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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> � <br /> ( CHs. <br /> CRISP ZAXK TES711C <br /> F.0.SOX 3"V <br /> STOCCTON,CA 95:.13 <br /> (209)931-Ign <br /> CLIENT <br /> - <br /> NAME OF SUPPLIER, �� DATE OF TE -/_120 aME START )) '?(e., TIME FINISH�? LENGTH OF TEST <br /> OWNER OR DEALER e / / l �1 ',rJ ti TEMPERATURE �U <br /> ADDRESS(NO.3 STREP `� '1 L ^ "r WEATH�R <br /> CITY AND STATE <br /> TANK INFORMATION IN. CONTENTS(PRODUCT) <br /> CAPACITY(NOMINAL) 1�•QC7� GALS. SIZE OF FILL OR TEST OPENING ? �) TANK MATERIAL ME AL ) FISERG_s55{ <br /> HOUR/ �p DATE�{_/T-95 GAL_'ONS f <br /> CAPACITY(CHART) GALS. TOP OFF TIME ' g APPROX.AGE <br /> DIMENSIONS: DIAMETHR NUM5ER OF GALLONS ADDED TO START icST_� PUMP SYSTEM-YPc_SUB( ) MAKE <br /> LNGiri TANK NO. _ SUCTION <br /> INCHES 01:WATE3 - BEFORE TEST AF'.cR TEST � LEAK DETHCTOR YE_ NO { <br /> �T.��' <br /> TANK'-AY--'.;7 VAPOR R=COV===RY SYSTEM YES( NO( <br /> TEST CZUBRATION - a� =aL yyt. L PHASE 1 04 PHASE 2 ( ) <br /> Si OF CAL BAR OR M_S ADGSG (Fh:,�A( OVERSPILL CONTAINER YES( )NO(Q¢ <br /> UNE MOVEIAENT^ SHEAR VALVE YES( ) NO(� <br /> to <br /> 147 = LINES <br /> 2 2 to <br /> ci = LINES COMMENTS: <br /> to V-' z —UN=_S <br /> 3 TOTAL 4 LINES -3 = �. LINES <br /> ENC OF TFFSi CALIBRATION •D,5 _�� _ .� <br /> Si`OF CAL BAR OR ML'S ADOEO (ALMA (FA d^Al <br /> UNE MOVEMENT r <br /> 2 ,to LINES <br /> 3 i to / : l LINES �� <br /> TOTAL UNE= - 3 = LINES <br /> (AL?Al <br /> MEASURED API SPECIFIC GRAVITY 'I a <br /> PRODUCT TEMPERATURE 3LE A) <br /> API SPECIFIC GRAVITY a 60°F (FR-OM(FR-OM TATA3LE B) <br /> COE==iC1ENT OF EXPANSION Ulu a2V <br /> Z l0 6 6 o� X 1 D 0 0 L (CAV w=;2L MANticCm � (FAC''JR 8) <br /> TOTAL QAFACfTY ^F <br /> COMMENTS: <br /> OWNER OF SITE ADDRESS <br /> CITY STATE ZIP CODE <br /> OWNER OF TANK ADDRESS <br /> CITY STATE ZIP CODE <br /> COUNTY <br /> TECHNICIAN(S) DATE <br />