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Page 5 <br /> SITE PREPARATION AND SYSTEM DATA <br /> THREE-TANK SYSTEM / <br /> CUSTOMER: y�L G DATE: — b <br /> LOCATION NO.: y q"�—Z _ �d / SYSTEM NO.: <br /> CITY/STATE: �A PRODUCT: s / <br /> SITE PREPARATION <br /> OTHER CONDITIONS <br /> VAPOR RECOVERY ❑ PLUGS L7 RISERS ��❑ OTHER <br /> VENT ❑ NO PREPARATION Lel OPEN TO ATMOSPHERE ❑ P-V VALUE REMOVED OTHER <br /> [i1REMOTE/SUBMERSIBLE (DEPTH 1 ❑ SUCTION (HEIGHT <br /> CHECK VALVE STRAINER IMPACT VALVE CHECK VALVE STRAINER SUCTION NNECTION <br /> �❑REMOVED&OPEN ❑REMOVED ❑CLOSED ❑BURIED ❑REMOVED ❑UNION <br /> L'SIN PLACE ACE ❑� LOSED <br /> PLUG OUT ❑EXTRACTABLE ❑IN PLACE ❑COUPLING <br /> CLOSED ❑REMOVED REPLACED&COVER [Zi PEN ❑REMOVED ❑REM ACED COVER ❑OPEN WITH FOIL <br /> ❑ <br /> RREMOVED EPLACED <br /> ❑OTHER ❑IN PLACE OTHER ❑OPEN NO FOIL <br /> ❑REMOVED& <br /> CAP REPLA ❑IN PLACE <br /> ❑OTHER <br /> ❑OTH ❑OTHER <br /> TEST 1 DATA <br /> TANK 1 TANK 2 TANK 3 <br /> LOCATION DROP TUBE LOCATION DROP TUBE LOCATIO DROP TUBE <br /> FILL Gauge Other(Specify) IN OUT None FILL Gauge Other(Specify) IN OUT Non Gauge Other(Specify) IN OUT None <br /> T.PROBE ✓ <br /> BALANCE <br /> CALIBRATION <br /> LEVELS LOCATION METHOD <br /> ❑ SOLID ROD ❑ LIQUID <br /> Time Tank 1 Tank 2 /ank 3 1 2 3 4 5 6 AVERAGE <br /> START �./S 160 CC'S 'f' 57 <br /> U �5 GSU —�dy� <br /> END 7, V1DIVISION /y/s <br /> AVG.CC'S/DIV. Zl SS <br /> LEAK RATE (LR7UA_1?7_U_LATfZ5N <br /> LR= ±A DIVISIONS X CALIBRATION, CC = CC IN OUT <br /> MINUTE DIVISION MINUTE <br /> 11 <br /> LR= �, y <br /> TEMPERATURE COMPENSATION ITC)CALCULATION <br /> COEFFICIENT OF EXPANSION 1/.F 000E <br /> 3785 GT CE A*F CC IN OUT <br /> GRAVITY TC =TEMPERATURE, = OR <br /> SOURCE ❑T159C TIME MINUTE <br /> ❑ A ❑ D ❑ CHART <br /> ❑ B ❑ E ❑ PUBLISHED DATA AT 60OF <br /> ❑ C ❑ OTHER TC = Cf/ q 0 <br /> TANK 1 TANK 2 <br /> SYSTEM CAPACITY,GALLONS (3e 4040 GT TANK 1 TANK 2 TANK o T <br /> A°F �I A'F <br /> ±Temp. Differential TC= <br /> T Time of Temp. b A Time <br /> Differential, Min. <br /> ABSOLUTE LEAK RATE(ALR)CALCULATION / <br /> ABSOLUTE LEAK RATE _ t y,6 <br /> LEAK RATE TEMP.COMPENSATION CC/MIN <br /> & X 0.015852* _ +/ 6 Z',6 <br /> CC/MIN GAL/HOUR <br /> ❑ IF ALR 1 ± 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 />