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27. <br />EOG OF TEST PROCEDURES <br />L A (Supplemental) <br />28. Record details of selling up 29. <br />DATE Reading <br />and running lest. (Use full ng <br />length of line it needed.) No. <br />— <br />TIME <br />12e allReading <br />36. NVOROSTATtc <br />PRESSURE <br />CONTROL <br />sisrops Leve <br />M Inchl$ <br />31. <br />VOLUME MEASUREMENTS M <br />RECORD 10.001 GAL. <br />32. Product In 33. Ploduel <br />Graduaw Replaced (-) <br />p <br />34. <br />TEMPERATURE COMPENSATION <br />USE FACTOR (a) <br />35. 36. 37. <br />Change Computation <br />Thermal Ihgher • (c) • U) ° <br />Sensor lower - FA ansion • <br />Reading Id Con racoon - <br />38. NET votuME <br />CHANGING <br />EACH READING <br />amps+awre <br />AOlusune°� <br />39. " <br />ACCUMULATED <br />CHANGE <br />ATlow level eompule <br />Change per Now <br />UNFPA adena) <br />Volume Minus <br />Etpaersion (q or <br />Comracewn (-) <br />e33(VI — 897111 <br />Beginning <br />of <br />twat to <br />which <br />Restored <br />9elow <br />Reading <br />Ahu <br />Reading <br />Product <br />Recovered 1.1 <br />®7Y, ,: <br />4':>830 <br />S/TLS-ri4cr <br />oA <br />-- <br />- o o <br />s <br />J <br />/J/ WO <br />0730 <br />/. J � x �f'.Wo (,lei' <br />°' <br />Y <br />/ '�� r�./r..4 '/i �T 1. fc',t!?'v <br />.� <br />Flo. Z <br />6• Z <br />�2 <br />TZ/ <br />•ISG <br />✓ Zo <br />zo <br />. fp ® <br />¢ L70 <br />50 <br />.7 / 7 <br />_ <br />41 y <br />4'13 <br />'` 3sd <br />45 <br />--o5-5- <br />i sSf/Z <br />1 <br />690 <br />. 9616" <br />-3o <br />4-13 <br />X345' <br />oso <br />/G13U <br />// 01 <br />S <br />yt •3 <br />�,�'d <br />/DO <br />3 80 <br />�' L8o <br />.,5' L _ <br />�`-/L <br />�: 3 00 <br />- O Z o <br />oZo <br />2-0 <br />-Ssy <br />417- <br />3 o <br />1t®o <br />,� Jt <br />'I <br />yb•y <br />��'' <br />. bio <br />. 9s® <br />tz90 <br />_ s'� <br />fJl <br />�` z7S <br />� � <br />jj /S' <br />'IZ" <br />. Zoo <br />-ser, <br />3oo <br />5"76 <br />Z 7.S- <br />f oZS <br />1L7 .. <br />� Zi() ' ;,13, Z,7r/r/ <br />!Z'' <br />J7. z <br />/Z" <br />y <br />. yYs <br />3os <br />s86 <br />YS <br />Z6 a-.) 1,,--,/, r ��',r;�l/et <br />Z <br />1�. 8 <br />/2 <br />YyS <br />.730 <br />�: Z 90 <br />S % 7 <br />-� 1 / <br />z 7S' <br />l 0l5' <br />---. <br />� <br />/Z" <br />. loo <br />=38(o <br />f ZSo <br />4a8 <br />�: ®®s <br />'t ®z.S <br />2.0 <br />,v" <br />.380 <br />- (080 <br />111@300 <br />6 ZO <br />J7.0 <br />/Z'' <br />. / o <br />r 98S <br />¢ 305' <br />63; <br />/ Z ' <br />�-. 3 ®0 <br />P -T Tank Test Data Chart <br />Addilional Into <br />1. Net volume Change at Conclusion of Precision Test -,0L. <br />qph,' <br />Signature of Tesler: <br />29 MINE ®� i <br />Dale: ' <br />Praaaaa <br />2. Statement: <br />fil Tank and product handling system has been tested light <br />according to the Precision Test Criteria as established by <br />N.F.P.A. publication 329. This is not intended to indicate <br />permission of a leak. <br />OR <br />❑ Tank and product handling system has failed the tank tightness <br />lost according to the Precision Test Criteria as established by <br />N.F.P.A. publication 329. <br />It Is the respon$ibiRly of Ihe.owner, and/or operator of this <br />system to immediately advise state and Iocal authorities of any <br />Implied hazard and the possibility of any reportable pollution to <br />The environment as a result of the Indicated failure of this <br />system. Heath Consultants Incorporated does not assume any <br />responsibility or liability lot any loss of product to the <br />environment. <br />Tank Owner/Operstor <br />Date <br />Ej <br />