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DATA( ",HART FOR TANK .SYS'rEM TIGHTNESS ,TEST," _ <br /> (EZY CHEK) <br /> CLIENT <br /> A. <br /> is - . _ :s�.f s _ ' _ - - - . iT �•5,; i�-�.,�"" ♦ i ��5_S�t 5; <br /> 4'• .. :_'. .!"'�`. iJ- :i 5�, r.ti :g -t+i; .r . � 1 .:Ss 7 ./F - _ 1,, -�.,.f e::1�1 , -, <br /> 1� -L: 'Yid T• 5.i 1,1E'�,, .�`i T - � wF.•."'r 4...� aj i �l.' H <br /> 1. <br /> • - NAME OF SUPPLIER, - � �� �• - - ,, . _ . `' <br /> OWNER OR DEALER C. '�'IE ) sP DATE OF TEST " � �g� T ME StAATZ •T IME-.f INI-"A ' ' 'ENGTH,:-0P-' .TES 5 <br /> ADDRESS (NO. & STREET) O C: I WEATHER TEMPERATURE <br /> CITY AND-STATE 07 c2e2 tf" C _ <br /> TANK INFORMATION <br /> CAPACITY (NOMINAL) GALS. SIZE OF FILL OR TEST OPENING IN. CONTENTS (PRODUCT) ' <br /> CAPACITY (CHART) GALS. TOP OFF TIME HOUR //-pQ DATE - GALLONS 4 TANK MATERIAL METAL FJBER-GL-ASS{- ) x <br /> f, <br /> DIMENSIONS: DIAMETER NUMBER OF ALLONS ADDED TO START TEST 8 APPROX.'AGE _ <br /> LENGTH TANK NO. �7GU - _ , PUMP SYSTEM,r- PE*:iQB()<)- MAK1= ; <br /> INCHES OF WATER BEFORE TEST "�' f�FTI+R TEST •, -SUCT <br /> . <br /> E�4 E?F. TOR' YESti <br /> TEST CALIBRATION - TANK LAYOUT <br /> SIZE OF CAL. BAR OR ML'S ADDED QS _ T � /V >> VAPOR RECOvt~RY.•,.SYSTEM YES# ): NO <br /> (ALM) (FACTOR A) ` <br /> LINE MOVEMENT ' Y <br /> 1 3 �._. to _ 73 LINES <br /> 2 - -� m to 3 4 LINES <br /> 3 - - ��`� to 3 �, LINES <br /> TOTAL _ 1_Q,/ LINES 3 w 1__ LINES <br /> f a (ALM) ff <br /> 1y - <br /> END OF.TEST CALIBRATION ; <br /> SIZE OF CAL. BAR OR ML'S ADDED , 0-5 3 <br /> (ALM) (FACTOR A) <br /> LEVE MOUE T ' ' <br /> 1 to - 3_5 LINES f <br /> 2 to3S LINES J <br /> r _ , <br /> 3 to _2 `� LINES <br /> TOTAL 4 LINES 3 LINES <br /> (ALM) <br /> MEASURED API SPECIFIC GRAVITY 31 <br /> PRODUCT TEMPERATURE a <br /> API SPECIFIC GRAVITY 0 60° F 3 0. _ ••_ — (FRONS TABLE A) <br /> COEFFICIENT OF EXPANSION , _D1 -Z ., „_ ___.,_,._ (FROM TABLE B) <br /> v a 0 ;<.3 6 7 x vn O ct = . � l 9 3 5 (FACTOR B) - <br /> C.O.E. TOTAL CAPACITY (GAL.) VOL. CHANGE?F <br /> PRODUCT LINE TESTING SYSTEM <br /> OWNER OF SITE )P_ e _ e) ADDRESS ° <br /> Time Reading },, TM.`;;.} �� '.. -j# ' ti•= ,s .. <br /> PRODUCT MONITORING ON LL Product Serial Number <br /> _ . _ <br /> Gain <br /> Gain <br /> (Military) No. Start End #Loss XFactorA }Loss CITY '; { _ - p� Eyam�n. STATE ZIP CODE ~ r <br /> —- - - - . <br /> .003 OWNER OF TANK, r ADDRESS <br /> - .00 - - CITY STATE ZIP CODE - ' <br /> --=00 COUNTY Iri <br /> . <br /> .00 ` F/ ! �i <br /> .4?,6,- <br /> _ <br /> II <br /> E <br /> TECHNICIAN(S) DAT �s � <br />