COMPLIANCE INFO_1986 - 1994 - Laserfiche WebLink

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I r . . . . r I r f L% Vat)r P 1 ) 1 F Name of Supplier, Owner or Dealer Address No. and Slreel (s) City Stale Dale of Teal ago 15 . TANK TO TEST a 0 al5a. BRIE DIAGRAM OFT NK FIELD \ 16 . CAPACITY From (' Ou (�`` 11StationChart UT l � Nominal Capacity I (� 1� 1:1 Tank Manulaclurer's Chert QCIdentify by posill n � .j, Gallons ❑ Company Engineering Data f) Y � ��,(`�- ''''-�'��7 ❑ Charts supplied with Tank Tesler Brand and OradeBy most accurate 1 I I / O7 � capacity chart available I `( �LJf ElOtherV!S `� t+ � GImi `d c- Gallons 17 . FILL-UP FOR TEST Total Gallons as, Reading Slick Water Bottom {/--��-� before Fill-up ® In, `/ Inventory In Tank In. ( I � to %O' Gallons Tank Diameter Water Bottom 18 . SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑ water In tank ❑ Llne (s) being lasted with LVLLT Top oil equipment +� See manual sections applicable. Check below and record procedure In lop (27). ❑ High water table In lank excavation Total Quantity //I I ) Use maximum allowable last pressure for all tests. 19. TANK MEASUREMENTS FOR Four pound rule does not apply to doublewalled tanks. Complete section below: TSTT ASSEMBLY 21a VAPOR RECOVERY SYSTEM ❑ stage I ❑ Stege 11 Bottom of lank to grade ' 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . In. 1. Is lour pound rule required ? Yee No Add 30" for 'To probe assy. . . . . . . . . . . . . . . . . . . . . . . . . : : � 30 In, 24b . COEFFICIENT OF EXPANSION ❑ 1/�I Total tubing t0233 amble — approximate . . . . , . . . . . , '-L.G_ in. RECIPROCAL METHOD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .� Ja . 2. Height tol7mark kType of Product from L� In. 20. EXTENSION HOSE SETTING Tank lop to grade ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L1I In. Hydrometer Employed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . H 3. Pressure at bottom of lank L , P.S. 1. Extend hose on auction lube 6" or more I I "^') Temperature In Tank C I L� I+ Altar Circulation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( �* • F Cir below tank top . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . In.ago +�///'�}/�) Temperature of SempleLID a 4. Pressure at lop of lank PSI 'II FIII pipe extends above grade, use lop of IIII. � OWN USE WITH THERMAL SENSOR Difference (•/-) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t v ' • F Depth of burialtoo In. PN5039 ( Blue Box) � / 1n' Observed A. P. I. Gravity 44 ( . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 . Thermal-Sensor reading after circulation Tank dla. In. digits Reciprocal LOU Page 11 ]� � � ' Between ( 7 } 23 . Digits per OF In range of expected change Total quantity In Reciprocal Volume change In Water table to lank bottom In. digits lull tank ( 17) this lank per OF NOTES: Transfer to Line 28a, 24a . IF USING THERMAL SENSOR DTS -2000 OR QC - 2000 WHICH READ 1000 DIGITS 24c. FOR TESTWITH WATER see Ta SD PER OF TRANSFER 1000 TO LINE 269 DIGITS PER ° F IN TEST RANGE . Water Temperature after Cirtmlad Table C from Thermal Sena . . . . . . . . . �, , , , , OF Coefficient of alar to The above calculations are to be used for dry soil conditions to Table D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . establish a positive pressure advantage, orwhen using the four pound rule to compensate for the presence of subsurface water In the lank area, Added Surlac1en17 ❑ Yee ❑ No Transfer COE to Line 25b. Refer to N. F. P.A. 30, Sections 2-3. 2. 4 and 24. 2 and the lank25 . ( a) x lb� _ (�� gallons manufacturer rnpardlnp allowable eyelaln test pressures. Total quantity In Coefficient of expansion for Volume change In this lank Full tank ( 17 � — Involved p.odact r -OF (co