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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> (EZY CHEK) <br /> r J <br /> CLIENT <br /> NAME OF SUPPLIER, <br /> OWNER OR DEALER {�:� ` ��� /1 =1 i t DATE OF TEST/�"1 �"�/T i"^E START �C'7 TIME FINISH LENGTH OF TEST <br /> ADDRESS(NO.&STREET) WEATHER i" / TEMPERATURE <br /> CITY AND STATE 7 1 r_'' j V <br /> TANK INFORMATION ' <br /> CAPACITY(NOMINAL) GALS. SIZE OF FILL OR TEST OPENING' IN. CONTENTS(PRODUCT) <br /> CAPACITY(CHART) GALS. TOP OFF TIME HOUR i,! DATE /; j y GALLONS TANK MATERIAL ',IE-AL( 1IBERGLASS LX <br /> DIMENSIONS: DIAMETER NUMBER OF GALLONS ADDED TO START TEST`7 —T' APPROX.AGE \ ', r-1 <br /> LENGTH TANK NO. /1 Le C PUMP SYSTEM',fPErSUBl T MAKE <br /> _i <br /> INCHES OF WATER - BEFORE TEST j SUCTION <br /> „FTER TEST�- <br /> TEST CALIBRATION � LEAK DETECTOR YES - NO ( ) <br /> SIZE OF CAL. BAR OR ML'S ADDED C i � (� F_�� ' TANK LAYOUT VAPOR RECOVERY SYSTEI YE NO( ) <br /> (ALM) (F i=R A) <br /> LINE MOVEMENT - <br /> 1 '` r" <br /> 2 to _ - �-� LINES <br /> 2? to C C LINES <br /> 3 to S = y'eL— LINES <br /> TOTAL 1 LINES - 3 = of!' _LINES <br /> (ALMI <br /> END OF TEST CALIBRATION <br /> SIZE OF CAL.BAR OR MLS ADDED <br /> (ALM) (FZT R AI <br /> LINE MOVEMENT r <br /> 1 <7' to { LINES <br /> 2 7 to t LINES <br /> 3 -s) ( to LINES <br /> TOTAL 5 LINES - 3 = L LINES <br /> r (ALM) I <br /> MEASURED API SPECIFIC GRAVITY <br /> PRODUCT TEMPERATURE <br /> API SPECIFIC GRAVITY®60°F (FROM f4BLE A) <br /> COEFFICIENT OF EXPANSIONp^ 7 (FROM I BLE B) <br /> )n0 0 q-9 3 0 .X, 17 0 = LL! -S (F•i TOR B) <br /> C.O.E. TOTAL CAPACITY(GAL.) VOL.CHANGE/"F <br /> PRODUCT UNE TESTING SYSTEM OWNER OF SITE ADDRESS <br /> PRODUCT MONITORING ON LL <br /> rime Reading F(oduG Serial Number y <br /> (Military) No.w Start End +�° XF.TAJ +mss CITY �L STATE ZIP CODE <br /> .003 I OWNER OF TANK ADDRESS j <br /> .003 CITY STATE ZIP CODE <br /> .00 <br /> `COUNTY 0. <br /> .00 <br /> _ 1I TECHNICIAN(S) DATE <br />