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14. Loot CCXZQt Lfc2+., F—+-/ y1 L. Name of Supplier,Owner or Dealer Address No.and Street(s) City State Date of Test 15. TANK TO TEST y 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From la° 1:1 Station Chart I. " Nominal Capacity ^`�"` R] Tank Manufacturer's Chart Identity by position � Gallons ❑ Company Engineering Data /1 O 1:1Chart&supplied with Brand and Grade By most accurate r d capacity chart available ❑ Other Gallons 17. FILL-UP FOR TEST Total Gallons Gallons ea.Reading Stick Water Bottom -,!> � ��Fa,+ `�I belore Fill-up In. In. Inventory _ ! � � to A" Gallons Tank Diameter i Oto 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water In tank ❑ Line(s)being tested with LVLLT See manual sections applicable.Check below and record Procedure In log(27). ❑High water table In tank excavation Use maximum allowable test pressure for all teats. 19TANK MEASUREMENTS FOR Transfer total to line 25a U (y fr Four pound rule does not apply to doublewalled tanks. . TSTT ASSEMBLY Complate section below: 21. VAPOR RECOVERY SYSTEM ❑stage I ❑stage II Bottom of tank to grade' ............................ In. Add 30'for"r'probe&say........................... 30 in. 24b. COEFFICIENT OF EXPANSION 1. Is four pound rule required? Yes ❑ No ❑ Total tubing to assemble—approximate............. In. RECIPROCAL METHO� ............ ...... . 2.Height to 12"mark from bottom of tank In. 20. EXTENSION HOSE SETTING Type of Product................... 1 11 +1� Tank top to grade*.................................. In. hydrometer Employed.................................. ti H Extend Lase on suction tube S"or more Temperature In Tank 3.Pressure at bottom of tank P.S.I. After Circulation........................................ v L4 IF belowtank top...................................... In. (� 4. Pressure at top of tank PSI 'It Fill pipe extends above grade,use top of fill. Temperature of Sample................................. r(.J •F ' s ZZ. Thermal-Sensor reeding after circulation Difference(•/-)......................................... •F digits ` Depth of burial In. S7 t't`�(� •F Observed A.P.I.Gravity ................................. 23. Digits per IF In range of expected change di 1f' Reciprocal J�aL_ Pape ls SLS Tank dia. In digits COEFFICIENT OF EXPANSION (Complete after circulation) C3L 7 I '_Q-6 , � p 24a. Corrected A.P.I.Gravity Total quantity in Reciprocal Volume change In Water table in, full tank(16 or 17) this tank per IF NOTES: Observed A.P.I.Gravity................................... Transfer to Line 26a.Hydrometer employed................................... H Observed Sample Temperature ......................... IF 24c. FOR TESTING WITH WATER see Table C A D Corrected A.P.I.Gravity Water Temperature after Circulation SVF.From Table A.............I...................... Table C................................................ 'F CCoefficient of Expansion Coefficient of Water The above calculations are to be used for dry soil conditions to for Involved Product Table D................................................ establish a positive pressure advantage,or when using thefourpound From Table ............................................ rule to compensate for the presence of subsurface water In the tank Transfer COE to Line 25b. area. Added Surfactant? El Yet El No Transfer COE to Line 25b. Refer to N.F.P.A. 30, Sections 2-3.2.4 and 2-7.2 and the tank 25, (a) x (b) _ (C) gallons manufacturer regarding allowable system test pressures. Total quantity in Coefficient of expansion for Volume change In this tank full tank(16 or 17) Involved product per IF 26. (a) t 3`1 IQ-.'L '1 32(-a = 1 0004zo t 3 This Is Volume change per IF(25 or 24b) Digits per IF In test Volume change per digit test Range(23) Compute to 4 decimal places. factor(a)