Laserfiche WebLink
DATA CHART FOR TANK .SYSTEM TIGHTNESS TEST <br />(EZY CHEK) <br />CaISP TANK TESTP,J& <br />P. 111.11011 10337 <br />STOC11TON, CA •15213 <br />CLIENT (205) 9314=3 <br />NAME OF SUPPLIER, <br />OWNER OR DEALER �Y ^3 �J ') _; ^- r DATE OF TEST TTM TART-�� ?' TSME FINISH"" <br />"JLENGTH OF TESTo� <br />ADDRESS (NO. & STREET) 7 \!USP_ — WEATHER <br />CITY AND STATE III a r" ' C1 TEMPERATURE i <br />TANK INFORMATION <br />CAPACITY (NOMINAL) GALS. SIZE OF FILL OR TEST OPENING <br />CAPACITY (CHART) <br />IN. <br />GALS. TOP OFF TIME HOUR "¢ aoq: DATE ;--A � GALLONS `" <br />DIMENSIONS: DIAMETER <br />NUMBER OF GALLONS ADDED TO START TEST <br />LENGTH <br />TANK NO. <br />INCHES OF WATER - BEFORE TEST $ AFTER TEST -a: <br />TEST CALIBRATION <br />SIZE OF CAL. BAR OR MUS ADDED <br />0 - v �,' _, TANK LAYOUT <br />LINE MOVEMENT <br />(ALM( ":FACMA A) <br />I G�z to R`� <br />2 C to Cf <br />3 3;n t0 <br />_� <br />_ a 7 LINES <br />_ LINES COP'^ ENTS: <br />- LINES <br />TOTAL i LINES _ 3 = �'r _ LINES <br />(ALM( <br />END OF TEST CALIBRATION <br />SIZE OF CAL. BAR OR ML'S ADDED <br />" <br />�(ALAA(-FAC�OAA( <br />LINE MOVEMENT <br />. i <br />to ° <br />�' <br />2 3 ( to <br />- <br />_ LINES <br />3 to <br />LINES <br />='� LINES <br />TOTAL > f LINES _ 3 = `2 LINES <br />- <br />(ALM( <br />MEASURED API SPECIFIC GRAVITY <br />J 7. <br />PRODUCT TEMPERATURE <br />— <br />API SPECIFIC GRAVITY ca 60° F <br />' (FROM TABLE A) <br />COEFFICIENT OF EXPANSION _ <br />JI-) a i .'2 (FROM TABLE B) <br />" <br />2 (FACTOR 8) <br />C.0 E. <br />TOTAL CAPACITY IGALI VOL CHANGEN F <br />PRODUCT UNE TESTING <br />Time Reading PRODUCT MONITORING ON LL Product <br />(Military) No. Start I End I i- I X Factor A �ss <br />I .003 I <br />I .00 <br />I i .00 I <br />.0o i <br />I I I I I <br />I I I I I I <br />i <br />CONTENTS (PROD T�St " a r <br />TANK MATERIAL MET (?t) c*IBERGLASS( ) <br />APPROX.AGE <br />PUMP SYSTEM-TYPE-SUBi 0 MAKE <br />SUCTION <br />LEAK"DETECTOR YES NO }� <br />VAPOR RECOVERY SYSTEM YESO NO( ) <br />PHASE 1 (><) PHASE 2 (X) <br />OVERSPILL CONTAINER YES ( ) NO (� <br />SHEAR VALVE YES N,) NO <br />SYSTEM <br />Serial Number! OWNER OF SITE ADDRESS <br />CITY ,TATE ZIP <br />-ODE <br />OWNER OF TANK ADDRESS <br />CITY STATE Cr ZIP CODE <br />COUNTY <br />iE0#1 _ NiS1 <br />DATE <br />Ll <br />