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• _ ..:.• a .,_ -'. q <br /> DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (EZY CHEK) <br /> A Ztf, Al 13;Se <br /> C2ISP TANK T.STING <br /> SiOC(TO?I,C-1 95113 <br /> CLIENT (i0i)431•; 11 <br /> NAME OF SUPPLIER, n <br /> OWNER 0(DEALER ^h1r!t �_- <br /> DATE OF TEST_ U c1)TIME START TIME FINISH 09 )LENGTH OF TEST <br /> ADDRESS NO.&STRCC � f �, /.� f• l - f i h WEATHER <br /> CITY AND STATE I: r [. -I- <br /> TEMPERATURE <br /> 777 <br /> TANK INFORMATION <br /> ' CAPACITYNOMINAL ! <br /> ( ) 'GALS--SIZE OF FILL OR TEST OPENING - IN. CONTENTS(PRODUCT)�� r �^ <br /> CAPACITY(CHART) GALS. TOP OFF TIME HOUR - DATE - ) <br /> DIMENSIONS: DIAMETERNUMBER OF GALLONS ADDED TO START TEST _—_ GALLONS TANKMATERIAL METALO Q `IBERGLASS(LENGTH TANK NO._rAPPROX.AGE/1D_ PUMP SYSTEM.–TYPE–SUB( ) MAKE <br /> r INCHES OF WATER BEFORE TESTAFTE?TEST LEAK 'DETECTOR YES <br /> SUCTION X <br /> TEST CALIBRATION – <br /> N0 X) <br /> SIZE OF CAL. BAR OR MLS ADDED (- '� 3 3 L T�� TANK LAYOUT VAPOR RECOVERY SYSTEM YES(N) tJ0( ) <br /> I r <br /> (ALM) PHASE I hO PHASE 2 (X) <br /> to - J OVERSPfLL CONTAINER YES ( ) NO (N/,) <br /> 2 j - LINES a` a SHEAR VALVE YES ( NO (\i <br /> to = LINES F .;* <br /> t 3 - -,. t� 1 5- L -�=• --,.- _.COMP!EN".'S: . <br /> z LINESMIT <br /> TOTAL tw LINES_3 = 7' 1 3 —LINES -,_ <br /> - -- ..(ALM) <br /> END OF TEST CALIBRATION - - <br /> r, <br /> SIZE OF CAL.BAR OR ML'S ADDED _ + IfWlp <br /> _ <br /> alrtA - - <br /> r 4 LINE MOVEMENT <br /> LINES <br /> 2 )t ;o '.J <br /> LINES– <br /> /'� to <br /> TOTAL a� LINES - 3= q _� LINES ...am <br /> ALMI <br /> _ MEASURED API SPECIFIC GRAVITY <br /> T... <br /> PRC0L'C7 i EMPERATURE <br /> ters __:. -- - <br /> API SFED:F!C GRAVITY z 00'F <br /> T <br /> COE=^iC1ENT OF EXPANSION '-'�"�,�._', (FR.0"s ABLE A) <br /> (FROM,TABLE B) <br /> – C,0 E. x /- cam.. _ t� 4 (KaCTOR B) <br /> TOTAL CAPACITY(GAL) VOL.CHANGE-1F - - <br /> PRODUCT LINE TESTNG _ -- <br /> _ SYSTEM 3rr'°a#r11I�Ik+� K r� )_, ( �J`{ I � T = <br /> PRODUCTMCNITGRINGON�,_, <br /> o rt' OWNER OF STTEAI I.' �„ I <br /> Tme � Real:,.g ,rocL� SerialrI �,n ACD S.. ' <br /> (Military.) I No I Start End _,umoer <br /> +Gan +Gain <br /> Loss Fac or A 1 oss CIT Y <br /> - STATE l/ 2_P CODE <br /> I ( .003` I.- :- <br /> .00z �T 44 C'WN_R OF TANK i tl ';; ADDRESS •ti- <br /> .00 I I y _Y STATE -- _ - <br /> I .00? f � -.�.is COUNTY <br /> 4 o 9�t <br /> TECHNICIANS; DATE <br /> lift - <br /> as... <br />