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14. L ) — II <br /> a Cit State Data of Test <br /> Name of Supplier,Owner or Dealer Address No Street Y <br /> 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From <br /> (ns ❑ Station Chart <br /> V1 1` Q Nominal Capacity <br /> Tank Manufacturer's Chart <br /> I Q( �J r� �1 <br /> Y 1 I Identity by position �( I [� Gallons ❑ Company Engineering Dela <br /> Su N — ❑ Chars supplied with Tank Trader <br /> Brand and Grade By most accurate _ <br /> capacity chart available �'c -I ❑ Other <br /> Gallons <br /> Total Gallons <br /> 17. FILL-UP FOR TEST se Reading <br /> Stick Water Bottom I r A,C y 7 a (, Inventory In Tank Ar y ) <br /> before Fill-up / ` n- _ In <br /> to%" Gallons Tank Milmater <br /> waturemmm - r <br /> 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water intank ❑ Linels)being tested with LVLLT Top off equipment :2- <br /> See <br /> See manual sections applicable_Check below and record procedure in log(27). ❑High water table in tank excavation Total Quantity sJ�/ <br /> We maximum allowable test pressure for all tests. 19. TANK MEASUREMENTS FOR OO <br /> Four pound rule does not apply to eoumewaned tanks. TSTT ASSEMBLYll��I <br /> Complete section below: / 21. VAPOR RECOVERY SYSTEM ❑Segel Ia Stege 11 <br /> Bottom of tank to grade' ._ .. <br /> ... .................... in. <br /> hI�77I <br /> Add so'for"r'probe easy,... ......._.._...___.. �{ 30 m. 24b. COEFFICIENT OFEXPANSION <br /> t. Is four pound rule required? yes L1No14 Total tubing to assemble—approximate_........... / " O in. RECIPROCAL METHOD <br /> Type of Product ................... _.......... ;S UI L <br /> 2.Height totrmark homgrew in. 20. EXTENSION HOSE SETTING <br /> Tank lop to grade• 7 V m. Hydrometer Employed .._..............................� <br /> .................................. <br /> ' Temperature in Tank <br /> Extend nose on suction tube 6"or more <br /> 3. Pressure at bottom of tank 2 P.S.I. < Aber Circulation.................................I...... 7 °F <br /> below tank top.............. _........, n ,v <br /> Temperature of Sample ..................._............ °F I. <br /> a. Pressure at lop of tank <br /> P S t 'If Fill pipe extends above grade.use tap of till. <br /> L/ USE WITH THERMAL SENSOR Difference I,/-) <br /> Depth of burial -7(� in. PN5039 (Blue Box) Observed A.P.L nsGravity ...... 3�'6 <br /> in. 22. Thermal-Sensor reading after circulation <br /> digits Reciprocal �y�/� PageN <br /> Tank oia. 9>� °F a"/ �7 )"i 1 <br /> Between <br /> 23. Digits per•F in range of expected change Total quantity in Reciprocal Volume change in <br /> 27 in digits lull tank(17) this tank Par F <br /> Water table to tank bottom Transfer to Line 26a. <br /> NOTES: <br /> 24a. IF USING THERMAL SENSOR DTS-2000 24c. FOR TESTING WITH WATER see TeblaCaD <br /> OR OC-2000 WHICH READ 1000 DIGITS <br /> PER OF TRANSFER 1000 TO LINE 26, <br /> Water Temperature alter Circulation <br /> DIGITS PER OF IN TEST RANGE. Tae cfrom Thermal sensor.__...........__........ •F <br /> CCoefficient of Wale, <br /> The above calculations are to be used for dry soil conditions to Table D ................................................ <br /> establish a posilivepressure advantage,orwben using the four pound <br /> ,.to to Compensate for the presence of subsurface water in the lank Added Surfactant? ❑yes ❑No Transfer COE to Line 25b. <br /> area. <br /> Refer to N.EP.A. 30. Sections 2-3.2.d and 2-7.2 and the tank 25. (a) x (b) _ (o) gallons <br /> manufacturer regarding allowable system test pressures. Total quantity in Coefficient of expansion for Volume change in this tank <br /> full tank 1171 involved product par°F <br /> 26. (a) �j H6y7 = /CCD = DO SH SH This is '006-6- <br /> Volume change per•F(25 or 24b) Digits per•F in test Volume change per digit test <br />