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Page *3-5 <br /> SITE PREPARATI IV AND SYSTEM DATA <br /> CHECK TANK SYSTEM SIZI) 1 - TANK 2 - TANK = 3 - TANK <br /> CUSTOMER: �o_�T DATE: <br /> J <br /> LOCATION NO.: SYSTEM NO..- <br /> CITY/STATE: <br /> O.:CITY/STATE: PRODUCT: - •-, <br /> SITE PREPARATION ' <br /> OTHER CONDITIONS AUG 9 7 199P <br /> ENVIRONME"L HEALTH <br /> I <br /> ICES <br /> VAPOR RECOVERY �_I LUGS ❑ RISERS OTHER r--I <br /> VENT � -. NO PREPARATION ❑ OPEN TO ATMOSPHERE ❑ P-V VALUE REMOVED ❑ OTHER <br /> ❑REMOT�E/SUBMERSIBLE (DEPTH 1 ❑ SUCTION (HEIGHT 1 <br /> CH K VALVE STRAINER 1 ACT VALVE CHECK VALVE STRAINER SUCTION CO NNF.CrTi CSN <br /> ❑ EMOVED &OPEN VRF ED CLOSED ❑BURIED ❑REMOVED UNION <br /> PLUG-IN <br /> IN PLACE CE ❑PLUG OUT LOSED ❑EXTRACTABLE ❑IN PLACE ❑COUPLING <br /> El CLOSED ❑REPLACED&COVER UOPEN ❑REMOVED EpLgC O& COVER ❑OPEN WITH FOIL <br /> REMOVED&COVER ❑IN PLACE ❑OTHER ❑OPEN NO FOIL <br /> ❑REPLACED -]OTHER _ REMOVED ❑IN PLACE <br /> ❑CAP REP CED <br /> ❑OTHER ❑ ❑OTHERO ER _ <br /> TEST 1 DATA <br /> TANK 1 TANK 2 'rr TANK 3 <br /> LO ATION DROP TUBE LOCATION -(CROP TUBE LOCATION 401OP TUBE <br /> FILL Gauge Other(Specify) IN OUT P4ne FILL Gauge Othey,(Specify} IN OUT None FILL Gauge Other pacify) IN OUT None <br /> T.PROBE <br /> BALANCE •'�� <br /> CALIBRATION <br /> LOCATION METHOD <br /> LEVELS � l sono Roo ❑ LIQUID <br /> Time Tank 1 Tank 2 Tank 3 1 2 3 4 5 6 AVERAGE <br /> START � CC'S <br /> END DIVISION <br /> AVG.CC'S/DIV. - <br /> LEAK RATE (LR) CALCULATION <br /> LR = ±,n� DIVISIONS X CALIBRATION, CC = CC IN OUT <br /> MINUUTE�/— DIVISION MINUTE <br /> LR <br /> TEMPERATURE COMPENSATION (TC)CALCULATION <br /> COEFFICIENT OF EXPANSION 1/'F r r 3785 GT CE Q'F CC IN OUT <br /> GRAVITY TEMPERATURE,.F TC = OR <br /> SOURCE ❑T159C TIME MINUTE (�) ( -1 <br /> ❑ A ❑ D ❑ CHART <br /> ❑ B ❑ E ❑ PUBLISHED DATA AT 60OF �, <br /> ❑ C ❑ OTHER TC _-j' ] `� 1 \ <br /> TANK 1 TANK 2 TANK 3 �J ( C .J <br /> SYSTEM CAPACITY,GALLONS I- GT TANK 1 TANK 2 TANK 3 TOTAL <br /> OF A*F TC= <br /> ±Temp. Differential <br /> T Time of Temp. n,Time <br /> Differential, Min. <br /> ABSOLUTE LEAK RATE(ALR)CALCULATION <br /> — <br /> (( 47- , 7,71- , <br /> ABSOLUTE LEAK RATE _ I _ <br /> 11LEAE TEMP.COMPENSATION CC/MIN <br /> = T_2 X 0.015852 ' _ _ 0 <br /> CC/MIN GAL/HOUR <br /> ❑ IF ALR> ± 0.05 GPH,A CHECK TEST WAS CONDUCTED WHICH CONFIRMS THE ABOVE RESULTS(CALCULATIONS ON CHART) <br /> ❑ A CHECK TEST WAS NOT CONDUCTED. <br /> * 60 MINUTES/HOUR - 3785 CC/GALLON=0.015852 <br />