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• • CHART FOR TANK SYSTEM TIGHTNESS TESI <br />7 M,3 r <br />CLIENT <br />NAME OF SUPPLIER, ✓ J Y <br />OWNER OR DEALER �' g '� �' ;' %� ''� DATE OF TEST <br />ADDRESS (NO. 8 STRE=�y ,71, 2 ? `/ > WEATHER <br />CITY AND STATE _%;) 2 1, 4 �,C A <br />^Lf. T. <br />TANK INFORMATION E 0 v 0 <br />CAPACITY (NOMINAL) "? u a 11 GALS. SIZE OF FILL OR TEST OPENING IN. <br />CAPACITY (CHART) GALS. TOP OFF TIME HOUR /00d DATE; -;3-94 GALLONS <br />DI IONS: DIAMETEF( NUMBER OF GALLONS ADDED TO START i =ST <br />LENGTH TANK NO. ML G „ <br />INCHES OF WATER - 8E=0RE TEST ,FTER TEST " <br />TEST CALIBRATION _ TANK LAYOUT <br />SIZE OF CAL. BAR OR MLS ADDER- - ✓i _= <br />LINE MOVEMENT <br />t Z'_4 to 6 _ 1,7LANES <br />2 �* to 6 3 1 UNES <br />3 j to LS LINES <br />ICTAL 7 LINES - . _ ��' ' LINES <br />(ALM) <br />END OF TEST CALIBRATION <br />T <br />! 1 <br />Si%= OF CAL BAR OR ML'S ADDED <br />tAL.+ni GM: da Al <br />UNE MOVEMENT a <br />('y <br />LINES <br />1 <br />2 21, to = <br />LINE; <br />3 to <br />UNES <br />3 <br />% n LINES <br />wTAL <br />LINE, <br />= <br />(ALMI <br />ME ED API SPECIFIC GRAVITY <br />PR , TEMPERATURE <br />API _CIFIC CRANKY 60° F <br />7 -5 t <br />(FROM TA3LE A) <br />C.7EFPICIENT OF EXPANSION <br />4 K � <br />3 <br />:i 3 � u � � ? <br />�S5(�nOFA TA 3LE B) <br />-.c)00," ;-, <br />0= Li CZ1 <br />W T. <br />X <br />e,zoo/tJ <br />r', f,„” <br />gG.4.553 (FAC`'CR8) <br />TOTAL CiPAC.TY IGAW <br />VOL CMANGc" F <br />COMMENTS: <br />COMMENTS: <br />OWNFR OF SITE <br />OF <br />TEMPERATURE <br />CONTENTS (PRODUCT) <br />TANK MATERIAL Mc_aLO FTccR"'QSS( <br />APPROX.AGE <br />PUMP SYS t. YPc_SU9C�) MAK_ <br />SUCTION , <br />LEAK DETECTOR Y=S NO (X) <br />VAPOR RECOVERY SYSTEM Y_5( ) NOO <br />PHASE 1 ( ) -PHASE 2 ( ) <br />OVERSPILL CONTAINER YES( )NO(yG) <br />SHEAR VALVE YES( - <br />,4 NO ) <br />ADDRESS <br />CITY STATE ZIP CODE <br />OWNER OF TANK ADDRESS <br />CITY STATE ZIP CODE <br />COUNTY n -5-,1 <br />0 <br />0 <br />