COMPLIANCE INFO_1987 - 2001 - Laserfiche WebLink

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Page 5 SITE PREPARATION AND SYSTEM DATA THREE-TANK SYSTEM CUSTOMER: /�� DATE. r a 9 LOCATION NO.: 2ez, SYSTEM NO.: *CITY/STATE: STV G/e Ta1Y PRODUCT: SITE PREPARATION OTHER CONDITIONS VAPOR RECOVERY ❑ PLUGS EZ giSERS ❑ OTHER VENT ❑ NO PREPARATION EL1 PEN TO ATMOSPHERE ❑ P-V VALUE REMOVED ❑ OTHER ailiEMOTE/SUBMERSIBLE (DEPTH 1 ❑ SUCTION (HEIGHT CHECK VALVE STRAINER IMPACT VALVE CHECK VALVE STRAINER SUCTI CONNECTION ❑ REMOVED&OPEN ❑REMOVED ❑CLOSED El ❑BURIED REMOVED ❑UNION L:. 0 PLACE EZPr5LACE ❑CLOG LOSD ❑EXTRACTABLE ❑IN PLACE ❑COUPLING ❑CLOSED ❑RREMOVED EPLACED&COVER Z{ d EN ❑REMOVED ❑RE LACED&COVER ❑OPEN WITH FOIL ❑REMOVED&COVER El IN PLACE —]OPEN NO FOIL REPLACED ❑OTHER REMOVEOTHER E]CAP REPLD& D ❑IN PLACE ❑OTHER ❑OT ❑OTHER TEST 1 DATA TANK 1 TANK 2 TANK 3 LOCATION DROP TUBE LOCATION DROP TUBE LOCATIO DROP TUBE FILL Gauge Other(Specify) IN OUT None FILL Gauge Other(Specify) IN OUT Non Gauge Other(Specify) IN OUT None T.PROBE BALANCE CALIBRATION LEVELS LOCATION / METHOD / Lam' SOLID ROD ❑ LIQUID Time Tank 1 Tank 2 ank 3 1 2 3 4 ,y.. 5 6 AVERAGE START L ,6 cc's /�J END DIVISION �/� Z l I 1 Ul7 16 AVG.CC'S/DIV. z q LEAK RATE (L11) A U A LR= ±A DIVISIONS X CALIBRATION, CC = CC IN OUT MINUTE DIVISION MINUTE LR= t13, 00 0' TEMPERATURE COMPENSATION (TC)CALCULATION COEFFICIENT OF EXPANSION 1/.F 1 3785 GT CE A*F CC IN OUT GRAVITY TEMPERATURE,oF TC - = OR SOURCE ❑T159C TIME MINUTE [3A [3D ❑ CHART ❑ B ❑ E ❑ PUBLISHED DATA AT 60°F ❑ C ❑ OTHER TC = / Y/I�� TANK 1 TANK 2 7 SYSTEM CAPACITY,GALLONS /Q,000 GT TANK 1 TANK 2 TANK.f T °°F t o3Y A*F ±Temp. Differential / TC= T Time of Temp. /S Time 6 Differential, Min. ABSOLUTE LEAK RATE (ALR)CALCULATION ABSOLUTE LEAK RATE = t 00 v — r / =—/, /Y7 _.LEAK RATE TEMP.COMPENSATION vCC/MIN � /7 X 0.015852 CC/MIN GAL/HOUR ❑ IF ALR 1 ± 0.05 GPH,A CHECK TEST WAS CONDUCTED WHICH CONFIRMS THE ABOVE RESULTS(CALCULATIONS ON CHART) ❑ A CHECK TEST WAS NOT CONDUCTED. " 60 MINUTES/HOUR - 3785 CC/GALLON=0.015852