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DATA <br />' M, 3 <br />CLIENT <br />NAME OF SUPPLIER. }^ % t <br />OWNER OR DEALER f Y- �� �� �� "�� DATE OF TES a `1' �" TME--ST'ART'') ' � TIME FINISH 1 LENGTH OF TEST <br />ADDRESS (NO. & SIREEI) r' WEATHER /P ,- TEMPERATURE 7 <br />CITY AND -STATE y)) ° 7 <br />TANK INFORMATION <br />CAPACITY (NOMINAL) �' GALS. <br />CAPACITY (CHART) GALS. <br />DI SIONS: DIAMETER <br />qw LENGTH <br />SIZE OF FILL OR TEST OPENING IN. <br />TOP OFF 1]ME HOUR/700 DATE - '_l�'r.> GALLONS <br />NUMBER OF GALLONS ADDED TO START l=ST_� <br />TANK NO. <br />INCHES OF WATER - BEFORE TEST AFTER TEST <br />TEST CALIBRATION � � - I ' TANK LAYOUT <br />SI—'7= OF CAL BAR OR MS <br />A{„/L.EJ I s <br />(:: M) (FA:. vn A) <br />UNE MOVEMENT _ 1� <br />1 to _ LINES <br />2 to y _ , UES COMMENTS: <br />3 to LINES <br />TOTAL LINES _ 3 - LINES <br />(ALM) <br />END OF TEST CALIBRATION <br />SIZE OF CAL BAR OR MUS ADDED <br />(ALMA (FmZ ZR A) <br />UNE MOVEMENT <br />1 n to �✓ _ `t NE.. <br />2 to = 3 / LINES <br />3 f3 to ° _ / LINES 2 <br />wTAL �,( LINES - 3 = S UN= - <br />(ALM) <br />MSS ED API SPEC:FIC GRAVITY <br />PRS "TEMPERATURE <br />AP! r=CIFlC GRAVITY Coo"O° r' (FROM T'ASLE A) <br />COE--n- CENT OF EXPA�N}Sp)ON (FROM TA 3Lc B) <br />a.(aLG �Qn a x / 1 (FACTOR B) <br />C.O.E. TOTAL CAPACITY IOALJYOL CNANG F <br />COMMENTS: <br />OWNER OF SITE <br />CONTENTS (PRODUCT) �J17;lC'a��c �'zr <br />TANK MATERIAL ME-AL('A FlSERGL.ASS( <br />APPROX.AGE <br />PUMP SYSTE?A-TYPc_SUB( ) MAKE <br />SUCTION( <br />L=AK DETECTOR YE_ (.) NO 04) <br />VAPOR RECOVERY SYSTEM YEE(>d) NO( ) <br />PHASE 1 (i) PHASE 2 (� <br />OVERSPILL CONTAINER YES( )NO(}Q) <br />SHEAR VALVE YES(,>G) NO( ) <br />ADDRESS <br />CITY STATE ZIP CODE <br />OWNER OF TANK ADDRESS <br />CITY STATE ZIP CODE <br />COUNTY S n .�6 o! it <br />j r <br />TECHNICIAN(S) <br />DATE <br />E <br />