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14. —Z -t( �Qcn6 130 (k) MAIn YMAn-11—CA CA Inventory �- !_4— GI Name of Supplier. Owner or Dealer Address No. and Street is) City state ❑ Date of Test 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From this tank per 'F 19. TANK MEASUREMENTS FOR ❑ Station Char, � { SOIJ l rT Nominal Capacity I V \ W� ❑ Tank Man lecturer's Chart Identify by positron Gallons Bottom of lank to grade' ............................ Company Engineering Data e 6U•F.From Table A .................................... Table C ................................................ •F Add 30- for T' probe &say ........................... ❑ Charts supplied ..in Yes ❑ No ❑ Total tubing to assemble — approximate , By most acG••He � ❑ �,, ±r.�_;r,. Brand and Grade Added Surfactant? ❑ Yes ❑ No Transfer COE to Line M. capaca. chart available _ (c) Other _ 17. FILL -UP FOR TEST Stick Water Bottom before Fill-upin. to U Gallons �s--� In. Tank Dlemeter Inventory 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑ W.I., In lank ❑ Line(&) being tested with LVLLT COEFFICIENT OF EXPANSION (Complete after circulation) qQQO !�_r)1 ❑ 24a. Corrected A.P.I. Gravity See manual sections appltcsble. Check below and record procedure In log (27). High water table In lank excavation Lite maximum allowable teat pressure for all teat'. this tank per 'F 19. TANK MEASUREMENTS FOR Four pound rule does not apply to doublewall.d tanks. Hydrometer employed ................................... H TSTT ASSEMBLY Complete section below: 24e. FOR TESTING WITH WATER,.. Tabu C a D Observed Sample Temperature ......................... 'F 143 Corrected A.P.I. Gravity Bottom of lank to grade' ............................ In. e 6U•F.From Table A .................................... Table C ................................................ •F Add 30- for T' probe &say ........................... 30 In. 1. la lour pound rule required' Yes ❑ No ❑ Total tubing to assemble — approximate , From Teale B ............................................ from �,, ±r.�_;r,. 20. EXTENSION HOSE SETTING Added Surfactant? ❑ Yes ❑ No Transfer COE to Line M. 2 Height to 12- mart bottom of lank _ (c) piton' T e In. Volume change In "a tank Tank top to grade' .................................. pot *F c' ^ / Q W 26. (a) (s 5 71..2 e I o Extend hose on suction tube 6" or more TINS Is c 0�y__r j Pressure at bd:tom• cf lank � P $ I. Mat FWnge (23) Compute to 4 decknal places, facsor (a) below lank top ...................................... In. a Pressure at top of a^k �. _ PSI -if Fill pipe extends above grade, use lop of fill. 22. Thermal -Sensor reading after circulation 147" h of burial J) in Me Q 5 in. r table in. NOTES: The above calculations are to be used for dry soll conditions to establish a positive pressure advantage, or when using the four pound rule to compensate for the presence of subsurface water In the tank area. Refer to N.F.P.A. 90. Sections 2-7.2.4 and 2-7.2 and the tank manufacturer regarding allowable system test pressures. 'F Tout Gallons Gallons - as Reading '45" F,Q;rF.TLPd�� I U Tranafar total to tine 25- 21. VAPOR RECOVERY SYSTEM ❑ stage I ❑ Stage II 24b. COEFFICIENT OF EXPANSION RECIPROCAL METHOD Type of Product..............................U.hIF/�n�D Hydrometer Employed .................................. 6 H Temperature In Tank After Circulation ............................ ............— 'F Temperature of Sam–f•– ple................................. � 'F Difference (-/-) ......................................... -F Observed A.P.I. Gravity ................................. 23. Digits per •F in range of expected change Reciprocal ( E7 ' Page • lam! algals COEFFICIENT OF EXPANSION (Complete after circulation) qQQO !�_r)1 . 19.6S55LaQ 24a. Corrected A.P.I. Gravity Total Quantity in Reuprocal Volume change in full tank (16 or 17) this tank per 'F Observed A.P.I. Gravity ................................... Transfer to Line 26a Hydrometer employed ................................... H 24e. FOR TESTING WITH WATER,.. Tabu C a D Observed Sample Temperature ......................... 'F Corrected A.P.I. Gravity Water Temperature after Circulation e 6U•F.From Table A .................................... Table C ................................................ •F Coefficient W Expansion Coefficient of Water for Involved Product Table D ................................................ From Teale B ............................................ Transfer COE to Line 25b. _ Added Surfactant? ❑ Yes ❑ No Transfer COE to Line M. 25. (a) ■ (b) _ (c) piton' Total Quantity In Coetflclent of expansion for Volume change In "a tank volt tank (1e or 17) involvedrpro�m,' pot *F c' ^ / Q W 26. (a) (s 5 71..2 e I o - a W" " JSS TINS Is c 0�y__r Volume, chug* per "It (25 or 2eb) Digits per *F In teat Volume change per digit Mat FWnge (23) Compute to 4 decknal places, facsor (a)