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".. 1! <br />18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK. ❑ water in lank ❑ Linels) being tested witn LVLLt <br />Llq"v 7 •!r i®t:% <br />` tC.�'t"%�G►/'J ✓-� <br />Q-`S��'sr <br />. ___-.-... <br />memo of sinavier. Owner or Dealer <br />1­t1cz <br />Aodress raj one streetiv, <br />City .. • State <br />Osla of Tett <br />1S., TANK TO TEST <br />ace' <br />15a. BRIEF DIAGRAM..OF TANK'FIELD <br />16. CAPACITY*. <br />From <br />/y//�//�/ /// <br />I r �t l,/C.�('^� <br />/ ./y//' <br />J /'7 �,� ~,� <br />�/ �r�t ,�r % �9 %' <br />"J ` /r' • . � "� �.L W f <br />%///t/�{! <br />C/ <br />NomNominalGafraCn/^��y <br />'❑ Station Chart <br />❑ Tank ManufaCtiura'a Chart <br />Identify by Solution <br />Transfer total to line 256 <br />--dSltleC <br />Gauona <br />❑ <br />Few pound ft" Dae flat aptly to Qoublewsll" tanks <br />/a� <br />/�7 <br />.. <br />21. VAPOR RECOVERY SYSTEMAsia" <br />Company Engineering Oats <br />❑ <br />/►��/1 /. <br />/ \ `7 <br />� <br />F `�\ <br />.. .. <br />'' .• . '^� <br />ca motsaccurate G (p' •'� <br />capacity L [J ra" <br />Charts Supplied with <br />❑ <br />ars"d <br />and Orede <br />❑ <br />for"rpTaeaeay• <br />Cn# <br />Chan avetteaa <br />Gallons <br />Other <br />17. FILL -UP FOR TEST <br />$no we* Bottom <br />boors sweep <br />t01a• <br />in -69" <br />Galton. <br />.Tarot Diameter <br />. Inventory <br />Total Gaffen <br />Gallons as. Reading <br />T G <br />27. <br />18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK. ❑ water in lank ❑ Linels) being tested witn LVLLt <br />30: N'TOOStAtIC <br />PRESSuit <br />CONiR& r <br />31. <br />VOLUME MEASUREMENTS iv) <br />RECORD TO ADI GAL. <br />ser monwt seadale.tri" teak below slid record procedure in tog (21). <br />❑ With water table in lank eeasveltith <br />39. <br />D <br />ACCUMULATED <br />CHANGE <br />28' <br />PATE <br />LIME <br />f�I feel <br />C), <br />29. <br />Readtn <br />loo g <br />st*SW-pe'_tevej <br />rfl itches . <br />Beginnenq .'. levet to <br />of which <br />Reading 'Resigned <br />32 Product in <br />Graduate <br />Before Alter <br />Reading Reading .. <br />33• Product <br />Replaced f-) <br />:Product ' <br />Recovered 1.1 <br />35. <br />Thermal <br />Sensor <br />Reading <br />Q <br />37. <br />Computation <br />Id -(a) • <br />Expansion • <br />Contraction • <br />use mmignum allowable teat pressure lot all tate <br />19. TANK MEASUREMENTS FOR <br />Transfer total to line 256 <br />Few pound ft" Dae flat aptly to Qoublewsll" tanks <br />/a� <br />TSTT'A'SEMBLY <br />21. VAPOR RECOVERY SYSTEMAsia" <br />1 C3 stage 11 <br />COmpb <br />fetl "aimflbet",(,ver. G/'- .G/ <br />`T�nit7SAddle <br />adnpm of taak.lo grade• ...... .. .. .... ..... <br />1 <br />� in <br />~ <br />30 <br />❑ <br />for"rpTaeaeay• <br />y fn <br />.%'" <br />24b. COEFFICIENT OF EXPANSIO <br />R•eryu�QY <br />I is four pound tworequrcW+ ver hip " <br />Total tubing w-aealmble - approaunsto .... <br />Total <br />-- w <br />RECIPROCAL METHOD <br />Type product <br />cx.R��'A!G <br />�0; • EXTENSION HOSE SETTING <br />of ... ............................... <br />2. /Night to 12- mark from bottom of lana _--------- m <br />r �, <br />• <br />Tsnklop lograae• <br />I+yOrometa Employed ........ _ ...................... <br />•' H <br />Ealaed hose, on suction tube a" or more <br />. • <br />Temperature In Tank <br />}(�� <br />.'ace <br />3. Pleasure N an boRh of lank P S 1 <br />Ana Circulation .............. ......................... <br />M •F <br />f ,5?c <br />bete. lank Rep .'.; .: ....... . . .................. <br />in <br />Temperature <br />•F <br />1. P4pteMe at 100 d tank P S.1 <br />'H Fdl pip! lelends shove Slope. use top of ah <br />• .. <br />of Sample .................................. <br />�_ <br />10. {t� <br />22r TnermN•Sentor Wading she, cncureiion <br />43. <br />Olhsreroe (•/•) <br />s5 <br />D v <br />' <br />::- <br />digits <br />({.' <br />3 <br />Depth bunol <br />r3�4 <br />lS./4) <br />` <br />of -_ in <br />• <br />23. Oigas par IF M rents of ..peeled change <br />_ _s/ GJ-.L'B <br />sstwsetnl/ <br />3a <br />dight, <br />Observed A.PA Gravity .............. <br />/ <br />Reciprocal/4/510 Pegg e --- <br />+ <br />l <br />Tank die --..._.. __._. in <br />Tank <br />COEFFICIENT OF EXPANSION (Complete after circulation) <br />G <br />`c��o2 _ <br />iia 3513S1Y <br />�5 <br />249. C6we4ted