COMPLIANCE INFO_1986 - 1997 - Laserfiche WebLink

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14. e Name of Supplier.Owner or Dealer Address No.and Street(3) City Stale Date of Test 15. TANK TO TEST 15a, BRIEF DDIIIAGRAM OF TANK FIELD 16. CAPACITY F`° '.,K.;..,•L;I Gf��? i»/dI�LL rJ� �� Station Chart Nominal Capacity ❑ Tank Manufacturer's Chart �:y`.-1, • Identity by posilbn1:1allons r c.•�';..t1 J v�� Company F-ngineering Data .,/ - • r ❑ Charts supplier =ti :��r -• �C� By most accurate /7 (�� d with '. n' Brand and Grads capacity chart ovalleble 7 d 1:1 Other j Oeftoro 4 17. FILL-UP FOR TEST Total Gallons ( Gallons ea.Reading FR Slick Water Bottom ._..f.._ before Flll-up in. ••--�� -- In. inventoryY Y�LO Gallons Tank Diameter 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK Metal,In tank Llne(s)being tested with LVLLT l See manual sections applicable.Check below and record procedure In log(27). 1 Nigh water table In tank excavation ��• use maximum allowable lest Drassure for alt Iesls. Transfer total to line 254 1� 1 Four pound rule does not apply to doublewaned tanks. 19. TANK MEASUREMENTS FOR ''•''� I Complete section below: TSTT ASSEMBLY /•�� 21. VAPOR RECOVERY SYSTEM $age I stage u Bottom of tank to grade' ............................ d In. Add 30'for"f"probe way............I............ ;�/�300 In. 24b. COEFFICIENT OF EXPANSION 1.is four pound rule reduired7 yes L^J No ❑ Total tubing to assemble—approximate. eIn. RECIPROCAL METHOD Typeof Product ........................................ -' 2.Height to 12"mark from bottom of lank In. 20. EXTENSION HOSE SETTING n ` Tank top to grade'.................................. In. Hydrometer Employed..................................��L H �.Pressure et bottom of lank P.S.I. Extend hose on auction tube 6"or more �// Temperature In Tank ] 0- • v •`� After Circulation........................................ ,+ F below tank top...................................... In. Temperature of Sample................................. C •F a. Pressure at lop of lank /. 6 f p S I 'If Fill pipe extends above grade,use top of lilt. [� 22. Thermal-Sensor reading after circulation Difference(•/-)......................................... J •F }G(7 Ig"s Depth of burial �c+ In. �7//L -F Observed A.P.I.Gnv ay ��. ................................. 23. Dlplls per IF In range of expected change rout Flags Reel In. P s�z Tank dict. digits --,COEFFICIENT OF EXPANSION (Complete after circulation) 993 70 LZJ1;A,73 r // 24 . orrected A.P.I.Gravity Total quantity In Reciprocal Volume change In .r Water table //D6 in. lull tank(te or I7) this lank per IF Observed A.P. revfty................................... Transfer to Line 26a. NOTES: Hydrometer employed.... ............................. H 24C. FO TING WITH WATER ...Table c a D Observed Sample Temperature ...... ................ •F Corrected A.P.I.Gravity Water Temperature after Circubt •.•... . @ 60•F,From Table A............................... ... Table C ................................. ............ •F Coefficient of Expansion Coefficient of Wafer The above calculations are to be used for dry soil conditions to for Involved Product Table O............................................ •I+. .... establish positive pressure advantage. using the lour From Table B............................................ , Po D A p pound � rule to compensate for the presence of subsurface water In the tank Transfer COE to Line 25b. Added SurlactanI ❑yes ❑No Transfer COE to L 250. ares. 1•� iL '' Refer to N.F.P.A. 30, Sections 2-3.2.4 and 2-7.2 and the tank 25• (a) x (b) _ (C) gallons manufacturer regarding allowable system test pressures. Total quantity In Coefficient of expansion for Volume change In this lank .y�v.:v:• i ' - full tank(te or 17) Involved product per•F `'iS}~ .ansy_. r 26. (a) �. ��i� 73� <)Z� a �.��—J �•[L� T-(Lf �,..,.....w. Thla Ic 1i.��.••j Volume change per•F(25 or 24b) Digits per•F In test Volume change per digit teat 'Y D rf' :•'�!�'' _ Range(23) Compuls to 4 decimal places. fxctw(a)