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Im <br />14. <br />Name of Supplier. Owner or Dealer <br />city <br />State <br />15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD ,'16. CAPACITY <br />AJC E 44 I <br />of �J <br />NMMW Capacity.. (� O <br />Identity by positionowl" <br />Brand a a Grade ®y most accurate �'1 V <br />oapsolly chart wallable y <br />fix Dalton <br />17. FILL -UP FOR TEST <br />oft Water EOmorl i� <br />3 P <br />before FIR -up LJ M. 4:`11 rnW-twy Ma_ <br />� 4 1 <br />to <br />To* N4 <br />�® <br />18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑ wiser IIIbank ❑ t k,.fs' with LVLLT <br />See "Must fedltoM applicable. Check below and record procedure In tog ( ' ❑ Nia1 water table M twtk .`, . <br />We maximum allowable test pressure for as testa. 19. TANK MEASUREMENTS FOR 1 <br />Four pound rule does not apply to doublewatled Lanka. <br />Cate of Test <br />From <br />❑ Station Chart <br />❑ Tank Manufacture's Chart <br />❑ Company Enginesring Data <br />Chea supplied with <br />❑ Other <br />Total GalloM <br />"w4 es. Mading <br />Transfer total to lira 2f <br />Complete section below: <br />TSTT ASSEMBLY <br />+ <br />21. VAPOR RECOVERY SYSTEM ❑ i u <br />❑ stage <br />sOlbnl N N aw <br />�A <br />. <br />Add.3(°f!?(, Itf00e"�' • Y � � <br />`' <br />24b. COEFFICIENT OF EXPANSION <br />1. N four pound rub required? <br />res. ❑ No Taal brblnY to ' ',.=pproximats �' ,,'�,:; <br />1. <br />'�.-;" Im . <br />RECIPROCAL METHOD <br />I Height to ,a" mark from bottom of lank <br />20; EXTENSION HOSE SETTINA ;`� <br />s -• <br />TM a f .............. •.......... <br />y � <br />.......... • .... .I...... .. N <br />a. Prmure at bottom of lank <br />P s( x 0' ..:n> r w tutM ft" er t t, t f 0'x <br />Jif a <br />be . <br />a in Tank ............. s®. f <br />'. <br />4. "Sure at lop of tank <br />of burial <br />table k <br />NOTES:: A <br />1�w � A1\t k4b <br />Ttlg 00111 CaoutgNollE erg to EE uaad fa dry gaff WdItIom to <br />tl"lfsha positive proa furaadvantage, or whop using the four pound <br />fust to oompenaate 1100' the preaende of aubsurfaCe water In the tank <br />NO& <br />Mien to NAPA. 4 section 2.0,2.4 and 2.7.2 and the tank <br />Inaruik Mor regard" skowebtb a •,.•,, . � , <br />COEFFICIENT OF EXPANSION;i <br />24a. CWPodod AAL GMWf <br />A.F.I.Obsiorved <br />T <br />Tilbm /1.nnnl.e <br />s�.»{1111 <br />1, <br />,�ii.i <br />y®�asp. yPPf" <br />Af b1Y0tyad � <br />. <br />Pref► Taaa r ........... 1.......:.1.; <br />FTI <br />gwrt" M <br />V11 <br />;M <br />plete atter circus, <br />vrr.r..es <br />b <br />• Vii'.': <br />I.S 11.11}. <br />MZ <br />�. (b) <br />r'n.rn.rwnl . , •.i..n 1M <br /><.. ..ter <br />t <br />24c. FOR TESTING WITH WATER ,.. Tabs c ito <br />Water Tempeatuto altat Circulation <br />ri" 0.............I,.,.,,...I......... ... ... ........, °P <br />c4oftlatt of Water <br />Table D ................................................ <br />Adder! 6urfactant? ❑ Yes ❑ No Transfer COE to Una 23b. <br />" . (C) 0'i ( r25 -goons e 0 <br />Vagente change In Nb tank <br />w °9 <br />