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1 <br /> Name of �.Owner or W <br /> y Add, a reet(a) 9 Stare aftl <br /> 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From15. TANK TO TEST. tA�J ❑ Station chore <br /> Nominal Capacity ' t .. ❑ Tank Manufacturer's Chert <br /> Identity by posit" Gallons Company Engineering Data <br /> By most accurate <br /> Charts supplied with <br /> Other <br /> Brand and Grp <br /> capacity CniA available t d o. <br /> Gallons <br /> Total Gallons <br /> 17. FILL-UP FOR TEST / Gallons �°\°j.Reading <br /> Stb� swam illions f —in. d:. <br /> kl-uP ��— C.) —� � In. inventory <br /> to yr• Gallons Tank Diameter 1 flfl <br /> 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water in tank ❑ Une(s)being tested with LVLLT <br /> applicable.&a"Must sections and record Procedure In log(27). ❑High water table In tank excavation I c) <br /> Transfer total 40 line 258 <br /> Live maximum allowable test PMSSufO al ` 19. TANK MEASUREMENTS FOR <br /> Four pound ful,""ndt apply to aitank°. <br /> TSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM ❑stage I ❑stage 11 <br /> Complete section below: Bottom of tank to grade' ............................ In. <br /> Add 30"for..r probe way........................... 30 in. 24b. COEFFICIENT OF EXPANSION <br /> 9. is fou pound rule required? res ❑ N ❑ Total tubing to asses —approximate............. In. RECIPROCAL METHOD y ® <br /> Type of Product .... � 7L g 6 <br /> 20. EXTENSION HOSE SETTING <br /> 2. b 92°mark frau bottom of tank Hydrometer Employed•.....•............•.....•....... <br /> .1,. H <br /> Tank top to grade'.................................. _In. <br /> 1` Extend Pose on auction tube a"or more Temperature in T <br /> P.S.I. After Circulation........................................ � °F <br /> 3, at bottom of tank below tank too.......................... <br /> (y Temperature of Sample................................. <br /> 1 �® IF <br /> P.S.I. 'if Fill pipe extends above grade,use top of fill. <br /> i c•� <br /> 4. R at top of fink <br /> ' 22. Thermal-Sense readingatter circulation Difference(+!-)......................................... � <br /> digky.� .e.. <br /> G t <br /> Depth of burial ' in. E)`Q 7d I ' IF Observed A.P.I.Gravity ................................. c <br /> ,,. BeLveeen <br /> °^r t€ <br /> q! _ 23. Digits per IF In range of expected change Reciprocal - `` Page i <br /> tin. digits <br /> Tank dia. COEFFICIENT OF EXPANSION(Complete after circulation) <br /> Taal quantity in Redprocall Volume change in <br /> 24a. Corrected A.P.I.Gravity full tank(ter of 17) this tank per IF <br /> Water table in Transfer to Line 28a. <br /> Observed A.P.I.Gravity................................... <br /> NOTES: <br /> Hydrometeremployed................................... N <br /> 24c. FOR TESTING WITH WATER sesTabit,c s D <br /> Observed Sample Temperature ......................... °F <br /> Corrected A.P.I.Gravity Water Temperature Circulation <br /> (a 60-F,From Table A.................................... Table C °F <br /> Coefficient of Expansion Coefficient of Water <br /> for Involved Product Table D................................................ <br /> The a Calculations aro to be used for dry soil conditions 4o From Tabic B............................................ <br /> fastallol <br /> isha Wap readvint .orwhenusingthefourpound <br /> rule q a for the pr of subsurfacewater In the tank Transfer COE to Line 25b. Added�rtscum? [:1 Yes No Transfer COE to Llrro 25b. <br /> , . K <br /> to N.F.P.A. 30. koro 2-3.2.4 and 2^7.2 and the tank 25. V x �b) c lC� gallons <br /> manufacturer risawthno allowable system teat pressures. Taal quantity In Coefficient of expaneuxn for Volume change in INa tank <br /> full tank(ter of 17) involved product Par IF ! �} <br /> �,° �.�-._°..i ,� _ _ 'k 1 4°, ,.° 1� This is 8 <br /> • Voiume,change per IF t25 or 24b) Dtgas per IF in test Volume ch per ogFt test <br /> n n o.7i .1nrr< t,rt-rel <br />