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C <br />ug"Tux,/�1_ <br />jv.E- \ <br />Bottom of tank to grade' ............................ <br />(� <br />® C In. <br />u tBtv <br />r_ f,A) <br />e K -r-c-e <br />- Z%- 7 <br />Name of Supplier. Owner or DeWer <br />Address No. and Streetis) City <br />7(Q__ <br />State Date of Test <br />15. TANK TO TEST <br />15a. BRIEF DIAGRAM OF TANK FIELD <br />16. CAPACITY <br />Tank top to grade' .................................. <br />From <br />1�j17 <br />3. Pressure at bottom of tank <br />P.S.I. <br />Extend hose on suction tube 6" or more <br />below tank top ...................................... <br />!t0 <br />f I <br />Station Chart <br />LSF -Tank Manufacturer's Chart <br />'7 <br />r , P.S.1. <br />'if Fill pipe extends above grade, use top of 1111. <br />Nominal Capacity <br />Gallons <br />El Company Engineering Data <br />Identity by Position UTEP1 <br />Temperature of Sample ................................. <br />•F <br />By most accurate <br />Q VE] <br />` r I- <br />Charts supplied with <br />❑ <br />Grade <br />Brand and <br />Corrected A.P.I. Gravity <br />capacity chart available <br />Gallons <br />Other <br />17. FILL -UP FOR TEST <br />Stick Water Bosom q Z In. —72-b <br />before Fill -up <br />to b" Gallons <br />i <br />Tank Diameter <br />In. <br />18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK [RWater in tank ❑ Line(s) being tested with LVLLT <br />See manual sections applicable. Check below and record procedure In log (27). ❑ High water table in tank excavation <br />use maximum allowable teat pressure for all testa. 19. TANK MEASUREMENTS FOR <br />Four pound rule does not apply to doublewalled tanks. TSTT ASSEMBLY <br />Inventory <br />Complete section below: <br />Total Gallons <br />Bottom of tank to grade' ............................ <br />(� <br />® C In. <br />1. Is four pound rule required? <br />r(j�� <br />Yes ❑ No LX.I- <br />Add 3o- for "T" probe assy........................... <br />Total tubing to assemble — approximate ............. <br />30 In. <br />in. <br />2. Height to 12' mark from bottom of tank <br />7(Q__ <br />20. EXTENSION HOSE SETTING <br />Transfer total to fine 258 <br />21. VAPOR RECOVERY SYSTEM <br />Tank top to grade' .................................. <br />In. <br />3. Pressure at bottom of tank <br />P.S.I. <br />Extend hose on suction tube 6" or more <br />below tank top ...................................... <br />t tai <br />In. <br />4. Pressure at lop of tank <br />'7 <br />r , P.S.1. <br />'if Fill pipe extends above grade, use top of 1111. <br />Temperature In Tank <br />22. Thermal -Sensor reading after circulation <br />2 <br />i of burial — In. <br />dia. in. <br />table In. <br />NOTES: <br />The above calculations are to be used for dry soil conditions to <br />establish a positive pressure advantage, or when using the four pound <br />rule to compensate for the presence of subsurface water In the tank <br />area. <br />Refer to N.F.P.A. 30, Sections 2-3.2.4 and 2-7.2 and the tank <br />manufacturer regarding allowable system test pressures. <br />WIMAW <br />' <br />Total Gallons <br />Reciprocal Page If <br />ea. Reading <br />�{Gallons <br />/Z <br />77- <br />COEFFICIENT OF EXPANSION (Complete <br />—a <br />9777 <br />Transfer total to fine 258 <br />21. VAPOR RECOVERY SYSTEM <br />❑ stage 1 ❑ stage if <br />24b. COEFFICIENT OF EXPANSION <br />RECIPROCAL METHOD <br />this tank per IF <br />Typeof Product ........................................ <br />HydrometerEmployed .................................. <br />H <br />Temperature In Tank <br />H <br />After Circulation ........................................ <br />°F <br />Temperature of Sample ................................. <br />•F <br />Difference (-/-) ... :..................................... <br />•F <br />Observed A.P.I. Gravity ................................. <br />23. Digits per IF In range of expected change <br />`'� <br />Reciprocal Page If <br />digits <br />COEFFICIENT OF EXPANSION (Complete <br />after circulation) <br />_ <br />24a. Corrected A.P.I. Gravity <br />Total quantity in Reciprocal <br />Volume change In <br />full tank (16 or 17) <br />this tank per IF <br />Observed A.P.I. Gravity ...........I ....................... <br />Transfer to Line 26a. <br />Hydrometeremployed ................................... <br />H <br />24c. FOR TESTING WITH WATER see Table C 8 D <br />Observed Sample Temperature ......................... <br />'F <br />Corrected A.P.I. Gravity <br />Water Temperature after Circulation <br />� <br />@ 60•F. From Table A....................................Table <br />C ................................................ <br />F <br />Coelfklent of Expansion <br />forInvolved Product <br />Coefficient of Water <br />Table D ................................................• <br />® O <br />FromTable 8 ............................................ <br />Transfer COE to Line 25b. <br />Added Surfactant? a. 1:1No Transfer COE to Line 25b. <br />25. (a) F—: 7 Ory <br />x (b) ,n®t? // a ZI� <br />/= (c) 1. 07 e / 2 Z 2— <br />gallons <br />Total quantity In <br />Coefficient of expansion for <br />Volume change in this tank <br />full tank (16 or 17) <br />Involved product <br />per IF <br />26. (a) /r 0-7 Z 2"7--- <br />- M, <br />= i 0b3.3071 <br />/ <br />This Is 0.003-3 <br />Volume change per IF (25 or 24b) <br />Digits per •F In test <br />Volume change per digit <br />test <br />