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s ! _ <br /> DATA : !ART FOR TANK .SYSTEM TIGHTNESS TEST <br /> v CRISP TANK TEST, 0 <br /> ' MAY 2 5 1994 i F. 1). BOX 30487 <br /> ! STOCKTON, CA 95�.. <br /> e�kF MENTAL HEALTI i (2011931.1825 <br /> ,eviIT/SERVICES i r <br /> NAME OF SUPPLIER, } i� �Yi _ } <br /> -- 014INEfi,.ORDEALEIR -7 �'i � �:��.� F� ? r � t- �` a; ,%� DATE OF TEST ��` r��,�. T2i'+IE FINISH LENGTH OF i'i=5T... - <br /> ADDRESS (NO. R STREET) • ' WEATHER ! - <br /> TEMPERATURE, <br /> CITY AND STATE r a �. 1, �•�� .� , ` <br /> TANK INFORMATION <br /> CAPACITY-(NOMINA41 ­� ( �--r_')_- FILL <br /> _ � Gr1±l..cs.• SIZE OF OR TEST OPEN iNG �f IN. CONTENTS (PRODUCT) <br /> CAPACITY (CHART) GALS. TOP OFr= TIME HOUR/t DATE c' _ , �' GAL!ONS TANK MATERIAL MET AL{ } `=T R�� <br /> DIMENSIONS: DIAMETER NUMBER OF GALLONS ADDED TO START TEST APPROX. AGEE <br /> � SU:3{ ) <br /> LENGTH TANK NO. .?7 f c C PUMP SYSTEM_.TYPE i A <br /> CTION C7 <br /> INCIHES Or WATER ER - BEFORE TEST 1 r,r I �R TEST �JSU - <br /> TEST CALIBRATION � �.-.-�. �" - <br /> LEAK. -DETECTOR YES NO ) <br /> p, TANK LAYOUT VAPOR RECOVERY S T �M Y (,?x'-) NO{ <br /> S! _ Or ;L. SAF OR ML'S ADDS' F al <br /> (FACS•vR A) I ; <br /> i <br /> LINE MO`. EMEN <br /> LINES i <br /> 2 t c _ <br /> 3 ~ ; to _ a LINES j <br /> TOTAL c LINES - -- s `. _ LINES } <br /> (ALM) <br /> END OF TEST CALIBRATION <br /> SiZ= OF CAL. BAR OR ML'S ADDED <br /> (AL-Ml {rind:JR A� I <br /> LINE MOVEMEN T <br /> L1NE3 <br /> 2 LINES <br /> 3 N <br /> to ` _ ?, _ <br /> - rte+ , �j <br /> ivTAL �( LINES - ., = a ®� ;NES <br /> MEASURED API SPECIF.iC GRAVI;ti oe <br /> PRODUCT TEMPERATURE . i <br /> 0 <br /> AP! SPECIFIC GRA1�I T Y a 60 F__. (FROM 3'i�$L_E <br /> A) <br /> COEF=ICIENT OF EXPANS. - d ' ._.,—..�... (Fmom T;SBL_- 8) <br /> TOTAL CAPACI;Y (GAL.) VOLC}ANGE'o F <br /> LOFT-M tN I�.. - <br /> OWNER OF SITE��, �� `� �, Utz � £; ADDRESS <br /> G I TY 5 1_0 STAT ZIP <br /> CODE <br /> ..,_ <br /> p I E _,, r_ . Z DE <br /> OWNER OF TANK �.� E�� .�,t�'f,� ADDRESS <br /> T--- --- - -.... --- CITY STATE ZIP CODE <br /> COUNTY <br /> • i <br /> - TECHNICIANS` DATE <br />