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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> XZY CHEK) <br /> CRISP TANK TESTING <br /> P.0.00:::0437 <br /> CLIENT Q03j,^CI-i«73_.__'-�" <br /> NAME OF SUPPLIER. - ' <br /> OWNER OR DEALER - y, - <br /> ADDRESS(NO.SSTRI:= I �,,,, p DATE OF TEST ��ATi ME START//A%l TIME FINISH /)'»' LENGTH OF TEST 4 - <br /> CITY AND STATE_ %///1 :11— WEATHER, o' FuRE <br /> TANK INFORMATION <br /> CAPACITY(NOMINAL) 10000 GALS. SIZE OF FILL OR TEST OPENING <br /> CAPACITY(CHART) GALS. TOP OFF TIME HOUR OA7 IN. CONTENTS(PRODUCT) 14, <br /> DIMENSIONS: DIAMETER NUMBER OF GALLONS ADDED TO S7AFT TEST GALLONS TANK MATERIAL METAL( ) <br /> (X BERG F� <br /> SS( I . - <br /> LENGTH TANK NO. /)/TP APPROX.AGE <br /> PUMP SVSTEMdYPE-SUB HAKE � - <br /> INCHES OF WATER - BEFORE TEST AFTER TEST 4— .• SUCTION <br /> TEST CALIBRATION LEAK`DET. TOR VES C - ND ) <br /> SIL OF CAU BAR OR ML'S ADDED 0 _ 39-G =.00 TµK uwur VAPOR RECOVERT SYSTEM YES G-1 NO <br /> UNE MOVEMENTp 4�LMI 6•:C10R AI PHASE ! ( ) PHASE 2 ( ) <br /> I— r-9to `S OVERSPILL CONTAINER YES ( ) NO (X) <br /> 2 to 9G�. —LINES SHEAR VALVE YES (>d NO ( ) <br /> 3_t0 LINES- V•0 LINES COHHEN^.S: <br /> TOTAL I I Y LINES-3- 3 5 6 <br /> (ALM) LINES <br /> END OF TEST CALIBRATION _ <br /> SIZE OF CAL.BAR OR ML'S ADDED <br /> v <br /> UNE MOVEMENT (AIMI F4CWR AI I <br /> 24R I0 LINES <br /> 3 5 I I0 Q;� - '� I LINES—�LINES � <br /> TOTAL I LINES -3 LINESAM <br /> MEASURED API SPECIFIC GRAVITY_ 3 T S <br /> PRODUCT TEMPERATURE <br /> API SPECIFlO GRAVITY C SO'F_ S - <br /> COEFFICIENT OF EXPANSION_ 000 V S 7 (FROM TABLE A) i <br /> (FROM.TABLE B) <br /> DOD45h7 x_ YIJ,(bC� _ <br /> (5kC70R B) I <br /> TOTAL GVaC1TY1W L1 WL CIIANGE'F <br /> PRODUCT UNE TESTING SYSTEM <br /> I Time.I IRaCPRODUCT AONIIDRING ON //// <br /> Pma O1i /h 1. Sun Serial Nu6erl Y �k,I P4T <br /> ADORESS QW7ri ti <br /> XF3=A /J p� <br /> CITY n7 a7 STATE a4i ZIP COCE sT_ <br /> 0 <br /> . 0 I <br /> I OWNER OF TANK ADDRESS <br /> CITY <br /> .00i I STATE ZIP CODE <br /> I.^. I I I COUNTY l t <br /> 2 1 <br /> €NVIRONM€NTALI "' oarE <br /> HEALTW - <br /> R���IIfi�n��VIG�I� - - - - <br />