COMPLIANCE INFO 1985 - 1997 - Laserfiche WebLink

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Name of Supplier,Owner or Dealer Address No.and Streets) City State Date of Test 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From �+`�• /�� Station Chart H `r W >.,,) 1 Nominal Capacity O 00 1:1 Tank Manufacturer's Chert Identity by positionh� (''� Gallons Company Engineering Data 2� u mom L.i By most accurate Charts supplied with Brand and Grade capacity chart available v D�'v ❑ Other Gallons Total Gallons 17. FILL-UP FOR TEST Gallons ea.Reading Stick Water Bottomin in. Inventory Doo before Fill-up to'h" Gallons Tank Diameter 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water in tank ❑ Line(s)being tested with LVLLT See manual sections applicable.Check below and record procedure in log(27). ❑High water table in tank excavation Transfer total to line 25e use maximum allowable test pressure for all tests. 19. TANK MEASUREMENTS FOR Four pound rule does not apply to doublewaued tanks. TSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM ❑stage I Ej stage II Complete section below: Bottom of tank to grade' in. ............................ Add 30"for'T'probe easy........................... 30 in. 24b. COEFFICIENT OF EXPANSION 1. Is four pound rule required? yes ❑ No ❑ Total tubing to assemble—approximate............. in. RECIPROCAL METHOD Type of Product ............... .�..•1+V-�.��_ 20. EXTENSION HOSE SETTING 2.Height to 12"mark from bottom o/tank in. Hydrometer Employed .................................. H Tank top to grade'.................................. in. Extend hose on suction tube 6"or more Temperature in Tank below tank top...................................... 3. Pressure at bottom of tank P.S.I. in After Circulation........................................ °F � �V Temperature of Sample................................. °F 4. Pressure at top of tank P S 1 'If Fill pipe extends above grade,use top of fill. ^ - �J 22. Thermal-Sensor reading atter circulation Difference(+/-)......................................... /— °F .y�+w°g�a W in. I °F Observed A.P.I.Gravity ................................. Depth o1 burial -- Between 23. Digits per°F in range of expected change Ail Reciprocal !"t� Page N digits Tank dia. in COEFFICIENT OF EXPANSION (Complete after circulation) 19010 ' 24a. Corrected A.P.I.Gravity Total quantity in Reciprocal Volume change in full tank(16 or 17) this tank per°F Water table in Transfer to Line 26a. Observed A.P.I.Gravity................................... NOTES: Fydrometer employed................................... H Observed Sample Temperature °F 24c. FOR TESTING WITH WATER see Table C d D Corrected A.P.I.Gravity Water Temperature after Circulation @ 60°F,From Table A.................................... Table C................................................ 'F Coefficient of Expansion Coefficient of Water for Involved Product Table D ............................. 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 . . . . . rule to compensate for the presence of subsurface water in the tank Transfer COE to Line 25b. Added Surfactant? ❑yea E No Transfer COE to Line 25b. area_ // Refer to N.F.P.A. 30, Sections 2-3.2.4 and 2-7.2 and the tank 25. (a) x (b) = lc) gallons manufacturer regarding allowable system test pressures. Total quantity in Coefficient of expansion for Volume change.in this tank full tank(16 or 17) involved product per*F 26. a LAt 0% �I�—L N Q = t V� ?_moi' 1 This is Vol,,rthnngn p-"F f25 or 24h1 Digifs per"F in Leet Volume change per dlgit test ^/ a