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14. h-► I # 1 Qq-1 i 3Q a r1 VIA&IY) S' ,Uva 5CA -+L U I Name of Supplier.Owner or Dealer Address No.and Street(s) City State Date of Test From 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY ❑ Station chart AAA Nominal Capacity ' y, U O ❑ Tank Manufacturer's Chart Gallon Company Engineering Data Identity by position G Charts supplied with mo By st accurate ❑ Other BrJen�d•Jend Grade capacity chart available Gallons Total Gallons Gallons ea.Reading 17. FILL-UP FOR TEST � _ ,, n, Gp.0 Inventory •, "tD Stick Water Bottom U O � in. •••Y,r ^ Tank Diameter - ��.( �'�'f('7 ��f�.,..v� before Fill-up Gallons t0'h" 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water in tank ❑ Une(s)being tested with LVLLT ❑High water table in tank excavation See manual section applicable.Check below and record procedure in log(27). Transfer total to line 259 Use maximum allowable test pressure for all tests. 19. TANK MEASUREMENTS FOR Four pond rule does not apply to doublewalled tanks. TSTT ASSEMBLY I ,r 21. VAPOR RECOVERY SYSTEM ❑stage I ❑stage II Complete section below: Bottom of tank to grade'............................ '1' In. 30 ,n, 240. COEFFICIENT OF EXPANSION Add 30"for"T"probe assy........................... in. RECIPROCAL METHOD _ 1"� yes ❑ No ❑ Total tubing to assemble—approximate............. 1 ,11 `n 1. la four pound rule required? ..!r..... ��A"" Type o1 Product ................................ 20. EXTENSION HOSE SETTING H in. Hydrometer Employed.................................. 2.Height f0 12"mark from bottom o1 tank Tank top to grade'.................................. In. Temperature In Tank —I L t ,F Extend hose on suction tube 6"or more Atter Circulation........................................ 3.Pressure at bottom of tank P.S.I. in. 1 LI r V below lank top...................................... Temperature of Sample................................. F .... 4. Pressure at top of tank P.S.I. 'If Fill pipe extends above grade,use top of fill. 1 °F Difference(+/-)......................................... ./ t 22. Thermal-Sensor reading after circulation igits —7�—71 °F observed A.P.1.AGravity ..........�9e N................ V Depth of burial in. Betw n 23. Digits per°F in range of expected change 1 Reciprocal /^•,( I digi s a Q1 o i � Tank die. ^ COEFFICIENT OF EXPANSION (Complete after circulation Total quantity In Reciprocal Volume change in 24a. Corrected A.P.I.Gravity full tank(16 or 17) this tank per Li Transfer b Line 26e. Water table in. ............... Observed AP.I.Gravity.................... NOTES: H Hydrometer employed................................... 24C. FOR TESTING WITH WATER aeeTableca o Observed Sample Temperature ......................... °F Water Temperature after Circulation •F Corrected A.P.I.Gravity @ 6o°F.From Table A.................................... Table C................................................ Coefficient of Water Coefficient of Expansion TableD................................................ for Involved Product The above calculations are to be used for dry soil conditions to From Table B............................................ establish a positive pressure advantage,or when using the four pound Added Sur/actsnt9 ❑Vee [I No TransterCOEtoUne25b. rule to compensate for the presence of subsurface water in the tank Transfer COE to Line 25b. area (b) _ (c) gallon Refer to N.F.P.A. 30, Sections 2-3.2.4 and 2-7.2 and the tank 25. (a x Coefficient of expansion for Volume change in this tank Total quantity in per•F manufacturer regarding allowable system test pressures. fug tank(166'or 17)^ involved product (a)V•LA �Z-- -51 q = This is 26. Volume change per digit test Volumo channe per°F(25 or 240) Digits per°F in test _..T ..„