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PAGE -2 OF Horner <br />DATE _ L / " O i leak detector <br />WORK SHEET <br />LOCATION ocr.ulay C <br />47S 'I 4U. - <br />ADDRESS <br />CITY <br />PHONE <br />Temp. Indicator: A B C D <br />CHART CALIBRATION <br />.05 ❑ .025 ❑ <br />.05 ❑ .025 ❑ <br />BEGINNING <br />ENDING <br />i <br />TEMP <br />END <br />GAIN♦ <br />LOSS- <br />x IBI <br />FACTOR <br />PE OF SYSTEM r, Vapor."Recovery TYPE of COVER <br />one O Suction ❑ Manifold Y ❑ <br />tY"'N ❑ 11 <br />NONE ❑ Concrete O <br />and O Turbine ❑ Siphon Y N Stage 1 0 Stage 2 0 Blacktop O <br />Earth O <br />CHART CAL _ (A) GRAPH COLOR <br />KNOWN AMOUNT AVERAGE <br />OF PRODUCT CHART DISPLACEMENT j ❑RED ❑BLUE <br />1 Vent Size <br />Fill Size <br />Remote Fill Y ❑ <br />TANK NO. Z <br />PRODUCT. -2C) -Sb 1114-,w 01C <br />HEIGHT OF: Test Stand <br />Fill Pipe <br />TOTAL <br />TANK DIAM, <br />WATER TABLE: <br />WATER IN TANK Y ❑ N O Inches <br />Product Temp. <br />Measured Gravity <br />N ❑ Coefficient Average <br />•B FACTOR <br />x = (B) <br />TANK SIZE COEFFICIENT <br />LEVEL <br />START <br />L <br />LEVEL <br />END <br />GAIN+ <br />LOSS- <br />_ ® <br />x (Al <br />FACTOR <br />x <br />LEVEL <br />RESULT <br />TEMP <br />START <br />TEMP <br />END <br />GAIN♦ <br />LOSS- <br />x IBI <br />FACTOR <br />TEMP <br />RESULT <br />FINAL <br />RESULT <br />TIME <br />4 <br />-7S = <br />/ <br />x .• <br />�'oJt? <br />23 <br />- 2 o' <br />= c� x <br />= o <br />s- <br />- 57 = <br />Q <br />x •• <br />_ <br />238 <br />- 2.3 P <br />= d x <br />- 0 <br />= <br />l d C_ <br />x <br />23$ <br />- �3"i <br />= - coo 1 x <br />.. <br />0013 <br />=:®ot3 <br />c <br />_ .7� _ <br />-- <br />x .. <br />^® aid <br />9-32,- <br />13C <br />= ,vv/ x <br />.. <br />'0oo13 <br />(.:7 _ <br />— _ <br />® <br />x .. <br />_ v <br />231L <br />— Zto <br />v x <br />_ <br />_ ® <br />72 Y, <br />_ <br />x <br />— = <br />x <br />d REMARKS: Rate of loser.! CERTIFY. Y �N ❑ <br />Operator <br />n <br />Y' <br />