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PAGE / OF 2 - <br />DATE O ~ O <br />` cls <br />LOCATION CCS y sJ r tiV G L 4 C S -CAZ? C 4,r^ <br />G7 <br />ADDRESS 17 O 3 rlty c (-,4, t3( <br />CITY S %b L(:f <br />PHONE !(/ 3- O 7 V P <br />Temp. indicator: a) B C D <br />TYPE OF SYSTEM Vapor Recovery - <br />�None ❑ Suction lid Manifold Y ❑ N ©-• NONE G— <br />Hand ❑ Turbine ❑ Siphon Y ❑ �N �0 " Stage 1 ❑ Stage 2 ❑ <br />CHART CAL - S _ �_ ' ©� (A) - <br />KNOWN AMOUNT AVERAGE i <br />OF PRODUCT CHART DISPLACEMENT { <br />Er��Horerr r <br />di i-�..�lEK- <br />leak detector <br />WORK SHEET <br />CHART CALIBRATION <br />.05 9�-'' .025 O <br />.05 4 .025 ❑ <br />BEGINNING <br />ENDING <br />Y ❑ N ❑ <br />S(o S.S V Sot <br />:33 is <br />2S <br />-27 <br />=:01o8 <br />1 <br />TYPE of COVER <br />Concrete @-- <br />Blacktop CL-- <br />Earth <br />iEarth ❑ <br />GRAPH COLOR . <br />❑ RED ET -9 U <br />TANK NO. I <br />PRODUCT WA's i d 1 <br />HEIGHT OF: Test Stand 3 3 <br />1.23 <br />Fill Pipe Y <br />TOTAL "'7 s <br />TANK DIAM. <br />WATER TABLE: I Y Fc7o T <br />WATER IN TANK Y 0 N Cg --Inches -its— <br />Vent Size <br />2 it <br />Fill Size <br />4 (' <br />Remote Fill <br />Y ❑ N ❑ <br />Product Temp. I? <br />Measured Gravity 7-?, L <br />Coefficient Average &27- 1 <br />I 'B FACTOR <br />300- x ,000q?-'Lg5 _ /.�� <br />0 (B) <br />TANK SIZE COEFFICIENT <br />LEVEL LEVEL GAIN* <br />START END LOSS- <br />x (A) <br />FACTOR <br />LEVEL <br />RESULT <br />TEMP TEMP GAIN* <br />START END LOSS- <br />x (B) <br />FACTOR <br />TEMP <br />RESULT <br />FINAL <br />RESULT <br />TIME <br />y _ --L x <br />.00(g <br />=:01o8 <br />73o _ 72,Y--- _ .00ry x <br />/,7-7 <br />=- 0o7G <br />( 7 _ (, V _ —3 x <br />.. <br />''uoS�f <br />_ _ 7Z�_ ^-Oo�F x <br />='=oar/ <br />_ 3 = --3 x <br />•• <br />'2:00,2( <br />- -71 ? = -0 0 3 x <br />.. <br />_u 0 3 <br />=--00/ L <br />/ L <br />- o = - 3 x <br />•• <br />-.00S <br />l - •-7/q = -OOV x <br />0� - Lb = 1� x <br />.. <br />1,007E <br />71 V - p, x <br />0O$ <br />Z.li.. <br />_ = d x <br />.. <br />= O <br />of - o 6 = noc., x <br />.. <br />"'0038 <br />=t-0038 <br />14. 32 <br />_ 8 _ - 3 x <br />.. <br />Dos y <br />O(, - ' . o z_ _-o �� x <br />.. <br />o0.si <br />-�0003 <br />1 3 <br />x <br />OL - U b = .._oo L x <br />= �L <br />="=�v 1( <br />G. V Z <br />x <br />•• <br />�',op36 <br />oo - b' _ _uo L x <br />- ^-00-Zr <br />=--00 r/ <br />L Yr <br />_ = v x <br />C, 53 <br />87 --y2 = O x <br />6,i - i = --.00 Z x <br />- 7 = ID x <br />.. <br />= r� <br />4, t - G 9 v = ^aO V77 <br />-�J' _ .. Z x <br />-0031 <br />x <br />o - 6 _ ^vo1XT <br />.. <br />=.,OOZs <br />-^001(X1 <br />- OVL.,__j <br />1---001 <br />0 OILL <br />REMARKS: Rate of loss al/hr. -VV 63 CERTIFY. Y P�-' N ❑ <br />Operator a -A -G <br />