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14. <br /> x , Name of Supplier.Owner or Dealer Address No.and Streets) City State Date pf Test <br /> 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16, CAPACITY From <br /> q <br /> 11) ❑ Station chart <br /> L Y ry 2 r T—a h K 1 f-4,V C~ Nominal Capacity �OOD ❑ Tank Manufacturer's Chart <br /> identityb lion � I Gallons <br /> Y post I �J'] ❑ Company Engineering Data <br /> , 1\1 <br /> �C yt /^/ L1Crudesupplied with Tank Tester <br /> Brand and Grade _f By most accurate (D/ Q[. <br /> _ capacity chart available ❑ Other <br /> Gallons <br /> Total Gallons <br /> 17. FILL-UP FOR TEST ea.Reading <br /> Stick Water Bottom _DmTank % <br /> before Fill-up C/ n in <br /> to`M1" Gallons Tank Diameter <br /> wares Bosom - a <br /> . 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑water in tank ❑ Loeb)Pon,tested wihLVLLT Top gffegWpment + zO <br /> See manual sections applicable.Check below and record procedure in log 127). ❑High water table in tank excavation Total Quantity <br /> Like maximum allowable lest pressure lor all tests. 19. TANK MEASUREMENTS FOR V <br /> Four pound rule does not spot,to douw <br /> blealled tanks. <br /> TSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM ❑sage) ❑sageu <br /> Complete section below: <br /> Bottom of tank mgrade' ._.............._.._...... in. <br /> Add 10-for'T probe easy,............. 30 in. 24b. COEFFICIENT OF EXPANSION <br /> 1. Is four pound rule required? Yea ❑ No Total tubing to assemble—approximate. lit. RECIPROCAL METHOD <br /> 20. EXTENSION HOSE SETTING Type of Product .............—.............—.......... <br /> 2.Heigh to t2'mark holo grade in. <br /> Tank top to grade'. in. Hydrometer Employed ......................._.........�H <br /> ................................. <br /> Extend hose on suction tube 6"or more Temperature in Tank p <br /> 3. Pressure at bosom of tank �"li f/'J P$.l. After Circulation......._............ .................. <br /> below tank lop...................................... in. QQ_�� <br /> Temperature of Sample............................_... �x�°F <br /> 4. Pressure at tap of tank lr 7�1 P'S 1. -If Fill pipe extends above grade,use top of fill. <br /> USE WITH THERMAL SENSOR Dmerencer�-1.........._._........_................ �.2r`6•�J' <br /> Depth of burial in PN5039 (Blue Box) Observed ARI.Gravity J�, Z <br /> ' 22. Thermal-Sensor reading after circulation ) <br /> digits Reciprocal q q� Pepe x 3� <br /> Tank of.. if. •F �/ <br /> Between 3/ /�rgz SNy9�3/9 <br /> 23. Digits per°F in range of expected change Total quantity in Reciprocal Volume change in <br /> Water table to tank bottom /0'24in digits full tank(17) this tank Par'F <br /> Transfer to line 26a. <br /> NOTES: <br /> 24a. IF USING THERMAL SENSOR DTS-2000 <br /> OR OC-2000 WHICH READ 1000 DIGITS 24c, FOR TESTING WITH WATER see Table cap <br /> PER OF TRANSFER 1000 TO LINE 26, <br /> Water Temperature after Circulation <br /> DIGITS PER OF IN TEST RANGE. Tablecbgm Thermal Sanson_............._.......... P <br /> Coefficient of Water <br /> The above calculations are to be used for dry soil conditions to Table D ....... ......................_....._......... <br /> establishre positive pressure advantage,or when using the four pound <br /> rule to compensate for the presence of subsurface water in the tank Added Surfactant? ❑Vaz ❑Ng Transfer COEto Line 25th. <br /> area. <br /> Refer to N.F.P.A. 30, Sections 2-3.2.4 and 2-7.2 and the tank 25. (a) x (b) _ (C) gallons <br /> manufacturer regarding allowable system test pressures. Total quantity in Coefficient of expansion for Volume change in this tank <br /> full tank(17) involved product Par'F <br /> 26. (a)544g7'5/9 /OcD = , 005'' ?<19'e7 Tblsla da6y <br /> Volume champs per•F(25 or 24b1 Digits Per•F in lest Volume change Par digit test <br />