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<br /> Noma of Supnller. Owner or Dealer Address No and Street (a) _
<br /> City 1 111 11 1111 am 1111111 Stals
<br /> Date of Teal
<br /> 15 . TANK TO TEST 1 a . BRIEF DIAGRAM OF TANK FIELD 16a CAPACITY From
<br /> n f rl I, *'• � ) ❑ Station Chert
<br /> set
<br /> Identity byposition S ( � 0/ Nominal Capacity _ n ❑ Tenk Menulaclureie Chnrl
<br /> Gallons Ideemosed
<br /> ARCO �f ���� ��-^••--. ❑ Company Enpinearinp Dal ■
<br /> Brand and Grade ' By moat accurate /r/r• •7 Chert& supplied with Tank Teeter
<br /> . 'Icapacllycharlaveliable ^_ �� Other
<br /> n Gallons
<br /> 17. FILL-UP FOR TEST Total Gallons
<br /> Slick Water Bottom so. Reading
<br /> before FIII-up -a_ In, 9�.. � ' Inventory In Tank �^
<br /> to S" Gallons Tank DI°molor In. . . -/r✓ a�
<br /> Water Bottom
<br /> 18 . SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑ Water In lank ❑ Llne (a ) being tested with LVLLT
<br /> Top all equipment +�
<br /> See manual sections applicable. Check below and record procedure In log (27). ❑ High water table In lank excavation
<br /> Total Quantity y
<br /> U30 maximum allowable teal pressure for all lads. _L
<br /> Four pound rule does not apply to doublewalled lank&, 19 . TANK MEASUREMENTS FOR
<br /> Complete section below; Lr uw •( TSTT ASSEMBLY
<br /> lj 21 . VAPOR RECOVERY SYSTEM ❑ stag. 1 ❑ Stage Il
<br /> ollom of lank to grade ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . In.
<br /> lJ Add 30" for IT' robe au30
<br /> L b lout pound rule nqulredT
<br /> yes ❑ No D y" " " " " " " " " " " " ' In. 24b . COEFFICIENT OF EXPANSION
<br /> Total tubing to assemble — approximate , , , , , , , , , In, RECIPROCAL METHOD
<br /> ; .. , 2. Haight l0 12' mark from rata
<br /> Type of Product
<br /> g o In, 20, . EXTENSION HOSE SETTING L1 llfU � Ct %
<br /> Tank top to grade " . . . . . . . . . . . . .: . . . . . . . . . . . . . . . . . . . . I In, Hydrometer Employed .tI Is 41: : . . : H
<br /> ad- 2amid
<br /> 3. Pressure M bottom of lank ,J• 9 Extend hose on auction lube 8" or mon Temperature In Tank
<br /> P,S, 1. (eq t4
<br /> below tank lop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ism. (eq After Circulation . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . , � p
<br /> In.
<br /> ' ," e. Pressure at top of tank ! • Say P.S. L 'If FIII pipe extends above gr°de, use top of fill, Temperature of Sample , , , , , , , , , , , , , , , , , , , , , , , , 6614600016 OF
<br /> USE WITH THERMAL SENSOR Difference (+/_)
<br /> Depth of burial � In. PN5039 ( Blue Box )
<br /> to I
<br /> Observed A. P. I. Gravity . . . . . . . . . . . . . . . . . .
<br /> • 22 . Thermal •Son3or reading after circulation //,,
<br /> Tank dla, � In• dl Reciprocal ly—_ Pe e e zj;: a , .�
<br /> \zno
<br /> estimated
<br /> ! � 0
<br /> We?
<br /> • F CI / 4 �
<br /> 23 . Digits per OF In range of oxpocled change Total quantity In Reciprocal Volume change In
<br /> Water table to lank bottom do
<br /> In, d1011a lull Ienk ( 17) '
<br /> NOTES: this tank per F; 1".'
<br /> Transfer to Lino 20s9
<br /> 24a . IF USING THERMAL SENSOR DTS - 2000
<br /> de
<br /> OR QC - 2000 WHICH READ 1000 DIGITS 24c . FOR TESTING WITH WATER see Table C
<br /> PER OF TRANSFER 1000 TO LINE 26 ,
<br /> DIGITS PER OF IN TEST RANGE , Water Tempentureafter Circulation
<br /> Table C from Thermal Seroor , • F
<br /> The above calculations are to tw used for dry soil conditions to Coefficient of Water
<br /> lead
<br /> Ole
<br /> establish a Positive pressure advent age, or when using the four pound Table D , , , , , , , , , , , •
<br /> rule to compensate for the presence of subsurface water In the tank /
<br /> °rot. someAdded SurfectnnlT ❑ av6 Transfer COE to Una 25b,
<br /> Refer to N. F.P.A, 30, Sections 242, 4 and 2-7, 2 and the lank ( )
<br /> a b
<br /> manufacturer regarding allowable eyslem lost pressuros, K ar C
<br /> Total quutlllY In1041110101111 of alipsnd4n for Volume nes ngn In this lank gallons
<br /> full tank InVolved produpar OF
<br /> 0l
<br /> �F (��, �a kill' 8640 44 Re,10 0 () OD 6 P4
<br /> 10 IDo
<br />
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