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• <br />CLIENT <br />NAME OF SUPPLIER, <br />OWNER OR DEALER <br />ADDRESS (NO. & STREET) <br />CITY AND -STATE q n -a <br />TANK INFORMATION <br />DATA FOR TANKSYSTEM TIGHTNESS !'ES* <br />(EZY CHEK) <br />�T, AR,T ZZ ME FINISH ZJ-0j.,,LJENG".­'. OF <br />!2 DATE OF TEST .-g- -_2 T I mt <br />WEATHER TEMPERATURE <br />AL z z <br />R17E OF F" OR TEST OPENING f - IN CONTENTS 'PR ntlr-n C57 " �_Tcj_ k� <br />I I <br />CAPACITY (CHART) GALS. TOP OFF TIME HOUR 19Crj DATE `3-2�-;_?3 GALLONS <br />DIMENSIONS: DIAMETER NUMBER OF GALLONS ADDED TO START TEST 11 <br />LENGTH TANK NO. <br />INCHES OF WATER BEFORE TEST okFTER TESL <br />TEST CALIBRATION <br />SIZE OF CAL. BAR OR MUS ADDED '9 = 617 5 <br />(ALM) (F,NCMR A) <br />LINE MOVEMENT <br />to <br />(97 LINES <br />5 <br />2 to 50 LINES <br />3, to LINES <br />TOTAL a 2L.— LINES 3 LINES <br />(ALM) <br />SIZE OF CAL. BAR OR MUS ADDED 05J:7 <br />Q, �=. clvo- --;) <br />(ALM)(FACTOR A) <br />LINE MOVEME%T to <br />1 LINES <br />— 14 <br />2— to -Z <br />LINES <br />3 to <br />az LINES <br />TOTAL L LINES - 3 = 2z LINES <br />(ALM) <br />MEASURED API SPECIFIC GRAVITY �2 / <br />PRODUCT TEMPERATURE C2 <br />API SPECIFIC GRAVITY a 60° F (FROM TABLE A) <br />COEFFICIENT OF EXPANSION (FROM TABLE B) <br />(FACTOR B) <br />C.O.E. TOTAL CAPACITY (GAL) <br />PRODUCT UNE TESTING SYSTEM <br />PRODUCT MONIMRING ON LL <br />Reading <br />®®ME <br />i No. <br />TANK MATERIAL METAL( . ),*14BERGLASS <br />APPROX. AGE &.SUB(Y)., MA=KE - <br />PUMP SYSTEKrTYP , <br />OWNER OF SITE 0 e --d ADDRESS /by -5 <br />C I TY�,07 STATE fa ZIP CODE26 <br />OWNER OF TANKS SJ '91 0!eADDRESS <br />CITY STATE ZIP CODE <br />0 <br />"COUNT <br />4 <br />TECHNICIAN(S) _I/ nAT;: <br />p <br />