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14. <br />' - I- Name of Supplier. Owner or Dealer <br />15. TANK TO TEST t t <br />Identity by positioW <br />`V inn nL � <br />Brand and Grade <br />Address No. and Street(s) <br />15a. BRIEF DIAGRAM OF TANK FIELD <br />17. FILL -UP FOR TEST <br />Stick Water Bottom <br />before Fill -up ® In. ~" q in. <br />to 9" Gallons Tank Diameter <br />City <br />16. CAPACITY <br />Nominal capacity ' 0., ®d d <br />Gallons <br />By most accurate a Aso <br />capacity chart available <br />Gallons <br />Q e, <br />Inventory <br />18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑ Wefar In tank ❑ Une(s) being tested with LVLLT <br />SZ t <br />See manual sections applicable. Check below and record procedure in log (27). <br />❑ High water Lade In tank excavation <br />Use maximum allowable test pressure for all torts. <br />19. TANK MEASUREMENTS FOR <br />Four pound rule does not apply to doubktwalkui tanks. <br />TSTT ASSEMBLY <br />• <br />24a. Corrected A.P.L Gravity <br />f oy <br />Total quantity in Reciprocal <br />Complete section below:b <br />Bottom ottani b grade' ............................ �L f <br />in. <br />full tank (16 or 17) <br />Add 30" for -r probe easy ........................... <br />30 in. <br />❑ No ❑ <br />Transfer to Lim 20. <br />1. Is four pound rule required? Yes. <br />Total tubing to assemble — approximate ............. <br />In. <br />20. EXTENSION HOSE SETTING <br />IF <br />Height to 12" mark from bottom of tank In. <br />we Tabs c a D <br />Observed Semple Temperature ......................... <br />Tank top to grade' .................................. <br />In. <br />Corrected A.P.I. Gravity <br />Extend twee on suction tube S" or more <br />Waw Temperature titer C rculatlo n <br />3. Pressure at bottom of tank P.S.L. <br />below tank top .................:.................... <br />4, Pressure at top of tank P.S.I. <br />if Fill pipe extends above grade, use top of fill. <br />1 '10 ( <br />Coefficient of Water <br />Tame D ................................................ <br />22- TAennai.Ranam ruins aftercirculation <br />C <br />of burial <br />tame <br />NOTES: <br />The above calculation are to be used for dry soil conditions to <br />establish a positive pressure advantage, or when using the four pound <br />' rub to compensate for the presence of subsurface water in the tank <br />area. <br />Refer to NAPA. 30. Sections 2-3.24 and 2-7.2 and the tank <br />manufacturer regarding allowable system test Rreatures. <br />digits <br />(d4) -6N IF <br />Date �of Test <br />From <br />❑ Station Chart <br />Tank Manufacturer's Chart <br />Company Engineering Data <br />❑ Charts supplied with <br />❑ Other <br />Total Gallons <br />Gallons es. Reading <br />1 P1 <br />IUPlam] <br />21. VAPOR RECOVERY SYSTEM ❑ stage I ❑ stege II <br />24b. COEFFICIENT OF EXPANSION <br />RECIPROCAL METHOD <br />Type of Product ........................................ <br />Hydrometer Employed .................................. H <br />Temperature in Tank <br />After Circulation ........................................ •F <br />Temperature of Semple ................................. °F <br />Di(+h1...:..................................... °F <br />Observed A.P.I. Gravity ................................. <br />23. Digits per IF In range of expected change <br />SZ t <br />Reciprocal Page e <br />digits <br />COEFFICIENT OF EXPANSION (Complete after circulation) <br />+ <br />• <br />24a. Corrected A.P.L Gravity <br />Total quantity in Reciprocal <br />Volume change in <br />, ! <br />G <br />full tank (16 or 17) <br />this tank per IF <br />A P.I. Gravity ................................... <br />o `f <br />Transfer to Lim 20. <br />Hydrometer employed ................................... <br />H <br />IF <br />24c. FOR TESTING WITH WATER <br />we Tabs c a D <br />Observed Semple Temperature ......................... <br />Corrected A.P.I. Gravity <br />s'�a � <br />Waw Temperature titer C rculatlo n <br />aaOPF. From Table A .................................... <br />Table C ................................................ "F <br />Coefficient of Expansion <br />for Involved Product <br />1 '10 ( <br />Coefficient of Water <br />Tame D ................................................ <br />From Tame B ............................................ <br />Transfer COE to Une 28b. <br />Added Surbctacd? ❑ Yea ❑ No Transfer COE to Une 25b. <br />25. (a) A A Q O x (b)t 000 %4-' d o = (c) S, 4a g galloa <br />Total quantity In Coefficient of expansion for Volume change in this tank <br />full tank (16 or 17) J �4 A kwolveZd Product Per IF <br />26. (a) S h 4 150 `� ♦ v 11 = t ®I % This Is <br />Volume change par IF (25 or 24b) Digits per IF M last Volume change per digit bel <br />Range (23) Compute to 4 decimal places. factor (a) <br />