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CLIENT <br />NAME OF SUPPLIER, <br />OWNER OR DEALER 1 <br />ADDRESS (NO. & STREET) <br />CITY AND STATE i ' i .-,. , <br />DATA*HART FOR TANK .SYSTEM TIGHTNESS TEST* , LAISR TANK 7TSTIft <br />(EZY CHEK) C9 93a Lu' <br />7.71 <br />TANK INFORMATION �y <br />CAPACITY (NOMINAL) 6POO GALS. <br />CAPACITY (CHART) GALS. <br />DIMENSIONS: DIAMETER <br />LENGTH <br />TEST CALIBRATION <br />SIZE OF CAL. BAR OR ML'S ADDED <br />LINE MOVEMENT <br />1 to <br />2 to <br />3 to - <br />TOTAL <br />END OF TEST CALIBRATION <br />DATE OF TEST -3 34% IME START6 MY TIME FINISH /()/ 4� LENGTH OF. TEST ;k - I7 A3 <br />WEATHER /ea I TEMPERATURE _S6 <br />SIZE OF FILL OR TEST OPENING �,4 IN. <br />TOP OFF TIME HOUR DATE GALLONS <br />NUMBER OF GALLONS ADDED TO START TEST <br />TANK NO. t A '' - C" . <br />INCHES OF WATER — BEFORE TEST f,FTER TEST �— <br />(ALM) <br />LINES <br />_ LINES <br />LINES <br />LINES 3 = - <br />-._ (ALM) <br />(FACTOR A) <br />LINES <br />SIZE OF CAL. BAR OR ML'S ADDED 0_5 _ �L 7 <br />(ALM) (FoNCTOR A) <br />LINE MOVEMENT <br />1 /3 to J , 0 ='7 LINES <br />2-to.aLINES <br />3- / n to �= LINES , <br />TOTAL LINES _ 3 = % _ LINES <br />(ALM) <br />MEASURED API SPECIFIC GRAVITY/ <br />PRODUCT TEMPERATURE <br />API SPECIFIC GRAVITY ® 60° F J' (FROM TABLE A) <br />COEFFICIENT OF EXPANSION l �J (FROM TABLE B) <br />x = 4 -(FACTOR B) <br />C.O.E. TOTAL CAPACITY (GAL.) VOL. CHANGE/* F <br />PRODUCT LINE TESTING <br />Time <br />(Military) <br />Reading <br />No. <br />PRODUCT MONITORING <br />ON <br />LL <br />Product <br />+Gain <br />-Loss <br />Start <br />End <br />+Gain <br />7 -Loss <br />X Factor A <br />jp /i?.;DDRESS <br />CITY <br />STATE <br />.003 <br />COUNTY i (3 <br />eo`— <br />.00 <br />TECHNICIAN(S) <br />DATE <br />.00 <br />.00 <br />SYSTEM <br />CONTENTS (PRODUCT) h (l Yl f_?Qsc�i <br />TANK MATERIAL METAL(X) FIBERGLASS( ) <br />APPROX. AGE , <br />PUMP SYSTEM TYPE=SUB (­�-) MAKE <br />SUCTION <br />OWNER OF SITE <br />C,'�I^d 77 <br />ADDRESS/g3 <br />�n(31 4 57' <br />CITY rh a p1 ;tQC <br />STATEC& <br />ZIP CODE <br />OWNER OF TANK 5,9M <br />a <br />jp /i?.;DDRESS <br />CITY <br />STATE <br />ZIP CODE <br />COUNTY i (3 <br />eo`— <br />TECHNICIAN(S) <br />DATE <br />