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14. , P, l_ c� s J n l 'f l�. C41 !' ► <br />(� /—VLD, . ��G LZ 54 / ti?� <br />V _, T'®C I'�_TOAJ L,� <br />. <br />Name of Supplier. Owner or Dealer <br />Address No. and Street(s) <br />City State <br />Date of Test <br />15. TANK TO TEST <br />15a. BRIEF DIAGRAM OF TANK FIELD <br />16. CAPACITY <br />From <br />❑ <br />Four pound rule does not appy to doublewalfed tanks. <br />Nominal Capacity 'ZI 7 s`-' 6 <br />Station Chart <br />19 -Tank Manufacturer's Chart <br />o fzmL{�G-,� <br />Identity by slon ✓✓✓ <br />Complete section below: <br />Gallons <br />❑ Company Engineering Data <br />In. <br />t+s r— ®041T S <br />Total quantity In <br />By most accurate <br />❑ Charts supplied with <br />Brand d Grade <br />1I667711 <br />yes ❑ NO lEj <br />capacity chart available �� <br />❑ Other <br />Height to 12" mark from bottom of tank <br />(SZ2. In. <br />Gallons <br />® <br />17. FILL -UP FOR TEST(9, <br />Stick Water Bottom I X <br />afore Fill -up U In. <br />to K" <br />•S G1 T� S <br />1..� <br />Gallons <br />7/ /� In. <br />Tank Diameter <br />Inventory <br />18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK PQXater In tank ❑ Line(s) being tested <br />with LVLLT <br />See manual sections applicable. Check below and record procedure In log (27). <br />❑ High water table In tank excavation <br />Use maximum allowable test pressure for all teats. <br />o <br />19. TANK MEASUREMENTS FOR <br />Four pound rule does not appy to doublewalfed tanks. <br />TSTT ASSEMBLY <br />Complete section below: <br />25. a U b >< <br />Bottom of tank to grade' ............................ <br />In. <br />gallons <br />Total quantity In <br />Add 30"for "T" probe easy .:......................... <br />30 in. <br />1. Is four pound rule required? <br />1I667711 <br />yes ❑ NO lEj <br />Total tubing to assemble — approximate ............. <br />In. <br />Height to 12" mark from bottom of tank <br />(SZ2. In. <br />20. EXTENSION NOSE SETTING <br />® <br />Range (23) <br />Tank top to grade' .................................. <br />In. <br />3. Pressure at bottom of lank <br />�( <br />�r P.S.I. <br />Extend hose on suction tube 6" or more <br />(� <br />"' in. <br />below tank lop ...................................... <br />4. Pressure at top of tank <br />tC/ v °-' P.SA. <br />'If FIII pipe extends above grade, use top of fill. <br />22. Thermal -Sensor reading after circulation <br />C <br />digs <br />of burial in., t /Ld F <br />Be4ween <br />23. Digits per -F in range of expected change '312— <br />ala. i digits <br />COEFFICIENT OF EXPANSION (Complete after circulation) <br />24a. Corrected A.P.I. Gravity <br />table v m. <br />Observed A_P.1. Gravity ................................... <br />NOTES: <br />Hydrometeremployed ................................... H <br />ObservedSample Temperature ......................... 'F <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 />Total Gallons <br />Gallons ea. Reading <br />71`3_&' ZJKJ <br />Z 4too <br />Transfer total to line 25a <br />1 21. VAPOR RECOVERY SYSTEM ❑ stage I ❑ stage II <br />24b. COEFFICIENT OF EXPANSION <br />RECIPROCAL METHOD <br />Typeof Product ........................................ <br />Hydrometer Employed ................................., <br />Temperature in Tank <br />After Circulation ........................................ <br />Temperatureof Sample................................� <br />Difference(-/-)...:.................................... <br />Observed A.P.I. Gravity ................................ <br />Reciprocal Page ll <br />0 <br />'F <br />'F <br />'F <br />Total quantity In Reciprocal Volume change In <br />full tank (16 or 17) this lank per *F <br />Transfer to Line 269. <br />24c. FOR TESTING WITH WATER see Table C & D <br />Corrected A.P.I. Gravity <br />Water Temperature after Circulation <br />@ 60'F, From Table A .................................... <br />Table C .......................... <br />...................... <br />W r F <br />Coefficient of Expansion <br />for Involved Product <br />Coefficient of Water <br />Table D ................................................... <br />o <br />FromTable 8 ............................................ <br />Transfer COE to Line 25b. <br />Added Surfactent? es ❑ No Transfer COE to Line 25b. <br />25. a U b >< <br />(b) , o 003"N3. <br />= (c) • O 0 2 (Gx3 Z.- <br />gallons <br />Total quantity In <br />Coefficient of expansion for <br />Volume change In this tank <br />full tank (1166 or117) <br />26. (a) O lJC3 2"</i�3�. <br />Involved product <br />[ 7 <br />per *F -ry /� <br />= • o� L`G' L'� O <br />This is �Iljii®�/ <br />test <br />Digits per 'F in test <br />Volume change per digit <br />Volume change per 'F (25 or 24b) <br />Range (23) <br />Compute to 4 decimal places. <br />factor (a) <br />