COMPLIANCE INFO_1987 - 2006 - Laserfiche WebLink

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Name of Supplier.Owner or Dealer Address No.and S11W(s) City State Date of Test r 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From (� C�11 Stetlon Chart -e-C412— JT 'T��I�� Nominal Capacity �_�lam_ ❑ Tank Manufacturer's Chart Identityb ---� Gallons t y i g w'f y position Company Engineering Date /\��(�'{Q'I h�� By most accurate a Charts supplied with =1 „J Al I y 14 Brand and Grade +( 1 capacity chart avellabla LI Other \� Gallons Total Gallons 17. FILL-UP FOR TEST�c Gallons ea.Reading I Stick Water Bottom f/ 1 �zInTAm k ll(,Z before Fill-up /1C_� In. 1 . Inventory to ti" Gallons Tank Diameter ^^O 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water In tank ❑ Line($)being tested with LVLLT o -o F z Sea manual sections applicable.Check below and record procedure In log(27). ❑High water table In tank excavation 01 L 1 Use maximum allowable test pressure for all tests. 19. TANK MEASUREMENTS FOR Transfer total to line 258 Four pound rule does not apply to doublewalled tanks. TSTT ASSEMBLY Complete section below: 21. VAPOR RECOVERY SYSTEM ❑Stege I ❑siege II Bottom of lank to grade'............................ In. rJ1 Add 30-for'T'probe easy........................... 30 in. 24b. COEFFICIENT OF EXPANSION t 1. Is lour pound rule required? Yes ❑ No�[_J Total tubing to assemble—approximate............. �In. RECIPROCAL METHOD (/._",�,q 'f ////��` 20. EXTENSION HOSE SETTING Type of Product ........................................ _A- 2.Height to 12"mark from bottom of tank In. `/, Tank top to grade'.................................. In. Hydrometer Employed.................................. H Extend hose on suction tube 6"or more 5�� Temperature in Tank 3.Pressure at bottom of lank P.S.I. 6 After Circulation........................................ '� 'F below tank top...................................... In. Temperature of Sample............................I.... $'F 1. Pressure al top of tank PSI 'If FIII pipe extends above grade,use top of fill. 22. Thermal-Sensor reading atter circulation Ce Difference(N-)............................ ••••••••••• �F I RSS qdlgift�a' i Depth of burial In. 7 J-"0 'F Observed A.P.I.Gravity ................................. Between 23. Digits per'F In range of expected change ?,I�- Reciprocal �SI ) - Page digits / Tank dia. In COEFFICIENT OF EXPANSION (Complete atter circulation) Total quantity In Reciprocal Volume change In 24a. forrecled A.P.I.Gravity Water table In. ��„ lull tank(18 or 171 this tank per F Observed A.P.1.Gravity............ .....(((...�� to L.... Transfer to Lina 26■. NOTES: Hydrometer employed................................... H 24c. FOR TESTING WITH WATER see Table c a 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 soft conditions to for Involved Product Table D................................................ establish apositive pressure advantage,orwhenusing the four pound From Table 8............................................ rule to compensate for the presence of subsurface water In the tank Transfer COE to Line 25b. t Added Surfactant? ❑Yes ❑No Transfer COE to Line 25b. area. ,7 Refer to N.F.P.A. 30, Sections 2-3.2.1 and 2-7.2 and the tank 25, a /,"` ,4 x (b) /-111 _ (C) ,,. / 4 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*F 26. (a) -7 T,'T z U 2 L)—i ) / 3 Thi.1. 7 7 Volume change per 6F(25 or tab) Dlglts per IF In Inst Volume change per digit left �"�`•�• •.,..-.. +�� G,mrvre to I■elor(a) `t 1mmmoomw®- T