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Name of Supplier.Owner or Dealer Address No.and Street(s) City Stat Date of Test <br /> 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY From <br /> ❑ Station Chart <br /> LAIDNominal Capacity ear ❑ Tank Manufacturer's Chart <br /> Identity by position Gallons <br /> © Company Engineering Data <br /> ♦\ �1;,F, ' By most accurate /�1 {�E ❑ Charts supplied with Tank Tester <br /> Brand and Grade capacity than available k-✓4 COO ❑ Other <br /> Gallons <br /> I <br /> ons <br /> 17. FILL-UP FOR TEST Total ea.Reeaadinging <br /> Stick Water Bottom Inventory in Tank 10%r <br /> before Fill-up In, In. 1 %8 y J <br /> to 5E" Gallons Tank Diameter Water Bottom <br /> 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑water In tank ❑ Line(s)being tested with LVLLT Top off equipment + 10 <br /> See manual sections applicable.Check below and record procedure in log(27). ❑High water table in tank excavation Total Ouantity ¢ <br /> Use maximum allowable test pressure for all tests. r 19. TANK MEASUREMENTS FOR € <br /> Four pound rule does not apply to doublewalled tanks. <br /> TSTT ASSEMBLY f+ 21. VAPOR RECOVERY SYSTEM ❑stage l ❑Stage 11 <br /> Complete section below: <br /> Bottom of tank to grade' ............................ 1 in. <br /> Add 30"for­17'probe easy........................... 30 ln. 24b. COEFFICIENT OF EXPANSION <br /> 1. Is four pound rule required? Yea ❑ No ❑ Total tubing to assemble—approximate............. In. RECIPROCAL METHOD <br /> 2.Height to 12'mark from grade in. <br /> 20. EXTENSION HOSE SETTING TypeolPraduct.....-`�. <br /> Tank top to grade°.................................. ' In. Hydrometer Employed.................................. 14 H <br /> Extend hose on auction lube 6"or more Temperature in Tank <br /> 3.Pressure at bottom of tank t P.S.I. After Circulation........................................ 615 °F llj <br /> below tank top.................................•..••tt in. Temperature of Sample............................. °F <br /> 4. Pressure at top o1 lank E p S I 'If Fill pipe extends above grade,use top of fill. 2 by 4EI riser <br /> OUSE WITH THERMAL SENSOR Difference(•/-)......................................... °F <br /> Depth of burial in, PN5039 (Blue Box) Observed A.P.I.Gravity <br /> 22. Thermal-Sensor reading atter circulation , P `^ <br /> digits Reciprocal all® <br /> Tank dia. in. °F <br /> Between fi} <br /> 23. Digits per°F in range of expected change Total quantity in Reciprocal Volume change in17 tank this tank per°F <br /> Water table to tank bottom in. digits full ( ) Transfer to Line 26a. <br /> NOTES: <br /> ®24a. IF USING THERMAL SENSOR DTS-2000 <br /> OR OC-2000 WHICH READ 1000 DIGITS 24c. FOR TESTING WITH WATER ..Table C&0 <br /> PER OF TRANSFER 1000 TO LINE 26, <br /> rE — Water Temperature after Circulation <br /> DIGITS PER OF IN TEST RANGE. Tablecfrom Thermal Sensor............................ °F <br /> Coefficient of Water <br /> The above calculations are to be used for dry soil conditions to e°+ Table D................................................. <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 25• (a) x (b) _ (C) gallons <br /> manufacturer regarding allowable system test pressures. Total quantity in Coefficient of expansion for Volume change in this tank <br /> full tank(17) involved product per°F <br /> 26. (al) 1 ,000 = ` C.� 1 to i Lj <br /> , <br /> This is <br /> Volume change per°F(25 or 24b) Digits per°F in test Volume change per digit test <br /> Range(23 or 24a) Compute to 4 decimal places. tactor(a) t ,J <br />