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v9% V I %.r I <br />(EZY HEK) <br />DENT <br />DAME OF SUPPLIER, <br />*VNER OR DEALER I ( DATE OF TEST u " <br />.DDRESS (NO. A STREET) 0 r WEATHER c L 1 �_W A. TEMPERATURE <br />=ITY AND STATE <br />ANK INFORMATION <br />=APACITY (NOMINAL) iD�dd d GALS. SIZE OF FILL OR TEST OPENING Laiy IN. CONTENTS (PRODUCT) 01!C59 C-- <br />-APACITY (CHART) GALS. TOP OFF TIME 3 - f a GALLONS 3, © 67f TANK MATERIAL&VC-0- rrS <br />jIMENSIONS: DIAMETER NUMBER OF GALLONS ADDED TO START TEST _ 3 . rS t- APPROX. AGE Q <br />LENGTH TANK NO. �d 4- - PUMP SYSTEM (TYPE) <br />INCHES OF WATER - BEFORE TEST AFTER TEST L' <br />EST BRATION <br />-IZE OF CAL. BAR OR ML'S ADDED <br />INE MOVEMENT <br />OS U <br />3a9 a. 0016, <br />(ALM( (FACTOR A)�p <br />TANK LAYOUT <br />M <br />T <br />I to <br />_ <br />-7 <br />LINES <br />2-5-0 to <br />3!7 <br />LINES <br />3 to 7 <br />= <br />-30 <br />LINES <br />0 G <br />TOTAL <br />LINES : 3 = <br />3 LINES <br />B (, <br />(ALM) <br />ND OF TEST CALIBRATION <br />-IZE OF CAL. BAR OR ML'S ADDED <br />. nSa <br />_✓© <br />(got <br />INE MOVEMENT <br />-=., <br />(ALMS (FACTOR A) <br />e4 3 7-3 <br />3-0 <br />to <br />= <br />LINES <br />2 <br />LINES <br />3 140 to ��- <br />- <br />- <br />30 <br />LINES <br />TOTAL <br />!o_ <br />LINES = 3 <br />LINES <br />(ALM) <br />4EAMf D API SPECIFIC GRAVITY <br />.34( <br />-ROOM TEMPERATURE <br />6'S" <br />.PI SPECIFIC GRAVITY a 60° F <br />33. <br />(FROM TABLE A) <br />-OEFFICIENT OF EXPANSION 1_Q pV46-;)�,0 <br />(FROM TABLE B) <br />F>O t�4 4 'o <br />x 10.®(® <br />_ 4l J22_ (FACTOR B) <br />C.O E. <br />TOTAL CAPACITY (GAL.) <br />VOL. CHANGE" F <br />PRODIV;T UNE TESTING <br />SYSTEM <br />Serial Number! <br />TECHNICIAN(S) <br />L,`GCipvs _q-qo-iIw <br />N <br />- /—?0 <br />