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1�1 <br />, jo I r—IV# 11 lull 61114r-bt) I r -b I <br />(EZY CHEK) <br />i 4a tt�­ !7 J i <br />CLIENT <br />NAME OF SUPPLIER, <br />OWNER OR DEALER DATE OF TEST 2 - <br />ADDRESS (NO. & STREE WEATHER c TEMPERATURE <br />CITY AND STATE <br />TANK INFORMATION <br />CAPACITY (NOMINAL) GALS. SIZE OF FILL OR TEST OP G 3 IN. CONTENTS (PRODUCT) <br />CAPACITY (CHART) GALS. TOP OFF TIME GALLONS TANK MATERIAL <br />DIMENSIONS: DIAMETER g5 NUMBER OF GALLONS ADDED TO START TEST APPROX. AGE <br />LENGTH b TANK NO. _Q -1 C) _S PUMP SYSTEM (TYPE) <br />INCHES OF WATER - BEFORE TEST 22! AFTER TEST -TS <br />TEST CALIBRATION TANK LAYOUT <br />- - - - - - - - - - =_1 <br />APISPECIFICGRAVITY@60*F- _Qcl,lb <br />1t:3'a4zk 5-1 k " x �wr TOTAL CAPACITY WAL) VOL <br />SYSTBA <br />.$�erial Number, <br />(S) DATE <br />TE-CHMICrAN <br />• <br />LINE MOVEMENT <br />JALM) PC MR A) <br />I —to S <br />LINES <br />2 — to Is <br />LINES <br />3 <br />LINES <br />TOTAL <br />LINES 3 -13 LINES <br />(ALM) <br />END OF TEST CALIBRATION <br />SIZE OF CAL BAR OR MUS ADDED S�5 <br />Z. 8 . L, <br />LINE MOVEMENT <br />(ALM) M. A) <br />I to <br />LINES <br />2 to <br />-L!� <br />LINES <br />3 <br />LINES <br />TOTAL <br />(�'2_ <br />_LINES�3=_ _20,6S, LINES <br />APISPECIFICGRAVITY@60*F- _Qcl,lb <br />1t:3'a4zk 5-1 k " x �wr TOTAL CAPACITY WAL) VOL <br />SYSTBA <br />.$�erial Number, <br />(S) DATE <br />TE-CHMICrAN <br />