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v r ... ""V11417 . ,...^ r, ,. +�T-�i, Fact-i. H.. o/Supplier Otmer or Dearer Address No.and Strsetts .r . Y ,, CRY Date of Ta _. w, ' Stats � ;. 1 15:STANK TO TEST15a. BRIEF DIAGRAM OF TANK FIELD 16.CAPACITY„� � � From Station Chat Capacity ~•�yy,'�•� ❑ Tank MarnAacturer a Chart Nominal M entity Position - _... Gallons Company Engineering Data -r "t �) - ❑ r'e arts supplied with By most curate Brand andGrads Q Capacity aavailablea ` Gallons=' -17. FILL U!'FOR TEST GoWlTotal Gallons I ons ea.Reading { •' 'i' Stick Water Bottom helots Fill-up In. _ �-[ in, Inventory (.R l„{ •• to 9- _ Gallons Tank Diameter Rout y: j 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑water In tank ❑ Lineft)being tested with LVLLT Set manual section&applicable.Choc' below and record procedure In log(27). � El High water table In tank excavation vee maximum alillisivable test pressure for all lasts. 19. TANK MEASUREMENTS FOR Transfer total to line 25a Four pound rule does not„ apply to doublewalled tanks._ TSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM ®stage l stage it Complete section below: ' • Bottom of tank to grade'............................ In. Add 3o-for-T-probe easy........................... ) a® k, 24`b. COEFFICIENT OF EXPANSION _". 1.Is lour pound rule required) - - Yet ❑ No ❑ Total tubing to assemble—approximate............. ' (�� k,. RECIPROCAL METHOD 20. EXTENSION HOSE SETTING Type of Product............................•.......;; 2.Height to 12-mark from bottom of tank ' in. .. , ... - Tank lop to grade'.................................. 43 Irt. Hydrometer.Employed.................................. H i Extend hose on suction tube 6-or more Temperature In Tank 3.Pressure at bottom of tank -"T P.SI. Atter Circulation........................................ 'F below tank top...................................... In.. Temperature of Sample.....................•........... �A b .F. A.Pressure at 'J9f Fill pipe extends above grade•use top of fill. 1 - top of tank `-S�/.��• RS-1. - 22. Thermal-Sensor reading atter circulation Difference(•/-)................... - o •F Tdight Depth of burial M. •F Observed AP.I.Gravity ................................. Between 23. Digits per IF In range of expected change Reciprocal r ZIL4 Page a Yank die. digits in. COEFFICIENT OF EXPANSION (Complete after circu,ation) Z4a. Corrected A P.I.Gravity Total quantity In Reciprocal Volume change in `- full tank(16 or 17) this tank per•F Water table In. Observed A.P.I.Gravity................................... Transfer to Line 26a. NOTES: Hydrometer employed................................... H ' 24c. FOR TESTING WITH WATER ,.Table C d D a Observed Sample Temperature ......................... IF Corrected A.P.I.Gravity Water Temperature atter Circulation @ 60'F.From Table A.................................... Table C.......................,........................ •F .., ". .. ,. - Coefficient ur Expansion Coefficient of Water The above calcutations ars to be used for dry soil conditions to ler Involved Product Table D.......................................... }. p'A,Z establishapositive pressure advantageorwhen usingthefourpound From Table B............................................ rule to compensate for the pros ace of subsurface.eater In the tank Transfer COE to Une 25b. Added SurtaetaMt ❑Yea ❑No Ynnster COE to tine 250. Refer,to N.F.F 30. Sections 2 3 2.4 and 2-7 2and the tank 25. (a) x (b) So (C) gallons "manufacturer regarding allowable system test Total quantity in Coefficient of expansion for Volume change In this tank holt tank(16 or 17) - Involved product per IF _ 131 This ° f 6�, '�' volume change par F(25 or 2�} DIpIts par•F N Volume ChafQ®par olpa ' tett Pr- � �'•, ',� `""'`" _ _ _ Range(231 ;: Compute to 4 decMtal f>facss. tactor(a) �, y _a