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Nv�14/ Conoco 800 E . Hwy 12 LQd i Ca . 7e2-96 L Name of Suppller.Owner or Dealer Address No.and Street(&) city State Date of Test 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From As ,L .*n Chart 3 Gf/ESf -,a / Nominal Capacity /0 QQ ❑ Tank Manufacturers Chart /R Gallons El �V by poo.tion / See Attached Company Engineering Data LL9--4z UZL BY most accurate f� ❑ Charts supplied with Brand and Grace capacity chart available " ❑ Other C Gallons rn Total Gallons 17. FILL-UP FOR TEST Gallons as.Reading C Stick water Bottom —0— before Fill-up in. In. Inventory / �e to'h" Oallpna Tank Diameter y"j�c ,�9001 rra�Ac ,�rsE"es></v 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑l/1water in tank Urals)being tested with LVLLT Sae manual sections applicable.Check below and record procedure In log(27). 9 High water table in tank excavation Q/73 Lha maximum allowable test Pressure for all tests. 19. TANK MEASUREMENTS FOR Transfer total to line 25a / Four pound rule does not apply to doublawaued tanks. TSTT ASSEMBLY _ OOOK Complete section below: 21. VAPOR RECOVERY SYSTEM ❑Stage I Stage II —' Bottom of tank to grade'............................ In. Add 3o-for-r probe any........................... 30 1.. 24b. COEFFICIENT OF EXPANSION M Y.2 1.Is four pound rule required? Yes ❑ No Total tubing to assemble—approximate............. /o.2 In. RECIPROCAL METHOD :3 ICU Type of Product........................................ 2 Height to 12"mark from bottom of tank in. 20. EXTENSION HOSE SETTING Tank top to grade'.................................. G O In. Hydrometer Employed..................................�_H (�?3_' Extend hose on auction tube 6"or more Temperature In Tank O?' '1 3.Pressure at bottom of tank 7 P.S.I. /, After Gralation........................................ 0 J .{ 'F below tank top...................................... �"' in. Temperature of Sample................................. 'F 0 Pressure s.1 toP of tank P.S.I. 'II Fill pipe extends above grads.use top of till. I 22. Thermal-Sensor reading atter circulation Difference(•/-)........:................................ + ''F 10 digits, 1 Depth of burial 60 In. E 3 f d •F Observed A.P.I.Gravity ................................. Belween n/- 23. Digits par 6F In range of expected change 3 Reciprocal ZV 7V Pape a / signs Tank die. � in. COEFFICIENT OF EXPANSION (Complete after circulation) g2"1Y . ZVY4, .G.s D9358�8➢ 24a. Corrected APA.Gravity Total quantity In Reciprocal Volume chugs in full tank(16 or 17) this tank per*F Observed A.P.I.Gravity................................... Transfer to Line 28a. NOTES: Hydrometer employed................................... H 0 to 24c. FOR TESTING WITH WATER ses Table C&D m m b Observed Sample Temperature ......................... 'F Z Z O Corrected A.P.I.Gravity Water Temperature anw Circulation 1 O @ 60'F.From Table A.................................... Table C................................................ •F 1 U, U1 CO Water rade in coefficient of Expansion Coefficient of Water (� IT O The above calculations an to be used for dry soil conditions to for Involved Product Table D................................................ O N establlsha positive pressure advantage,or when using the four pound From Table B............................................ I .Is to compensate for the presence of subsursoe water In the tank Transfer COE to Line 25b, Added Surfactant? ❑Vee ❑No Transfer COE to Line 25b. ares. 0) Refer to N.F.PA 34 Section 2-3.2.4 and 2-7.2 and the tank 25, (a) x (b) _ .(C) LD gallas manufacturer regarding allowable system test pressures. Toed quantity in Ccefflolent of expansion for Volume change In this tank full tank(IS Or 17) Invoived product per'F ,02 26. (a)6.50935 9-28 S 304 .WIV1a36a This is Volume change per*F(25 or 24b) Digits par IF in fast Volume change per digit teat Range(23) Compute to 4 decimal places- factor(a) r d.KL.S