COMPLIANCE INFO 1986-2007 - Laserfiche WebLink

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14. Name of Supplier.Owner or Dealer Address No.and Sulfate) City State Data of Test 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From 5 n ❑ station Cheri �(� N x E:D Nominal Capacity -KTank Manufacture;.Chan I Identity by position j� e- u � fly y r Gallons ❑ Company Engineering Data D tO� r1 / `�)�u� ❑ Charts supplied with Tank Tesler f"- Brand and Grade By most accurate b 0 / c pacify chat available {� ❑ Other Gallons 17. FILL-UP FOR TEST ea, Gallon. Tot Reading Stick Water Bottom n n 6 n inventory In Tank ��ti before Fill-up L/ 7 _ /L'Z (//(p to W Gallons Tank Diameter Water Bottom . 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water in lank ❑ Linet.)being tested will LVLLT Top off equipment + See manual sections applicable.Check below and record procedure in log(27). ❑High water table'm tint e.cavmmn Trial Ouanity 0 �G Life maximum allowable lest pressure for all tests_ 19. TANK MEASUREMENTS FOR Four pound rule does not apply to doublewalled tanks. TSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM ❑stage ❑stage u Complete section below_ Bottom o1 tank to grade' ............................ in. KI� Addax"ror'r'proboasky......_............._.... 0-30 in. 24b. COEFFICIENT OF EXPANSION 1. Is four pound rule required' vee LlNolLY Total tubing to assemble—approximate..... ....... I O D in. RECIPROCAL METHOD 2. Height to t Y man from grade _in. 20. EXTENSION HOSE SETTING Type of Product ........__ C s Tank lop to grade'...................... . in. HYdrometer Employed .........-............... ...... H Extend hese an suction tube 6'or more Temperature in Tank 3. Pressure at Whom of tank Ht P'S 1, After Circulation.... �— -F below lank lap.... ._............. /� ........_...._._................ 'II Fill gr p Temperature of Sample ......... _................... °F 4. Pressure at lop of lank ��.�P.SL pipe extends above ode,use to 011111. - USE WITH THERMAL SENSOR Dinnim.(.i-)........................................� S6 tTF Depth of burial _ in. PN5039 (Blue Box) ObservedA.P.L Gravity .... < 9 22. Thermal-Sensor reading after circulation ^---ss ��1y �3 / Q{� digits Reciprocal d 0'-V O Page o f Tank tlia. �.in. ��0^%p� Vn Between ,F � r 0 d,3o✓?y^Yz- _/1�0 h�,n 23. Digits per-F in range of expected change Total quantity In Reciprocal Volume change in Water table to lank bottom digits full tank(17) this tank per•F Tamale,to Line 26a. NOTESt 24a. IF USING THERMAL SENSOR DTS-2000 OR OC-2000 WHICH READ 1000 DIGITS 24c. FOR TESTING WITH WATER sae Tablec AD PER OF TRANSFER 1000 TO LINE 26, tion DIGITS PER OF IN TEST RANGE. Paler Tempemhereatler Cm...._ Table Chom Thermal Sensor.a........_............... 'F Coefficient of Water The above calculations are to be used for dry soil conditions to Table D................................................ establish a positive pressure advantage,or when Using the four pound rule to compensate for the presence of subsurface water in the tank Added Surfaci ❑yes ❑No Transfer COE to Line 25b. area. Rater to N.F.P.A. W. Sections 2-3.2.4 and 2-7.2 and the tank 25, (a) x (b) o (C) gallons manufacturer regarding allowable system test pressures. Total quantity in Coefficient of expansion for Volume change in this lank full tank 1171 involved product per°F 26. (a) 2 1000 C & -- ✓'o3If This 1. Volume change per°F(25 or 24b) Digits par°Fin lest Volume change per digit test