Laserfiche WebLink
DAT; CHART FOR TANK SYSTEM TIGHTNESS TES <br /> MAY 2 5 1994 <br /> ENVIRONMENTAL HEALTH <br /> CLIENT PERMIT/SERVICES <br /> NAME OF SUPPLIER, <br /> OWNER OR DEALER <br /> ' e_- DATE.OF TEST _pati T I M��,S_ TRR E'u r T PAF.. Ifd Sl-f ?r t `..k LEi�IG7' { ;OF.." TES <br /> ADDRESS.(N0. & STREET}. m_ ? r'` ��� $`, , r WEATHER — � ; .. TEMPERATURE <br /> CITY AND'STAT E 'v c. ... r> �� r ® -- <br /> TANK INFORMATION <br /> CAPACITY (NOMINAL) , t i.�:; . GALS. SIZE OF FILL OR TEST OPENING f w_ IN. CONTENTS (PRODUCT) <br /> CAPACITY (CHART) -- � GALS. TOP OFF TIME � HOUR DATE _ -- GALLONS � TANK MATERIAL METAL (-,/- ) ETBERGLASS( _) . <br /> DIMENSIONS: DIAMETER NUMBER OF GALLONS ADDED TO START TEST _�m _ _ - APPROX. AGE ----. _ — <br /> LENGTH _ TANK NO. _._ _.e nv �� PUC PION STEI :TYPIC:SUB b ) MAKE <br /> INCHES OF WATER _ BEFORE TEST --_`', t,FTER TEST�� � <br /> TMST 1deALIDR;4TlOf L ERIE "DET G 0R YES <br /> TANK LAYOUT VAPOR RECOVEkY ..SYSTE��1 YES NO( ) <br /> SIZE OF CAL. BAR OR ML'S ADDED _ , ) <br /> LINE MOVEMENT (ALM) (fAciDFA A) <br /> f � <br /> to <br /> LINES <br /> 2 P t0 W LINES <br /> to LINES <br /> TOTAL LINES <br /> LINES <br /> END OF TEST CALIBRATION <br /> SIZE OF CAL, BAR OR ML'S ADDED <br /> LINE MOVEMENT <br /> �_.. m. <br /> � wC? to _ LINES <br /> �n to 0s ; LINES <br /> -- <br /> 3 t0 <br /> -� -- LINES <br /> TOTAL 3�1_'.1__.._.._ LINES d 3 = � �.`} LINES <br /> (ALM) . <br /> MEASURED API SPECIFIC GRAVITY <br /> PRODUCT TEMPERATURE <br /> API SPECIFIC GRAVITY @ 600 I° r. _ (FROtS� TABLE A) <br /> COEFFICIENT OF EXPANSION (FROh); TABLE (3) <br /> X : ( <br /> r <br /> � . ...,..m.....a C.O.E. -�-- �.=>? '1kG I`UF'; I3) • <br /> TOTAL CAPACITY {GAL.) VOE.CHANGE!°E i <br /> PRODUCT LINE TESIING SYSTEM <br /> ��_ OWNER OF SITE f <br /> PRODUCT MONITORING ON LL Pruct 1 I t ice; `�A ADDRESS <br /> R E S S ,. <br /> Time Reading. - ma w Serial Number �. <br /> �Militaryj No. Start End +Gain -Gain <br /> -Loss XFactor A CITY ZIP' CODE <br /> Lt�SS ; — STATE <br /> A T E <br /> -- .003 OWNER OF TANK � `.� ; �� � � ADDRESS <br /> 003 <br /> . 00 CITY , <br /> STATE ZIP CODE <br /> F COUNTY <br /> . 00 <br /> x _ 5 <br /> TECHNICIAN(S) DAVE <br />