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DATA CHART FOR TANK SYSTEM.TIGHTNESS TEST <br /> CRISP Tull TOM <br /> 'R0.Box xw <br /> CA <br /> P"9314CM <br /> CLIENT <br /> NAME OF SUPPLIER. _ , c. <br /> OWNER OR DEALER h U �� a DATE OF TES:"/-a3`9�rTME'START7 �� TIME FINISH140 0 LENGTH OF TESD gj` <br /> ADDRESS(NO.3 STR 41 CL W 15 7t 16 v' WEATHER o V P v' 2 4 TEMPERATURE 217 <br /> CITY AND STATE d C o ff <br /> TANK INFORMATION V h !@ adG� ) o <br /> � � <br /> CAPACITY(NOMINAL) O GALS ST SZE OF FILL OR TEOPENING IN. CONTENTS(PRODUCT)__„ <br /> CAPACITY(CHART) GALS. TOP OFF TIME HOUR DATE GALLONS TANK MATERIAL METAL FI9ERu_ASS( <br /> ) <br /> DIMENSIONS. DIAMETER NUMBER OF GALLO S ADDED TO START —'=ST APPROX.AGE <br /> LENGTH TANK N0., z h r� PUMP SySTE M IypE_SUBoQ MAKE <br /> INCHES OF 'O <br /> WATER - BE=ORE TEST �' ' AF ER TEST ' - <br /> SUCTION <br /> LEAK DETECTOR YES NO { ) <br /> TEST CALIBRATION TANK LAYOUT VAPOR RECOVERY SYSTEM YESG NO( ) <br /> S=OF CAL BAS OR ML'S ADOE01 0PHASE 1 06 PHASE 2 ( <br /> (Aa Mi (FA —. A A( OVERSPILL CONTAINR YES( NO( ) <br /> UNE MOVEMENT x �' SHEAR VALVE YES( NO( ) <br /> 1 0 to UN` <br /> `� <br /> c, ! b <br /> q to_� x UNES <br /> 3 6 I, to 7 _ UNES <br /> TOTAL A q ✓ LINES -3 x 34 , UNES <br /> (ALM) <br /> NO OF TEST CALIBRATION <br /> i2=OF CAL BAR OR ML:S AOCEO ' 0 - `f' d <br /> (ALM (FA ZA Al <br /> INE MOVEME T <br /> 1 ! to Jr' = v� ` UNES <br /> Z �t ( to G L x % LINES <br /> 3 - to 5 ✓ UNES <br /> __ <br /> TGTAL UNES =3 a LINES <br /> (AIM) <br /> 4EASURED API SPECIFIC GRAVITY J G <br /> R0Qa TEMPERATURE <br />_PI SPWFIC GRAVITY a 600 F 7 (FROM 7ASLE A) <br /> OE==ICIENT OF EXPANSION 000 0 (FROM ISL:B) <br /> Olty G 7/v .._ X l a arad _ (FACTOR B) <br /> TOTAL CAPACITY(GALL VOL Ci�wGe!'F <br /> COMMENTS,:., _.,. <br /> ORUAZ'??o`S, <br /> OWNER OF SITE ' E -fes f AOORES �,J) f. l)A<A�f <br /> CITY STOCK-f/oiJ STATE CA ZIP CODEri�.J/ <br /> ORAAa Ao S <br /> OWNER OF TANK aAtl ADORES <br /> CITY STATE ("A ZIP COOEJSdl <br /> COUNTY S <br /> ECHNFCIAN S) DATE <br />