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14. 3. P- (? 0rj"T-AV Name of Supplier. Owner or Deatelf 15. TANK TO TEST -rv. g� C Identity by post onI ,t p Brand an Grade i Address No. and Street(s) 15a. BRIEF DIAGRAM OF TANK FIELD City State 16. CAPACITY Nominal Capacity / O () O Gallons By most accurate��j Q� capacity chart available .•�--c�c� Gallons 17. FILL -UP FOR TEST `'� ry Stick Water Bosom q �% in 1 ( L,� 91-1 in. Inventory before Fill -up G— to W, Gallons Tank Diameter 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK 0 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 lank excavation use maximum allowable test pressure for all testa. 19. TANK MEASUREMENTS FOR Four pound rule does not apply to doublewelled tanks. TSTT ASSEMBLY Complete section below: • Total Gallons Bottom of tank to grade' ............................In. 149-s— Tank Manufacturer's Chart ❑ Add 30" for 'T' probe assy........................... 30 in. 1. is four pound rule required? Yes ❑ No [A Total tubing to assemble — approximate ............. In. Transfer total to line 25a from tank in. 20. EXTENSION HOSE SETTING 24b. COEFFICIENT OF EXPANSION 2. Height to 12" mark bottom of _1�-5 _ 3 Hydrometer Employed .................................. Tank top to grade' .................................. In. ' 7`—P.&I. Extend hose on suction tube 6" or more Temperatureof Sample ................................. 3. Pressure at bottom of tank _ _ belowtank top ...................................... /0 in. i=1 �_v�p S 1 'If Fill pipe extends above grade, use top of fill. @ 60"F. From Table A .................................... 4. Pressure at top of tank Table C ......... 22. Thermal -Sensor reading after circulation 4 3 9 ir Coefficient of Water fj �_ � digits `& 4e42 From Table B ............................................ Deoth of burial in. 2 °F dis. I — In. table In. NOTES: The above calculations are to be used for dry soil conditions to establish a positive pressure advantage, or when using the four pound rule to compensate for the presence of subsurface water In the tank area. Refer to N.F.P.A. 30, Sections 2-3.2.4 and 2-7.2 and the tank manufacturer regarding allowable system test pressures. Date of Test From Total Gallons Station Chart I❑ lel Tank Manufacturer's Chart ❑ Company Engineering Data ❑ Charts supplied with ❑ Other 23. Digits per IF in range of expected change Total Gallons Gallons ea. Reading dighs T!3 I- 6 COEFFICIENT OF EXPANSION (Complete after circulation) 24a. Corrected A.P.I. Gravity Total quantity In Reciprocal Transfer total to line 25a 21. VAPOR RECOVERY SYSTEM ❑ stage I ❑ stage It 24b. COEFFICIENT OF EXPANSION Observed A.P.I. Gravity ................................... RECIPROCAL METHOD Type of Product ........................................ Hydrometer Employed .................................. H Temperature In Tank After Circulation ... ...................................... °F Temperatureof Sample ................................. °F Difference (-/-)......................................... •F Observed A.P.I. Gravity ................................. 23. Digits per IF in range of expected change S L sn Reciprocal Page Of dighs a . COEFFICIENT OF EXPANSION (Complete after circulation) 24a. Corrected A.P.I. Gravity Total quantity In Reciprocal Volume change In full tank (16 or 17) this tank per IF Observed A.P.I. Gravity ................................... Transfer to Line 26a. Hydrometer employed ................................... H 24c. FOR TESTING WITH WATER see Table C 6 D Observed Sample Temperature ......................... 'F Corrected A.P.1. Gravity Water Temperature after Circulation 0 . @ 60"F. From Table A .................................... Table C ......... ... IF Coefficient of Expansion Coefficient of Water fj for Involved Product Table D ................................................ From Table B ............................................ W ❑ Transfer COE to Line 25b. Added Surfactant? Yes No Transfer COE to Line 25b. 25. (a) q 7V Q x (b) , 0001O Z 4 _ (c) / • 0 G -5S �� gallons Total quantity In Coefficient of expens on for Volume change In this tank full tank (/6 or 17) Involved product per IF 26. (a) /16 55 31 8 _— Z_� ` _ • ° a3 Z 3 7 ( This Is / 00-32) Volume change per °F (25 or 24b) Digits per IF In lest Volume change per digit test ( , Ramie (23) Comoute to 4 decimal places factor fat