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DATA CHART FOR TANK .SYSTEM TIGHTNESS TEST <br />(EZY CHEK) <br />GRIS? TANK TESTING <br />P. 0. 60:, 10-37 <br />CLIENT <br />(205) 4rt•;E23 <br />NAME OF SUPPLIER, <br />OWNER OR DEALER_ eAAJKS FE06 MAe.T DATE OF TEST 9.7TrME START 0902 TIME FINISH //lQ LENGTH OF TEST 2 <br />ADDRESS (NO. & STREET) "ZO17Z / ,C _MI TE WEATHER PZ TEMPERATURE <br />CITY AND STATE M. Al l FECA <br />PRODUCT UNE TESTING <br />rme <br />(Mil Lary) <br />TANK INFORMATION <br />%IQCJ,�_nn <br />I I I I -00 <br />I I i I i .00 <br />CAPACITY (NOMINAL) IQC� <br />GALS. <br />SIZE OF FILL OR TEST OPENING IN. <br />I I I I I I <br />CAPACITY (CHART) <br />GALS. <br />TOP OFF TIME HOUR 1600 DATE !� d 9 ' k GALLONS —� <br />DIMENSIONS: DIAMETER <br />NUMBER OF GALLONS ADDED TO START TEST <br />LENGTH <br />TANK NO. 2 +g <br />INCHES OF WATER - BEFORE TEST '2' AFTER TEST �- <br />TEST CALIBRATION <br />TANK LAYOUT <br />SIZE OF CAL. BAR OR ML'S ADDED <br />' 3 � <br />(FAC -OR A) . <br />LINE MOVEMENY <br />573 <br />1 to <br />_ LINES <br />2 t0 <br />= LINES COMMENTS: <br />3 to <br />LINES <br />/ 54 LINES : 3 = �• _ LINES <br />TOTAL <br />(ALM) <br />ENO OF TEST CALIBRATION <br />— <br />SIZE OF CAL. BAR OR ML'S ADDED <br />-.-FAC'OR <br />(ALM)A). <br />UNE MOVEMENT <br />t Z7 �q to <br />_ LINES <br />2 to <br />= LINES <br />3 ~ to <br />= ? LINES <br />TOTAL <br />LINES -3=- 2/ _ LINES <br />(ALM) <br />MEASURED API SPECIFIC GRAVITY <br />- <br />i <br />PRODUCT TEMPERATURE <br />`� <br />API SPECIFIC GRAVITY C 60' F <br />C S (F^OM T BLE A) <br />COE==ICIENTOF EXPANSION <br />��• <br />(FPON. TABL_ B) <br />ouvGGos <br />t , <br />/,su.� ,� � �.JG3 <br />C.O.E. <br />TOTAL CAPACITY (GAL) VOL. CHANGEi' F <br />PRODUCT UNE TESTING <br />rme <br />(Mil Lary) <br />PRODUCT MONITORING ON LL Pip <br />Reading <br />I No. Start I Eld I+ I X Factor Al <br />I I I I -00 <br />I I i I i .00 <br />I i I I .00 I <br />I I I I I .00 I <br />I ( I I <br />I I I I I I <br />SYSTEM <br />Serial Number} <br />I <br />I <br />I <br />CONTENTS (PRODUCT) U a '"� " <br />L ; , c <br />TANK MATERIAL METAL( ) FIBERGLASS( ) <br />APPROX.AGE <br />PUMP SYSTEbA-TYPE--SUB(u) MAKE <br />SUCTION <br />LEAK•'DETECTOR YES - NO <br />VAPOR RECOVERY SYSTEM YES&4) NO( ) <br />PHASE ? (`ei PHASE 2 (y) <br />OVERSPILL CONTAINER YES ( i NO (�i) <br />SHEAR VALVE YES (`A NO ( ) <br />OWNER OF SITE AGORESS <br />CITY _ STATE ZIP CODE <br />OWNER OF TANK ADDRESS <br />CITY STATE ZIP CODE <br />COUNTY r <br />_C:1NIC_.vN(S) OATS <br />Ll <br />Ll <br />