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CLIENT <br />NAME OF SUPPLIER, <br />OWNER OR DEALER <br />ADDRESS (NO. & TF <br />CITY AND STATE <br />DATAiFiART FOR TANK SYSTEM TIGHTNESS TES <br />(EZY CHEK) <br />DATE OF TEST 10 -,y TIME START`-/. U TIME FINISH jZ Q_ LENGTH OF T <br />WEATHER I-' TEMPERATURE D <br />TANK INFORMATION <br />CAPACITY (NOMINAL) S D Q 0 GALS. SIZE OF FILL OR TEST OPENING 7"" IN. <br />CAPACITY (CHART) GALS. TOP OFF TIME HOUR c�Gpy DATE /O -• / GALLONS _1300 <br />DIMENSIONS: DIAMETER �' // NUMBER OF GALLONS ADDED TO START TEST <br />LENGTH TANK NO. 0 n e- <br />INCHES OF WATER - BEFORE TEST. f,FTER TEST <br />TEST CALIBRATION <br />SIZE OF CAL. BAR OR ML'S ADDED , TANK LAvouT <br />®� - � �, � = LSD D.-:.> <br />(ALM) (F %CTOR A) <br />LINE MOVEMENT <br />1 �3 to 6z =LINES2/ to 6 6 = r� LINES <br />3 4` to _ 4' = LINES <br />TOTAL `I3 LINES -3 = .� _s LINES <br />(ALM) <br />END OF TEST CALIBRATIONr <br />Reading <br />No. <br />PRODUCT MONITORING <br />ON LL <br />SIZE OF CAL. BAR OR ML'S ADDED <br />Start <br />a - <br />~? =_00 p 0 <br />X Factor A <br />.� <br />(ALM) (ACTOR A) <br />LINE MOVEMENT <br />.003 <br />1 36 to , _ <br />LINES <br />2 ®3 to 614 <br />_ <br />LINES <br />3 3 to G / <br />= <br />LINES <br />TOTAL <br />LINES _ <br />3 = + b _ LINES <br />(ALM) <br />MEASURED API SPECIFIC GRAVITY <br />PRODUCT TEMPERATURE <br />'7 0,' <br />API SPECIFIC GRAVITY @ 60° F <br />6 <br />(FROM TABLE A) <br />COEFFICIENT OF EXPANSION Od D <br />44 <br />(FROM TABLE B) <br />.PDG q a Ij <br />x( <br />FACTOR 8 ) <br />C.O.E. <br />TOTAL CAPACITY (GAL.) <br />VOL. CHANGE/* F <br />PRODUCT UNE TESTING SYSTEM <br />Time <br />(Military) <br />Reading <br />No. <br />PRODUCT MONITORING <br />ON LL <br />product <br />Gain <br />+Loss <br />Start <br />End <br />Gain <br />+Loss <br />X Factor A <br />.003 <br />. 00 <br />.003 <br />.00 <br />Serial lNumberl <br />r] <br />CONTENTS (PRODUCT) <br />TANK MATERIAL METALX)._ P-IBERGLASS( ) <br />APPROX.AGEAl e <br />w <br />PUMP SYSTEM TYPE -SUB( ) MAKE <br />SUCTION <br />LEAK DETECTOR YES FT—NO ( ) <br />VAPOR RECOVERY SYSTEM YES( ) NO(�i <br />i�2--? <br />i <br />CT <br />W <br />I <br />OWNER OF SITEZmd; fm6 r1d ,O(DRESS <br />1' <br />CITY Le) STATECd ZIP CODE <br />OWNER OF TANK 1,ra� a qtr ADDRESS <br />CITY STATE ZIP CODE <br />COUNTY <br />�Ar) Y <br />TECHNICIANS) V @DATE <br />4 <br />