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11 <br /> 14. <br /> Name of Supplier,Owner or Dealer Address No.and Streef(s) City State Date of Test , <br /> a <br /> 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From <br /> )� /� ❑ Station Chart <br /> Nominal Capacity ' V 7 V ❑ Tank Manufacturer's Chart <br /> Identity by position Gallons <br /> ® Company Engineering Oats <br /> By most accurate ('� ❑ Charts supplied with Tank Tesler <br /> Brand and Grade capacity Chan available 1 pp 'a'^[l ❑ Other <br /> Gallons <br /> llons <br /> 17. FILL-UP FOR TEST Total a <br /> ea.Ree eding <br /> ng <br /> Stick Water Bottom I l inventory in Tank f <br /> before Fill-up M. in. I <br /> to A" Gallons Tank Diameter Water Bottom <br /> f. <br /> 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑Water in tank ❑ Line(s)being tested with LVLLT Top off equipment 10 <br /> Sea manual sections applicable.Check below and record procedure In log(27). ❑Nigh water table in tank excavation Total Ouanlity <br /> Use maximum allowable test pressure lot all tests. 19. TANK MEASUREMENTS FOR �J <br /> Four pound rule does not apply to OouWewelled tanks. <br /> TSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM ❑stage 1 ❑Stage It <br /> Complete section below: <br /> Bottom of tank to grade' ............................ � In. <br /> Add 30"for"T"probe easy........................... 30 in. 24b. COEFFICIENT OF EXPANSION <br /> 1. Is four pound rule requited? Yes ❑ No ❑ Total tubing to assemble—approximate... RECIPROCAL METHOD <br /> Type ofProduct.......,, <br /> 2.Negro to t r mark from Waft in. 20. EXTENSION HOSE SETTING (/® <br /> Tank top to grade'.................................. `v"'� In. Hydrometer Employed.................................. H <br /> Extend hose on suction tube 6"or more Temperature In Tank <br /> 3.Pressure at bottom of tank P.S.1. After Circulation........................................ 'a* IF <br /> below tank top.......................I.............. in. <br /> A. Pressure at top of tank PSI .11 Fill pipe extends above grade,use top of till. <br /> 2 11 by 4 11 riser Temperature of Sample................................. IF <br /> Difference(•-)......................................... + •F <br /> USE WITH THERMAL SENSOR <br /> 4Def burial In. PN5039 (Blue Box) Observed A.P.I.Gravity ................................. <br /> 22. Thermal-Sensor reading after circulation -__ _ a. a <br /> digits Reciprocal Page e <br /> e. -•"' in. dd <br /> Between •F <br /> 23. Digits Per IF in range of expected change _. _ Total quantity in Reciprocal • Volume change in <br /> able to tank bottom 1/ _4__•in digits full tank(17) this tank per IF <br /> Transfer to Line 26a. <br /> NOTES: <br /> 00 t Q24a. IF USING THERMAL SENSOR DTS-2000u OR OC-2000 WHICH READ 1000 DIGITS 24c. FOR TESTING WITH WATER see Table C d O <br /> PER OF TRANSFER 1000 TO LINE 26, <br /> Water Temperature alter Circulation <br /> DIGITS lPER OF IN TEST RANGE. Table C from Thermal Sensor............................ •F <br /> (1 ` Coefficient of Water <br /> The above calculations are to be used for dry soil conditions to �p •J Table O................................................ <br /> establish a positive pressure advantage,or when using the four pound <br /> rule to compensate for the presence of subsurface water In the tank Added Surfactant? ❑Yes ❑No Transfer COE to Line 25b. <br /> area. <br /> Refer to N.F.P.A. 30, Sections 2-3.2.4 and 2.7.2 and the tank P5, (a) x (b) _ (0 gallons <br /> manufacturer regarding allowable System last pressures. Total quantity in Coefficient of expansion for Volume change in this tank <br /> full lank(17) Involved product per IF <br />