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14. <br /> N Supplier,Owner or Dealer AAE4ess No.end Street City State Date of Tat <br /> t'1 <br /> 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From <br /> Station Chart <br /> —�" s� •— ^ Nominal Capacity /0, 000 ❑ Tank Manufacturer's Chart <br /> Identity by position Gallons <br /> ❑ Company Engineering Data <br /> Brand and Grade By most accurate q�/�j ❑ Chang supplied with <br /> capacity chert available / / 2 - - < - - <br /> - Gallons ❑ Other ; <br /> O <br /> 17. FILL-UP FOR TEST Total Ga1btM rn . <br /> Gallons ...:ea.Readingzs:�> •r.•:_-:,-r::.r, <br /> Stick Water Bottom . _ t <br /> before Fill-up D in. D _ q y <br /> in. Inventory <br /> Tank Diameter <br /> to'A" Gallons Di3 <br /> Top�Fr � �Y <br /> 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water in tank ® Une(s)being tested with LVLLT <br /> See manual sections applicable.Check below and record procedure In iog(27). ❑High water table In tank excavation <br /> use maximum allowable tea'pressure for all tea's. �O <br /> — 3 <br /> Four pooundnd rule does not apply to doublewalletl tanks. 19. TANK MEASUREMENTS FOR Transfer total to line 25a ' <br /> TSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM ❑ >DI <br /> 7 2 Stege 1 age 11 �e <br /> Complete section below- <br /> Bottom of tank to grade' ............................ In. ; <br /> Add 30"for-r'probe easy........................... 30 In. 24b. COEFFICIENT OF EXPANSION <br /> 1. Is four pound rule required? yes ❑ ❑ <br /> Total tubing to assemble—approximate............. 7� ( 21 In." RECIPROCAL METHOD �• -' <br /> / EXTENSION HOSE SETTING Type of Product ........................................ <br /> 20. Uvl�r�t4�" <br /> 2.Height to 12"mark from bottom of tank IG in. yC—,(/ <br /> I Tank top to grade'.................................. ' O in. Hydrometer Employed ................................ H _n <br /> � Extend hose on suction tube 6"or more Temperature In Tank /� - (D <br /> 3. Pressure at bottom of tank YYY P.S.I. After Q lation........ / <br /> below tank top...................................... � in. <br /> ' �F <br /> le Temperature of Sample.................................. <br /> 1. Pressure at top of tank `tp 7�p S I 'If fill pipe extends above grade,use top of 1111. • ---�—•F <br /> 22. Thermal-Sensor reading after circulation Difference(+/-)......................................... •F <br /> digits <br /> Depth of burial In. /—_' S�5S- °F A.P.I. e /e■ <br /> Observed P.I.Gravity ..................:............... iY <br /> Between <br /> n(� 23. Digits per°F in range of expected change 31 <br /> �dlits Reciprocalpage s <br /> Tank dia. In. g <br /> COEFFICIENT OF EXPANSION (Complete after circulation) q 1,� - . _ . 6,6 4 00S3 3 <br /> 24a. Corrected A.P.I.Gravity Total quantity in Reciprocal Volume ch <br /> Water table _in. full tank(15 or 17) this tank erlps In <br /> Observed A.P.I.Gravity................................... per•F <br /> NOTES: <br /> Transfer to Line 26s. <br /> hydrometer employed................................... H <br /> O <br /> Observed Semple Temperature °F 24c. FOR TESTING WITH WATER see Table C 6 D m O o <br /> Z <br /> Z o <br /> Corrected A.P.I.Gravity Water Temperature after Circulation <br /> @ 50°F,From Table A.................................... Table C <br /> Coefficient of Expansion Coefficient Of Wath <br /> The above calculations are to be used for dry soil conditions to for Involved Product Table D nt of Water <br /> ........... <br /> ......................... <br /> establish apositive preswrsadvantage,orwhenusing the four pound From Table B............................................ , <br /> rule to compensate for the presence of subsurface water In the tank Transfer COE to Line 25b. Added Surfactant? ❑Vee ❑No Transfer COE to Line 25b. <br /> area. <br /> Refer to N.F.P.A. X Sectlons 2-3.2.4 and 2-7. Md the tank 25. (a) b <br /> �) - (C) gallons <br /> manufacturer regarding allowable system test p[atraa, Total quantity In Coefficient of expansion for Volume Change In this tank ° <br /> l7 lull tank(te or/7) Involved product r°F <br /> Q W <br /> 102 ` _ 26. (a) G,1117$14��_ _ . 0 <br /> ; ID3?.) This Is <br /> - Volume change per F(25 or 24b) Digits per° In last Volume change per digit test <br />