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14.ut�e �roP k-� ?6 4930 rho . p'..� ✓� �f`rt� i A) �� —/B� Name of Suoolier. Owner or Dealer Address No. and Street (s) City State Date of Test 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD Identity by position fells L( L,4& © D _. L u- s -4q- Brand and Grade REdt 17. FILL -UP FOR TEST Stick Water Bottom �} before Fill -up af in. ✓ in. to h" Gy{I ns Tank Diameter 16. CAPACITY Nominal Capacity / le - Gal Ions By most accurate pk q ,rs,D capacity chart available J . F Gallons Inventory 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑ Water in tank ❑ Line(s) being tested with LVLLT See manual sections applicable, Check below and record procedure in log (27). ❑ High water table in tank excavation Use maximum allowable test pressure for all teats. 19. TANK MEASUREMENTS FOR Four pound rule does not apply to doublewaltad tanks. TSTT ASSEMBLY Complete section below: Bottom of tank to grade• ............................ a in. 1. Is four pound rule required? 2. Height to 12" mark from bottom of tank 3. Pressure at bottom of tank 4. Pressure at top of tank of burial Jia. table NOTES: Add 30" for 'T' probe assy...........................30 in. --.� Yes ❑ No ❑ Total tubing to assemble — approximate ............. in. in. 20. EXTENSION HOSE SETTING Tank top to grade* .................................. in. Extend hose on suction tube 6" or more P.SI. --;1 below tank top ...................................... in. 'If Fill pipe extends above grade, use top of fill. P.S.I. 22. Thermal -Sensor reading after circulation digits in. d Z °F 8t'N88r1 23. Digits per °F in range of expected change '3 r Z digits in. COEFFICIENT OF EXPANSION (Complete after circulation) 24a. Corrected A.P.I. Gravity in. �s. Observed A.P.I. Gravity ................................... Hydrometer employed ................................... — 7 H Observed Sample Temperature .. �V °F The above calculations are to be used for (* soil conditions to establish a positive pressure advantage, or WWUsing the four pound rule to compensate for the presence of subsurface water in the tank area. Refer to N.F,P.A. 30, Sections 2-324 and 2-7.2 and the tank manv'acturer • ,;arding allowable system test Rressures. Corrected A.P.I. Gravity @ 60"F, From Table A.. Coefficient of Expansion for Involved Product From Table B ... -..... Transfer COE to Line 25b From liomStation Chart ❑ Tank Manufacturer's Chart ❑ Company Engineering Data ❑ Charts supplied with ❑ Other Total Gallons Gallons ea. Reading Ay0 ao I ransrer royal ro .,no zea 1 21. VAPOR RECOVERY SYSTEM ❑ Stage 1 ❑ Stage 11 24b. COEFFICIENT OF EXPANSION (b RECIPROCAL METHOD _ galto.:5 ' Type Product �-S %LFL7 of ........................................ _ Hydrometer Employed .................................. H Temperature in Tank a After Circulation f ..........l ............... -- ' . '— _ --- Temperature of Sample ................................. 2 °F Difference (*/-) ......................................... 3 °F Observed A.P.I. Gravity ................................. • C� ZeA19 Page k Range !- Reciprocal favor 1 Tota quant tity in Reciprocal Volume change in full tank (16 or 17) this tank per IF Transfer to Line 215a. 24c. FOR TESTING WITH WATER see Table C & D -6-7.7 Water Temperature after Circulation Table C .................................. 1 Coefficient of Water Table D ........... Added Surfactant? ❑ Yes ❑ No Transfer COE to ure 251b. 25. (a) i 9.-- ---- -- (b '1212 ? _ galto.:5 Total quartity in Coefficient of expansion for Volume change :n this tank _ full tank i 16 or 171 evolved product per °F 0. 7 26. � a' � ?� - 7 --- -- ' . '— _ --- - — 20 1-1-0— This S - - Volume ch ;a yr -fits per — in test Volume cl• - per digit test Range !- Compute '?cimal olac-.,- favor 1 'F