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'lo DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> OV tiS�P`��t cat a�zmTma <br /> cLofr <br /> Q� <br /> -NAMEOFSUPPU _i __ _ _ _ <br /> r ��r ____ <br /> OWNER.OR /�N' f n D.d' GdS DATE OfTrS'// T/}I`-TrME�gTART%9� i TIME FINISHOOLENGTH CF TEST �'- ;) <br /> ADDRESS(NO:&STREFU WEATrIER C' PO r Tluocpan iRF <br /> CFrY AND.TANK INFORMATION <br /> CAPAC.•TY(NOMINAL)/� GALSI SZ=OF FILL OR 7ES10PENING `f IN. CONT=_NTS(PROOUC_T) RC� Gd <br /> CAPACITY(CHART) GALS. TOP OFF TIME - HOUR/zJ00 DATE(/-L- �/ GALLONS 73 do ME-A ° oc c- <br /> TANKMA -=RIAL - L•(L) F---R„-A__( <br /> DIMENSIONS: OGiMEi NL'M9Ei OF:GALLONS AOOJ TO r:.n. APPROX.AGc <br /> LI-NG-.,i TANK N0. r7 I7P PUMP SY .EM-7YPE--U3(k) MAKE <br /> INCH=SOF WA7ER - SEFORS TEST_ AR----TEST SUCTION(_ ) <br /> TES CALIBRATION. LEAK OETEOTOR y- NO <br /> - <br /> SiZE OF CAI. BAR OR MLS AuOc. . 0 _ �,� _ �,�� TANK LAYCUT �) ES ( ) <br /> G" VAPOR REOOVcRY S STEN YES( N01. <br /> IA..•A� 1]A:7n Al PHASE (x] PHASE 2 (`r) <br /> L'N_MCV'cM_NT OVERSPILL CONTAINER YES( <br /> I �3 tc 3 = + LINES SHEAR VALVE YES(1-) NO( ) <br /> 2— '7rh tc 39 = 3 L'N=: <br /> e =F 7 .c c/^ 4 3_ __ <br /> INc- <br /> 1�7AL la 6 'IN=- <br /> N E <br /> AU <br /> END OF'S CAL'BR..TION <br /> S5ZE OF CAL. BAR OR MCS ACCEO <br /> L.'NE MCVEMENT IALw 1.;•„ A� I . <br /> rte <br /> 2 ' <br /> LINES <br /> 7tc Oq r{./ <br /> '-INES <br /> Iv A_ /a9 LINES <br /> IAIMI <br /> MEASURE? API SPEO:F,C GR,:VMT'Y <br /> PRCOUCT i=MP---IA JRE 6 6 <br /> API SPECIFIC GRAvr7Y 2 5u° (F-MOM iA3L A) <br /> COE=1CtEVT_ OF ?ANSION (FROM TA.3L E) <br /> C.Ot TOTAL- &Z-TY IGAU WL CNANGEc F <br /> COMMENTS: <br /> - ... _ OWNER OF SITE = ADDRESS <br /> C=ry <br /> STATE Zi? CODE <br /> OWNER OF TANK ADDRESS <br /> CITY TE <br /> ZIP CODE <br /> COUNTY S .SU <br /> Pon F tri i - - 9 <br /> -_HNiC:A'a 51 OATE ' <br />