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DAT\ CHART FOR TANK .SYSTEM TIGHTNESS TEST Y <br />4C (EZY CHEK) <br />�i <br />(209) 931., 12.8 MAY, <br />ENi'C:i !Vl I ISA! iFI� <br />CLIENT / PERfAI, 1 SEf'Vi ES <br />NAME OF SUPPLIER, ) r 'i % �/q TIME STARTI" O') TIME FINISH f'dP*�� LENGTH OF TEST%?''- �' S <br />OWNER OR DEALER ?%? ��' ` " — DATE OF TEST 5� TEMPERATURE S <br />i� <br />ADDRESS (NO. & STREET) WEATHER D <br />CITY AND STATE y } `" - ., <br />I <br />TANK INFORMATION <br />CAPACITY (NOMINAL) )?,000 GALS. <br />CAPACITY (CHART) GALS. <br />DIMENSIONS: DIAMETER Cl/ <br />LENGTH <br />SIZE OF FILL OR TEST OPENING `t <br />TOP OFF TIME HOURZ800 DATE _�_� GALLONS <br />NUMBER OF GALLONS ADDED TO START TEST _-L b <br />TANK N0. 0 :1 <br />INCHES OF WATER - BEFORE TEST- — AFTER TEST <br />TEST CALIBRATION_ <br />I <br />` __ pC�°t` <br />-(F <br />SIZE OF CAL. BAR OR ML'S ADDED <br />(ALM) NC- TOR A) <br />LINE MOVEMENT '� <br />c; n to �� _ 1- <br />LINES <br />2 - to _ '7_. <br />LINES <br />3 to 3 G = <br />LINES, <br />LINES <br />TOTAL 51 <br />LINES _ = <br />3 (ALM) (ALM) <br />END OF TEST CALIBRATION <br />-�` <br />SIZE OF CAL. BAR OR ML'S ADDED <br />(ALM) (FACTOR A) <br />LINE MOVEMENT /00 _ <br />t to <br />LINES <br />_ Jr <br />2 to /0 D =_ i <br />�i <br />LINES <br />LINES <br />3 % to _--/02 <br />6 <br />LINES _ 3 = 95, 3 LINES <br />TOTAL <br />(ALM) '. <br />�J q. <br />5 <br />MEASURED API SPECIFIC GRAVITY <br />PRODUCT TEMPERATURES <br />(FROM TABLE A) <br />API SPECIFIC GRAVITY ® 60° F�/ d (� <br />(FROM TABLE B) <br />COEFFICIENT OF EXPANSION <br />(1-)kcTOR e) <br />" TOTAL CAPACITY (GAL) OL. CHANGE!° F, <br />.,... <br />C.O.E. <br />.00 <br />SYSTEM <br />PRODUCT <br />LINE TESTING <br />PRODUCT <br />MONRORING <br />ON <br />LL <br />ProduG <br />Time <br />(Military) <br />Reading <br />-No. <br />-Loss <br />Start <br />End <br />+Gain+Gain <br />-LossX <br />Factor A <br />.00 . <br />.00 <br />.00 <br />IN. <br />CONTENTS (PRODUCT) _ <br />TANK MATERIAL METALS F:IBERGLASSI ) ;; <br />APPROX.AGE SUB( } MAKE <br />PUMP SYSTEM7rTYPE- <br />OWNER OF SITE LOf�,4 <br />CITY S tQC. fe n <br />im <br />- _ CITY <br />i <br />COUNTY <br />Shc� n <br />I TECHNICIAN S, <br />1 ADDRESS <br />STATE Ca ZIP CODE <br />nv0 ADDRESS;. <br />