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Name of Supplier, Owner or Dealer Address No. and Street (s) City State Date of Test 15 , TANK TO TEST 15a . BRIEF DIAGRAM OF TANK FIELD 16 , CAPACITY From - ❑ Station Chart 20 � Nominal Capacity Tank Manufacturer's Chart Identity by pos on,..l Gallons ❑ Company Engineering Data 5•� e ? �� _ ❑ Charts supplied with —�o By most accurate / �' Brand and Grade capacity chart available ` u ❑ Other Gallons 17 , FILL- Gallons ea. Reading �;Jlft Mail UP FOR TEST Total Gallons gyp; Stick Water Bottom �?•; before Fill-up in. !�7 in. Inventory C; to %" --Gallons Tank Diameter 18 . SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑ Water in tank ❑ Line(s) being tested with LVLLTIt 7D ,fit — f` See manual sections applicable. Check below and record procedure in log (27). ❑ High water table in tank excavation /top Use maximum allowable test pressure for all tests. 19 . TANK MEASUREMENTS FOR Transfer total to line 25a Four pound rule does not apply to doublewalled tanks. Complete section below : TSTT ASSEMBLY 21 . VAPOR RECOVERY SYSTEM ❑ Stage I ❑ Stage II • Bottom of tank to grade' . . . . . . . . . . . . . . . . . . . . . . . . . . . . in. Add 30" for "T' probe assy.. . . . . . . . . . . . . . . . . . . . . . . . . . . 30 in. 24b . COEFFICIENT OF EXPANSION 1 . Is four pound rule required ? - Yes ❑ No .>� Total tubing to assemble — approximate . . . . . . . . . . . . . in. RECIPROCAL METHOD / Type of Product . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Height to 12" mark from bottom of tank in. 20. EXTENSION HOSE SETTING Tank top to grade' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . in. Hydrometer Employed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . H Extend hose on suction tube 6" or more Temperature in Tank 3. Pressure at bottom of tank P. S. I. After Circulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F below tank top . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . in. too .�.�-.: ^ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � ° 4. Pressure at top of tank P.S. I. If Fill pipe extends above grade, use top of fill. Temperature of SampleF 22 . Thermal-Sensor reading after circulation Difference +/- OF 9 3v Depth of burial in. - �I ° F Observed A. P. I. Gravi - - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - t e / 23 . Digits per OF in range of expected change Reciprocal f +' Page # Tank dia. in. digits Fic �� 1 COEFFICIENT OF EXPANSION ( Complete after circulation ) � (� + _ , 24a . Corrected A. P. I. Gravity Total quantity in Reciprocal Volume change in Water table in. full tank (16 or 17) this tank per OF Observed A. P. I. Gravity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transfer to Line 26a, NOTES: Hydrometer employed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . H 24c . FOR TESTING WITH WATER see Table C & D Observed Sample Temperature . . . . . . . . . . . . . . . . . . . . . . . . . OF Corrected A. P. I . Gravity Water Temperature atter Circulation . @ 60° F, From Table A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Table C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ° F Coefficient of Expansion Coefficient of Water The above calculations are to be used for dry soil conditions to for Involved Product Table D, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . establisha positive pressureadvantage, orwhen using the four pound From Table 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . rule to compensate for the presence of subsurface water in the tank Transfer COE to Line 25b, Added Surfactant? ❑ Yes ❑ No Transfer COE to Line 25b. area. 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 tank full tank (16 or 17) _ involved pr duct per OF 26 , This is Volume change per OF (25 or 24b) Digits per OF in test^ Volume change per digit test Range (23) Compute to 4 decimal places. factor (a)