A:Pt oravtly <br />Total quenttty in Reciprocal <br />vow" change In <br />• <br />water table .._-._. M <br />• . <br />full WAS fie Or 11) <br />this tank pet -F <br />Oft"nre® A•P I 'Gravity <br />Transfer to Line HIS <br />NOTES: <br />NydJer else employed ......... .. ....... <br />M <br />q3, <br />v <br />>;/2/ <br />24C. FOR TESTING WITH WATER as Table -C • D <br />1 <br />Observed Sempls.TamperNwe <br />,F <br />75. <br />Corticted k.P 1, oravtty <br />.1/0 <br />Water Temperature after Circulation <br />Q lid•F. From Table A... .. ...... <br />---- <br />Table C ..................... <br />•F :.. <br />Cdpilicient-ift Expansion <br />Coefficient OI water <br />T1r atl4fw esNwletbns an to be used for dry soil conditions to <br />lot InvclLad Product <br />Frons Teoli p <br />? ' <br />Table 0 ..... . .. ... ........................ <br />_ ... <br />establish apdsitivepressure advantage. ofwhen using in* four pound <br />❑ ❑ <br />rule 10 Compensate for the presence of subsurface water In ten tank <br />Transfer COE 1011ne tib. <br />Added Surlectant9 yes No Transfer COE <br />to Line 256. <br />suss. <br />: <br />I <br />War to N.F.IP A. 30. Sections 2-12.4 and 2-1.2 and the lank <br />25 <br />(b) <br />a (C) <br />ganons <br />Rubhufaaturer regarding andwable system lest pressures. <br />Poral ovantlly In <br />Coofhcunt'ol sapan"ien for <br />Vdume Change, In tole tenk <br />s oa <br />hill tank' I16 W 111 <br />I I"I"d product <br />per •F <br />(a):'for6635 3Sl`r <br />304 <br />/9yS-2 <br />26. <br />Volume change •F (26 or 2401 <br />Ofghs per •F in toot <br />9 1I0a1 <br />Vdume change per digit <br />This Is / <br />tat a®�> <br />per <br />- - <br />kange (ia) <br />Compute to 4 decimal dap". <br />factor Is) ..... <br />27. <br />Santo Calibration <br />LOG OF TEST PROCEDURES <br />30: N'TOOStAtIC <br />PRESSuit <br />CONiR& r <br />31. <br />VOLUME MEASUREMENTS iv) <br />RECORD TO ADI GAL. <br />34. <br />TEMPERATURE COMPENSATION <br />USE FACTOR (a) <br />38: Net voLumt <br />CNANWW <br />EACH READING <br />39. <br />D <br />ACCUMULATED <br />CHANGE <br />28' <br />PATE <br />LIME <br />f�I feel <br />Re6ord details of settin u <br />9 P <br />and running test. (Use fuel <br />length of ane i1 needed.) <br />29. <br />Readtn <br />loo g <br />st*SW-pe'_tevej <br />rfl itches . <br />Beginnenq .'. levet to <br />of which <br />Reading 'Resigned <br />32 Product in <br />Graduate <br />Before Alter <br />Reading Reading .. <br />33• Product <br />Replaced f-) <br />:Product ' <br />Recovered 1.1 <br />35. <br />Thermal <br />Sensor <br />Reading <br />36. <br />Change <br />Higher • <br />Lower - <br />(e) <br />37. <br />Computation <br />Id -(a) • <br />Expansion • <br />Contraction • <br />Tempegtwe <br />Adjustment <br />Volume Minus <br />fixpanaton 1.1 or <br />Contraction I-) <br />#AV) - pTlfl <br />AT Low Level eompul <br />Change <br />(NFPA ON Now <br />IafPA criteria) <br />2'�0 <br />Ile <br />.'ace <br />S ,��,• <br />f ,5?c <br />10. {t� <br />a. <br />43. <br />s5 <br />D v <br />' <br />13 <br />7 <br />({.' <br />3 <br />/ <br />r3�4 <br />lS./4) <br />'. <br />( ,(j <br />>(` <br />l <br />O'�sS <br />69 <br />n <br />�5 <br />q3, <br />>;/2/ <br />;'®3f� <br />1 <br />3;9 <br />75. <br />c <br />.1/0 <br />7Q <br />L/ <br />: <br />I <br />s oa <br />P -T Tank Test Data Chart <br />Additional Info <br />- . 031� G,,P,/y <br />t. Nest Volume Change at Conn of Pro�nclision Test <br />-gp <br />Signature Of Tester `0 /-t' i �� <br />Iteitlenl: <br />Tank and product handling system has Ipeen leafed tight <br />according .to_ the Precision Test Criteria as' established by <br />N.F:P.A. ;publication' 329 This is not intended to indicate <br />permission•ol a leak. <br />OR <br />Tank• and •prpduct handling system has failed the tank tightness <br />fest Recording tp*.the Precision Test Criteria as established by <br />N F •P A pjablffatron 329 <br />It is the responsibility of the owner and/or pperatgr of this <br />system to immediately advise state and local at,thoritiea of any <br />implied hazard and the possibility of any reportable pollution to <br />the environment as a result of ten indicated failure of this <br />system. Heath Consultants incorporated does -not assume any <br />responsibility of liability for any loss of product to the <br />environment. _ a <br />Tank Owner/Operator (�i�%QFC' <br />Date .� <br />