Laserfiche WebLink
hF - - - •r. - - _ <br /> j <br /> ( D Ti ' CHART FOR, TANK .SYSTEM TIGHTNESS_ TES _:, <br /> C ;.. <br /> ..7:7n <br /> y <br /> F�3, • <br /> z ,,, <br /> ...,. '-tC• <br /> MA .f�p ;Ni �>. ^� <br /> .. ,...� -<i ._ .. .. ... ... .-. ... ._ r .... ... -.. ._. ._ k- -a �p( ..t�<- '..tie.`o. -tea '7i. '�ii - --14. r��- �)t-�`•`s'"�. 1. <br /> -3 - <br /> �. 'S .. '-_:. ,,.. _•.:,. ::'- ._.,:'.- .,_.:. -.�.<'� ::.c_... r>�. .x - - tom ¢ s.�<r<�'` <br /> .- 7:.'rF. Qf'.w =1. Yom•' �- � <br /> yyy <br /> T-r.. <br /> i <br /> t <br /> F � <br /> CLIENT. ` <br /> �, . <br /> -SlK i <br /> . <br /> NAME OF SUPPLIER - , <br /> I� S <br /> .17:x`' - - - •'1 F 1 :.� 1. .:•_}�' k - y-. <br /> k OWNER w . 4 , <br /> r= OR DEALER �` , >�i DATE OF TEST T ME` FART }�'.T.,MI=- f YNTS1i 4' LEN T# -0`3 <br /> ADDRESS N0. & ST Ave—, <br /> ( -R WEATHER , TEMPERATURE.=-` <br /> CITY AND'STATE ; t <br /> > <br /> TANK INFORMATION <br /> CAPACITY (NOMINAL),- _ _ GALS. SIZE OF FILL OR TEST OPENING , ' CONTENTS (PRODUCT)' h S P <br /> CAPACITY (CHART) GALS. TOP OFF TIME HOUR o, PATE " GALLONS TANK MATERIAL FETAL( "fF`IBER6 •ASS<' )� <br /> DIMENSIONS: DIAMETER NUMBER OF GALLONS ADDED TO START TEST c�' APPROX. AGE' <br /> LENGTH TANK N0. PUMP SYSTE <br /> TY SUB1RK E <br /> _,,... ..__: M, P <br /> SUC_ TIA ._ <br /> INCHES OF WATER - BEFORE TEST _ :, �)%FTER <br /> TEST CALIBRATION TEST <br /> _ ; .,EYkE , lTE F •YES �. 0. <br /> SIZE OF CAL. BAR OR MLS ADDED , _ 3 �, rAr�KLaYouT`' <br /> _� VAPOR RECOVER�:.:SYSTEM YES4 NO ) <br /> + [ALAR) (FACTOR A} + <br /> LINE MOVEMENT <.. <br /> 1 - I� <br /> to 7 - 4 LINES i } <br /> 2 .�_ ..: to = 3 LINES <br /> 3 314. to _ 7J = 3 LINES <br /> TOTAL K LINES - 3 = O LINES <br /> •v (ALM) <br /> r: <br /> END OF TEST CALIBRATION x. <br /> SIZE OF CAL. BAR OR ML'S ADDED <br /> (ALAS) (FACTOR A) <br /> i <br /> LINE MOVE ENT y. <br /> to LINES <br /> 2 <br /> to .: = LINES e <br /> 3 — �� <br /> -_ to } LINES <br /> _ TOTALLINES . <br /> .__ LINES 3 <br /> (ALM) <br /> MEASURED API SPECIFIC GRAVITY . . - . <br /> PRODUCT TEMPERATURE <br /> API SPECIFIC GRAVITY ® 60° F (FROM TABLE A) <br /> COEFFICIENT OF EXPANSION oo 6 (FROM,TABLE B) - <br /> `f3 �f X / 0604 _ <br /> .3 (FACTOR B) �{ <br /> sr }a _ C.O.E. <br /> TOTAL CAPACITY (GAL) VOL. ChIAPIGEI°F <br /> PRODUCT LINE TESTING t <br /> . ,- SYSTEM - <br /> PRODUCTMONITORINGONLtOWNER OF SITE V,1 : rGkeyd, _f. ADbRE5S eoo hAve <br /> 7elldo Ay <br /> Time Reading Product Serial Number - <br /> +Ga�n +Gain <br /> (military) No. Stara End -Loss . .X Factor A -Loss CITY STATE . ZIP'`CODE <br /> ,� c <br /> f <br /> tf , 1 < I'J •,.\ . z - . -' '.: v is 4 -.1 - - a. - ' <br /> 003 OWNER OF TANK ADDRESS <br /> • <br /> i. <br /> -- CITY r STATES. ZIP CODE <br /> tt <br /> 003 <br /> COUNTY S' 00 au) <br /> _ • _ . _ - . _ _ •- ' - - - • �-=� - iii�r i�� � � rf V <br /> TECHNICIAN(S) - DATE~ = <br />