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— -90 ; tn �1 4 Conoco 800 Hwy 12 Lodi Ca . w Address No.end Streetis) City Stets Date of Test Name of Suppler.Owner or Oealer Y.O.15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY (� Lrff Chart 3 �/f !� Nominal Capacity 10,00o O 00" ❑ Tank Manufacturers Chart �^ //�C.�=F Gallons ❑ Company Engineering Date !!!��, Identity by position See Attached charts!pplied with❑ r+ _ ` C �r O �C C- �1� By moat accurate 9�� ❑ Brantl antl Grade capacity chart available Other Gallons rM Total Gallons Gallons ee. eading 17. FILL-UP FOR TEST RE _ o_ y� f,7-2� 1e Stick waterBonom ..._ 0— ;n, inventory �-- --, - before Fill-up in. Tank Diameter to'A- y" 1 rd�s� ��s,- r� 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK 0 water in lank Une(s)being tested with LVLLT High water table in tank excmatiOn 2� ..rte Sae manual sections applicable.Cheek allow and record procedure In log(27). �— S Tlfer total to line 25e Use maximum allowable test pressure for all tests. 19. TANK MEASUREMENTS FORe as Four pound rule does not apply to doubiewalled tanks. TSTT ASSEMBLY / 21. VAPOR RECOVERY SYSTEM ❑stage I Stage 11 Complete section below: Bottom of tank to grade............................. In. frt Addeo-for"r probe assy......................•..•• a30 in. 24b. COEFFICIENT OF EXPANSION M yes ❑ No LJ Total tubing to assemble—approximate............. .9/ in. RECIPROCAL METHOD 1.is four pound rule required? L Type of Product........................................ 20. EXTENSION HOSE SETTING H n �_In. Hydrometer Employed /� ' 2Height to 12-mark from bottom of tank ""��"'�� Y Tank top to grad*................................... In. Temperature In Tank 7 q.6 • i/�O F�ctand hose on auction tube 6'or more Attar Clrwlatbn........................................ F /1 `Y• PSI. in. ` 1 3.Pressure at bottom of tank below tank top...................................... C Temperature of Sample................................. � •F .S 3 y P.S.I. 'll FIII pipe extends above grade.use top of fill F 3 4.Pressure at top of tank ZZ. TDifference(•/-)......................................... Thermal-Sensor reading after circulationpdig�e7a A, I lS in •F Observed A.P.I.Gravity ......... S Q7 eae� Depth of Durburial �L-- . —S IQ Pale 9� Reciprocal 23. Digits per°F in range of expected change tU �0 a digit! Tank dit In. COEFFICIENT OF EXPANSION (Complete after circulation) 9 73� iS�(o0 G.GG9 gG3oi3 Totd quantity In Reolprocal Volume change In / 24a. Corrected LP.I.Gravity full tank(16 or 17) this tank per.F r table In. Transfer to Una 26a. Observed Aav P.I.Grity................................... NOTES: H 0 y Hydrometer employed................................... O 24c. FOR TESTING WITH WATER see Table C a D m Z Observed Sample Temperature �F c 0 Corrected A.P.I .Gravity Water Temperature after Circulation 1 @ 60a F,From Table A.................................... Table C................................................ �F C3) 1 OD Coe111ciant of Expansion Coefficient of Water � C3 Table D................................................ Q for Involved Product I N The above calculations are to be used for dry soli conditions to From Table B............................................ sstabiisha positive pressure advantage•orwhen wing the four pound Added Surfsctam? ❑yea ❑No Transfer COE to Line 25b. rule to compensate for the presence of subsurface water in the tank Transfer COE to Line 25b. area. (b) _ (c) gall«y x Refer to N.F.PJk. 34 Sections 2'3.2.4 and 2.7.2 and the tank 25. a Coefficient of expansion for Volume charge In this tank ssu martufacturer regarding allowable system test pressures. full quantity In lull tank(16 or 17) Involved product PM•F (a) �•GG 98G 3 0/3 318 This le agln per•F in set Volume change Der digit 11Y2 vat,rtle enangs per•F(25 a 24b) Range(23) Compute to 4 decimal platxfs. factor(a)