COMPLIANCE INFO_1996-2002 - Laserfiche WebLink

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Nam4 of Supplier.Owner or Dealer Address NO.and Street(s) Dale of City State Test From 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16. CAPACITY ❑ Station Chart ❑Nominal Capacity '�'� Tank Manufacturer's Chart I c/ Gallons ❑ Company Engineering Data /+dentity by position / ❑ Charts supplied with S By most accurate ' ") Brand and Grade capacity chart available {� � ❑ Other Gallons Total Gallons 17. FILL-UP FOR TEST /? Gallons ea.Reading Stick Water Bottom j J ) before Fill-up in. in. Inventory / 0�� to h'• Gallons Tank Diameter _ "....�._. —. 1 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 Transfer total to line 25a Use maximum allowable test pressure for all tests. 19. TANK MEASUREMENTS FOR Four pound rule does not apply to doublewalled tanks. TSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM ❑ ❑ Stage 1 Stage II Complete section below: Bottom of tank to grade' .....................I...... in. Add 30"for IT'probe&say........................... 30 In. 241). COEFFICIENT OF EXPANSION .t. Is four pound rule required? Yes ❑ No ❑ Total tubing to assemble—approximate............. in. RECIPROCAL METHOD J Na Type o1 Product ........................................L. ._ 20. EXTENSION HOSE SETTING /? 2.Height to 12"mark from bottom of tank in. Tank top to grade'.................................. H in. Hydrometer Employed ................................... /�•1� hhryL1 Extend hose on suction tube 6"or more Temperature In Tank F��J �C1.✓�P.S.I. Atter Circulation........................................ °F 3. Pressure at bottom of tank ,,,,,,,,,,,, in. below lank top•••••••••••••••••••••••••• �� • Q Temperature of Sample................................. `" °F r ✓ .. P.S.I. 'if Fill pipe extends above grade,use top of fill. _ r 4. Pressure at top of tank G OF 22. Thermal-Sensor reading after circulation Difference(°/-)......................................... digits �:f r 1" � °F Observed •••••• in. y ....................;./...% Depth of burial _ �� •h ,l 23. Digits per OF in range of expected change Reciprocal (6 > Page If `i digits 9 Tank dia. ✓ in. - •� ��. pi ��•. r1 r j• COEFFICIENT OF EXPANSION (Complete after circulation) — 24a. corrected A.P.I.Gravity Total quantity in Reciprocal a Volume change in lull tank(16 or 17) this tank per OF Water table in. Observed to Line 26a. Observed A.P.I.Gravity................................... NOTES: . Hydrometer employed................................... H 24c. FOR TESTING WITH WATER see Table C&D Observed Sample Temperature ......................... °F Corrected A.P.I.Gravity Water Temperature after Circulation @6WF,From Table A.................................... Table C................................................ °F Coefficient of Expansion Coefficient of Water The above calculations are to be used for dry soil conditions to for Involved Product Table D................................................ FromTable 8............................................ establish a positive pressure advantage.orwhen using the four pound Added Surfactant? ❑Yes ❑No Transfer COE to Line 25b. rule to compensate for the presence of subsurface water In the tank Transfer COE to Line 25b. area. (1)) _ (�) Refer to N.F.P.A. 30, Sections 2-3.2.4 and 2-7.2 and the tank 25, (a) x gallons manufacturer regarding allowable system test pressures. Total quantity In Coefficient of expansion for Volume change In this tank lull tank(16 or 17) Involved product per OF 26, (a) <�,./d'I( � 3 CHCS = , i �7 This Is Vnlumr,change per OF(25 or 24b) Digits per OF In test Volume change per digit test .,.