COMPLIANCE INFO_1985-1998 - Laserfiche WebLink

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Name of Supplier. Owner or Dealer 15. TANK TO TEST Ua� L 4nO (J't H Idenley, by pesiluon Stand and Grade 17. FILL -UP FOR TEST Stick Water Sonom before Fill -up I -a in. to Address No. and StreNa) 15a. BRIEF DIAGRAM OF TANK FIELD In. 0 Ilona Tank Diameter 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS T Sae manual sections applicable. Check below and record procedure In log (27). lbs maximum allowable test pressure for all testa. Four pound rule does not apply to doublewalled tanks. Complete section below: 1. Is four pound rule required? 2. Haight to 12- mark from bottom of tank 3. Pressure at bottom of tank a. Prilfuta at top of tank I of burial dig. table NOTES: Yes ❑ No ❑ The above calculations are to be used for dry $all conditions to establish a positive pressure advantage, or when using the four pound rule to compensate for the presence of subsurface water In the tank Well. Rett to N.F.P.A. 30. Sectlons 212.4 and 2-7.2 and the tank manufacturer regarding allowable system test pressures. CM 16. CAPACITY Nora" Capacity 10,000 Gallons By By most accurate �h. j �{ C t .l capacity port wallabN Gallons Inventory ANK ❑ Water In lank ❑ Llne(s) being leafed with LVLLT ❑ High water table M tank excavallon 19. TANK MEASUREMENTS FOR TSTT ASSEMBLY Bottom of tank to grade' ............................ �.js Irk Add 30 - to! "r probe easy........ ................... 30 kl. Total tubing to aseemble — approximate ............. In. 20. EXTENSION HOSE SETTING Tank top to grade' .................................. In. Extend nose on suction tube 6- of more below tank top ................. I.................... In. 'lf Fill pipe extends above grade, use lop of fill. 22. Thermal -Sensor reading shot circulation d ns IF �etwlaell 23. Digits per IF In range of expected change dlgtts COEFFICIENT OF EXPANSION (Complete after circulation) 24a. Corrected A.P.I. Gravity Observed A.P.I. Gravity ................................... State Date 0 Tom From Station Chan ❑ Tank Manufacturer's Chan ❑ Company Engineering Data ❑ Charts supplied with ❑ pre« Total Gallons Gallons as. Reading ' 7;56 Transfer foul to tans 254 21. VAPOR RECOVERY SYSTEM ❑ stage I ❑ stage 11 24b. COEFFICIENT OF EXPANSION RECIPROCAL METHOD Typ. of Product ........................... V 1�✓� r.� I = I� Hydrometer Employed .................................. _les H Temperature In Tank Amer Circulation ........................................ t IF Temperature of Sample ................................. ` w I n IF Difference (•/-)......................................... /'y� IF Observed A.P.I. Gravity ................................. Zia— Reciprocal L' V `) Page a I..L rL4 �' 40 Total quantity M Reciprocal Volume change In full tank (16 or 17) this lank per IF Transfer to Line 26a, Hydrometer employed ................................... H , Observed Sample Temperature ......................... •f 24c. FOR TESTING WITH WATER . Table C a o Corrected A.P.I. Gravity Water Temperature Aur Circulation LID6WF. From Table A .................................... Table C Coefficient of Expansion Coefficient of Water for involved Product Table D ................................................ From Table S ....:....................................... Transfer COE to Una 25b. Added Surfactant? ❑ Yes ❑ No Transfer COE to Line 25b. 25. (a) st (b) _ (c) ga6dn. Total quantity N Coefficient of expamlon IN VAMO change In this tank /hill''tank 1166 or 17) / Y vohM✓p��rod(u�cft� per •Fi\ ^ 1 CJ / I i 26. 11 0414 L y2 ♦ ._—� _ �J f"' r� 3 �( This Is Yoiuune ,F r"+ as ?.akl -a• IF In Volume change per Agff ted 22. Thermal -Sensor reading shot circulation d ns IF �etwlaell 23. Digits per IF In range of expected change dlgtts COEFFICIENT OF EXPANSION (Complete after circulation) 24a. Corrected A.P.I. Gravity Observed A.P.I. Gravity ................................... State Date 0 Tom From Station Chan ❑ Tank Manufacturer's Chan ❑ Company Engineering Data ❑ Charts supplied with ❑ pre« Total Gallons Gallons as. Reading ' 7;56 Transfer foul to tans 254 21. VAPOR RECOVERY SYSTEM ❑ stage I ❑ stage 11 24b. COEFFICIENT OF EXPANSION RECIPROCAL METHOD Typ. of Product ........................... V 1�✓� r.� I = I� Hydrometer Employed .................................. _les H Temperature In Tank Amer Circulation ........................................ t IF Temperature of Sample ................................. ` w I n IF Difference (•/-)......................................... /'y� IF Observed A.P.I. Gravity ................................. Zia— Reciprocal L' V `) Page a I..L rL4 �' 40 Total quantity M Reciprocal Volume change In full tank (16 or 17) this lank per IF Transfer to Line 26a, Hydrometer employed ................................... H , Observed Sample Temperature ......................... •f 24c. FOR TESTING WITH WATER . Table C a o Corrected A.P.I. Gravity Water Temperature Aur Circulation LID6WF. From Table A .................................... Table C Coefficient of Expansion Coefficient of Water for involved Product Table D ................................................ From Table S ....:....................................... Transfer COE to Una 25b. Added Surfactant? ❑ Yes ❑ No Transfer COE to Line 25b. 25. (a) st (b) _ (c) ga6dn. Total quantity N Coefficient of expamlon IN VAMO change In this tank /hill''tank 1166 or 17) / Y vohM✓p��rod(u�cft� per •Fi\ ^ 1 CJ / I i 26. 11 0414 L y2 ♦ ._—� _ �J f"' r� 3 �( This Is Yoiuune ,F r"+ as ?.akl -a• IF In Volume change per Agff ted Hydrometer employed ................................... H , Observed Sample Temperature ......................... •f 24c. FOR TESTING WITH WATER . Table C a o Corrected A.P.I. Gravity Water Temperature Aur Circulation LID6WF. From Table A .................................... Table C Coefficient of Expansion Coefficient of Water for involved Product Table D ................................................ From Table S ....:....................................... Transfer COE to Una 25b. Added Surfactant? ❑ Yes ❑ No Transfer COE to Line 25b. 25. (a) st (b) _ (c) ga6dn. Total quantity N Coefficient of expamlon IN VAMO change In this tank /hill''tank 1166 or 17) / Y vohM✓p��rod(u�cft� per •Fi\ ^ 1 CJ / I i 26. 11 0414 L y2 ♦ ._—� _ �J f"' r� 3 �( This Is Yoiuune ,F r"+ as ?.akl -a• IF In Volume change per Agff ted