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DATA t TART FOR TANKSYSIT U TIGHTNESS TEST <br /> t� CH _ E <br /> CRISP TANK TESTS <br /> P. 0, Box 01ID4$7 <br /> M A Y 2 0 STOCKTON, 44 952 <br /> (209) 9211.1923 1 <br /> CLIENT ENVIRONMENTAL HEALTH <br /> NAME OF SUPPLIER PSR 1TISFRVICES <br /> _ t. .._ . <br /> OWt4FR.OF� EAL -� - '- - ` ` . � � DATE OF TEST. { •°- TIME-START ' ? `� TIME INISH E LENGTH OF TFS'� - <br /> ADDRESS NO. S STREP ". cTEMPERATURE <br /> ( � �- ��s ,�F � - F- -, ...---•---.. WEATHER �— - 1 _ <br /> CITY AND-STATE oe A `l0h .-s <br /> TANK INFORMATION - <br /> - - CAPACITY(NOMINAL) ` ��' GAIL-S. SIZE OF FILL OR TEST OPENING IN. CONTENTS (PRODUCT) ���t``C 2 OL) _- <br /> - F � HOUR ; �( .�. � , , TE METAL <br /> AL <br /> CAPACITY {CHAr�T) _- - GALS. TOP OFF TIME t`r DATE GALLONS �' `:_ TANK MA,cR1AL - -- - - . <br /> DIMENSIONS; DIAMETER NUMBER OF GALLONq ADDED TO START TEST APPROX. AGE <br /> LENGTH TANK NO. 1") PUMP SYSTEM-TYPE�'OEQe-) NAGE <br /> INCHES Or= waTER - BcFORE TEST ' _ �,F Fps T EST m;- <br /> SUCTION <br /> TEST CALIBRATION � LE 1�IC- DETECTOR YES - NO_4 ) , <br /> A� <br /> TANK LAYOUT VAPOR P�LOVERY SYSTWl Y-S( } NO( <br /> i <br /> Si—� Qt= "- ; BAR OR M�" <br /> L. S DED <br /> (FA=;,r.A) <br /> LINE MC E-MEN T <br /> 1 <br /> 1 to _ fir' C_ LIN�—y <br /> � <br /> 2 �' to <br /> LINES <br /> —S <br /> 3 '' to `" _ 7 LINES <br /> 13 <br /> TOTAL r .,9 LINES LINES i <br /> {ALM) <br /> END OF TEST CALIBRATION <br /> SIZE OF CAL. BAR OR ML'S ADDED �y r <br /> (ALM) (rig 'an At t <br /> LINE MOVEMENT r <br /> V ES <br /> -_ LII I <br /> 2 to LINES <br /> �3 <br /> 3 > CJ to > r LINESi <br /> LINES _ `b ..;NES <br /> (ALM) <br /> MEASURED API SPECIFIC GRAVITY <br /> PRODUCT TEMPERATURE-- <br /> API SPECIFIC GRAVITY c 600 r (FROM TABLE A) <br /> COED=CCENT OF EXPANSION <br /> (FROM TA:BL= B) I <br /> tri ' � � _. __. x t _ t C a_ (FACTOR $) <br /> TOTAL CAPACITY (GAL) VOL CNANGE�°F <br /> — j <br /> OWNER OF SITE � t ,' ` ? ADDREczS <br /> CITY STATE ' 4 ZIP CODE <br /> OWNER OF TAMC t �` 'c •` !'? OV(-]ADDRESS <br /> CITY <br /> STATE ZIP CODE . <br /> - - <br /> TECHNICIAN(S) DATE <br />