COMPLIANCE INFO_1987 - 2006 - Laserfiche WebLink

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14. Name of Supplier.Owner or Dealer Address No and Street(a) City State Date of Test 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From ❑ Station Chart Nominal Capacity t� r t Tank Manufacturer's Chart Identit by position Gallons ❑ Company Engineering Data — llz — ----- By most accurate Charts supplied with rand and rade / � capacity chart available ❑ Other Gallons 17. FILL-UP FOR TEST Total Gallons Gallons ea.Reading Stick Water Bottom before Fill-up _ _ _in. 1,rF'' in. Inventory Gallons Tank Diameter 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK El Water in tank ❑ Line(s)being tested with LVLLT G 11-0 See manual sections applicable.Check below and record procedure in log(27). ❑High water table in tank excavationUse maximum allowable tea'pressure for all tests 19. TANK MEASUREMENTS FOR Transfer total to line 25a Four pound rule does not apply to doublewalled tanks TSTT ASSEMBLY //,' 21. VAPOR RECOVERY SYSTEM ❑Stage I ❑stage II Complete section below 7 r . Bottom of tank to grade' ............................ ��tn. Add 30"for"T"probe assy........................... 30 in. 24b. COEFFICIENT OF EXPANSION 1 Is four pound rule required? Yes No ❑ .fi RECIPROCAL METHOD Total tubing to assemble—approxi ate............. In. Type of Product ........................................ �� `4 2.Height to 12"mark from bottom o1 tank in 20. EXTENSION HOSE SETTING Ir_ Tank top to grade'............ Hydrometer Employed 1 H . 1 Extend hose on suction tube 6"or more Temperature in Tank 3. Pressure at bottom of tank VVV P.S.1. After Circulation........................................ F below tank top...................................... in. Cl/ 4. Pressure at top of tank PS'l 'I1 Fill pipe extends above grade.use top of fill. Temperature of Sample................................. t °F 22. Thermal-Sensor reading after circulation Difference(+/-).............................. .......... °F !'f Re � Depth of burial f in. Observed A.P.I.Grev ............... 23. Digits per°F in range of expected change — t n` — Reciprocal150025; Page Tank dia in COEFFICIENT OF EXPANSION (Complete after circulation) 24a. Corrected A.P.I.Gravity Total quantity in Reciprocal Volume change in Water table _ in full tank 116 or 17) this tank per°F Observed A.P.I.Gravity.............................. — — Transfer to Line 26a. NOTES: Hydrometer employed................................... __ — _.H 24c. FOR TESTING WITH WATER see Table C 8 D Observed Sample Temperature ............._ _ -_ 'F Corrected A.P.I.Gravity Water Temperature after Circulation @ 60°F.From Table A................................. __ Table C ................................................ _ __ °F Coefficient 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 the tour pound From Table 8............................................ . , rule to compensate for the presence of subsurface water in the tank Transfer COE to Line 25b. Added Surfactant? ❑Yes ❑No Transfer COE to Line 25b. area. 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 tI V(16 oorr� l17)) Involved product per°F _ 26. (a)5, / _L Q / - 1 A = /C ;�`-�1%/ This is Volume change per°F(25 or 24b) Digits per°F in test Volume change per digit test Range(23) Compute to 4 decimal places. factor(a)