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DATA CHART FOR TANK .SYSTEM TIGHTNESS TEST <br />(EZY CHEK) <br />CRISP TANK TESTING <br />P. I. 39;::0437 <br />CLIENT (205) a t•t ;2Z <br />NAME OF SUPPLIER, r�� ; <br />OWNER OR DEALER Fgam cxID ML�IZT DATEOFTEST_'_ =P - TrME START��`1�J TSNE FINISH /1,7 LENGTH OF TEST C.� <br />ADDRESS (NO. & STREET) . yOScHITC WEATHER a' <br />TEMPERATURE <br />CITY AND STATE N •A- A <br />TANK INFORMATION <br />CAPACITY (NOMINAL)la=410 GALS. <br />SIZE OF FILL OR TEST OPENING ? ' <br />- ` <br />CAPACITY (CHART) GALS. <br />IN. <br />TOP OFF TIME HOUR i;, .) g DATE - _ ^ .GALLONS <br />DIMENSIONS. DIAMETER <br />NUMBER OF GALLONS ADDED TO START TEST <br />LENGTH <br />TANK NO. + S <br />INCHES OF WATER - BEFORE TEST ¢ <br />AFTER TEST ~-- <br />TEST CALIBRATION <br />SIZE OF CAL. BAR OR MUS ADDED <br />% ` <br />^ ',r TANK LAYOUT <br />_ <br />a <br />LINE MOVEMENT <br />(ALM) <br />(FAC OR A) <br />t to <br />2 4 6 to <br />_ LINES <br />- ! LINES <br />ODt ENTS: <br />3 4e to <br />LINES <br />TOTAL <br />LINES e 3 = <br />_ LINES <br />(ALM) <br />ENO OF TEST CALIBRATION <br />SIZE OF CAL. BAR OR MUS ADDED <br />UNE MOVEMENT' <br />(ALM) <br />FAC -,-,)R A) <br />� , <br />' <br />i to = <br />LINES <br />2 to = <br />_ LINES <br />3 to _ <br />S LINES <br />TOTAL <br />v LINES - 3= <br />t (OI MI <br />_ LINES <br />MEASURED API SPECIFIC GRAVITY _ <br />PRODUCT TEMPERATURE <br />API SPECIFIC GRAVITY @ 60° F <br />COEF-FICIENT OF EXPANSION ; __/ <br />PRODUCT LINE TESTING <br />i 7 <br />TOTAL CA <br />lime Reading PRODUCT MO IIMAING ON LL �I Product <br />(Military) No. Start End +Gain I X F� A I +Gain <br />-IDBS -IDBS <br />I .003 <br />_ I I .Oo <br />I I I .0O3 I <br />.003 I <br />I I I I I I <br />(F=, .- TABLE A) <br />(FROM; TABLE B) <br />o (F;1C'OR B) <br />"VOL. CHANGcf° F <br />SYSTEM <br />Serial lNumberl <br />I <br />I <br />I <br />I <br />I <br />CONTENTS (PRODUCT) <br />TANK MATERIAL METAL('-) rIBERGLASS( ) <br />APPROX.AGE <br />PUMP SYSTE!vk-TYPE SUB( r) MAKE <br />SUCTION <br />�EAK'DETECTOR YES NO ) <br />VAPOR RECOVERY SYSTEM YES(,-) NO(`.c) <br />PHASE i ( ) PHASE 2 ( ) <br />OVER.SPfLL CONTAINER YES ( } NO (') <br />SHEAR VALVE YES (`-.) NO ( ) <br />OWNER OF 5I7E ACOR=SS <br />CITY STaT; <br />OWNER OF TANK ADDRESS <br />CITY STATE ZIP CODE <br />COUNTY <br />TECHNi = N S, ~7. <br />Ll <br />Ll <br />