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DATA CHART FOR TANK .SYSTEM TIGHTNESS TEST <br />(EZY CHEF <br />CLIENT <br />=NAME OF SUPPLIER, 1 <br />7WNER OR DEALER lr�)CLi S / M��''+�S% DATE OF TEST <br />4DDRESS (NO. & STREE1 WEATHER _ <br />CITY AND STATE c <br />L <br />�y <br />DEC 41agn <br />ENVIRONMENTAL HEALTH-{ <br />PERM IT/SER,a',r <br />�UL <br />TANK INFORMATION <br />:APACITY (NOMINAL) �� GALS. SIZE OF FILL OR TEST OPENING / IN. CONTENTS (PRODUCnPil;��&,'p - 6,V <br />WACITY (CHART) s/ N GALS_ TOP OFF TIME GALLONS { TANK MATERIAL <br />)1MENSIONS: DIAMETER 9T'' NUMBER OF GALLONS ADDED TO START TEST+4 APPROX. AGE <br />LENGTH TANK NO. Ir 4 n1 Dtx-inc�lC— PUMP SYSTEM (TYPE) SUP - L�Kf-lyf <br />INCHES OF WATER - BEFORE TEST '_ AFTER TEST <br />'ES'i . ALIBRATION <br />;IZE OF CAL. BAR OR ML'S ADDED <br />,o s a <br />PRODUCT LINE TESTING SYSTEM <br />Serial INumberl <br />TANK LAYOUT <br />o1s�fi'Ss,2. <br />(ALM) (FACTOR A) <br />JNE MOVEMENT <br />1 C� to C <br />= <br />LINES <br />2 - to <br />i <br />LINES <br />3 q to <br />LINES <br />TOTAL <br />LINES _ 3 = <br />_)3 LINES <br />(ALM) <br />NO OF TEST CAUBRATION <br />;IZE OF CAL. BAR OR ML'S ADDED <br />J C' <br />- <br />(ALM) (FACTOR A) <br />.INE MOVEMENT <br />t to <br />3 <br />LINES <br />2 3 to <br />_ .3 <br />LINES <br />3 _S_ 3 to <br />_ 3 <br />LINES <br />TOTAL <br />cS �l <br />LINES _ 3 = <br />% LINES <br />IALM) <br />4EF =D API SPECIFIC GRAVITY <br />S� <br />'ROL %jCT TEMPERATURE <br />E6`' <br />.PI SPECIFIC GRAVITY a 600 F <br />S <br />3 <br />(FROM TABLE A) <br />:OEFFICIENT OF EXPANSION <br />SOS <br />q 3 <br />(FROM TABLE B) <br />-- .gvrf-y[�U 3 <br />x cm <br />_ <br />S,? (FACTOR B) <br />C O.EE <br />TOTAL CAPACITY IGAU <br />IAL F <br />PRODUCT LINE TESTING SYSTEM <br />Serial INumberl <br />TANK LAYOUT <br />o1s�fi'Ss,2. <br />