CALIBRATION <br /> SIZE OF CAL.BAR OR ML'S ADDED <br /> LINE MOVEfff (ASMI (FACTOR Al <br /> 1 to '24 3 LINES <br /> 2 to = LINES <br /> 3 te to - LINT S <br /> TOTAL 7 '7 LINES _ 3= S� _LINES <br /> IALM) <br /> MEASURED API SPECIFIC GRAVITY O <br /> PRODUCT TEMPERATURE 6 Q <br /> API SPECIFIC GRAVITY @ 60°F D (FROM TABLE A) <br /> COEFFICIENT OF EXPANSION X60 G D (FROM TABLE B) <br /> d f) (C.O.E.3 4O x d - <br /> TOTAL CAPACITY[GAL-] (FACTOR B) <br /> VOL. <br /> PRODUCT UNE TESTTNG - - SYSTEM ; <br /> FROOUCTMONI70RINGONLL pia OWNER OF SITE ADDRESS p ur <br /> Time Aeading Ser al Number <br /> {Milliary) Na. Start End +Gaul R Factor A +Gain - CITY <br /> -Lnss - STATE C ZIP CSDE <br /> .403 OWNER OF TANK ADDREtS <br /> .04 CITY STATE ZIP CODE <br /> - <br /> I .04 I COUNTY Sa <br /> I I -166 n <br /> TECHNICTAN(S DATE <br />