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14. 7,11 -&* 7,Ob�S 2 S�o S-3U- 9� r. _ Name of Supplier.Owner or Dealer Address No.and Streetfs) City state Date of Test - 15. TANK TO TEST 15a. BRIEF DIAGRAM OF TANK FIELD 16.CAPACITY From ❑ Station Chart NoA� / {� EQS+ Nominal Capacity 101000 ❑ Tank Manufacturer's Chart Iden ity by position 1 1 �� Gallons ❑ Company Engineering Data ,2 s'�os� U n�}//► ❑ Charts supplied with e ` , ca most accurate �7 /t 0 Brand and Grade capacity chart available f V{{JJ ❑ Other TOi1X Gallons Total Gallons 17. FILL-UP FOR TEST Gallons ea.Reading Stick Water Bottom before Fill-up ® in. in. Inventory to A" Gallons Tank Diameter -�i�1 1/�r� L a-� 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ❑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 tank excavation 9 Use maximum allowable teat pressure for all tests. 19. TANK MEASUREMENTS FOR Transfer total to line 25a Four pound rine does not apply to doublewalled tanks. TSTT ASSEMBLY 21. VAPOR RECOVERY SYSTEM El stage 1 ❑stage 11 Complete section below: • Bottom of tank to grade'............................ in. Add 30"for"r'probe may........................... 30 in. 24b.COEFFICIENT OF EXPANSION 1. is four pound rule required? Yea ❑ No ❑ Total tubing to assemble—approximate............. 'L-7 in. RECIPROCAL METHOD Type of Product...... 2.Height to 12"mark from bottom of tank in. 20. EXTENSION HOSE SETTING Tank top to grade................................... in. Hydrometer Employed.................................. 4 H Extend hose on suction tube 6"or more Temperature In Tank ala 3.Pressure at bottom of tank P.S.I. below tank top...................................... in. After Circulation......................................... / ♦ °F Temperature of Sample................................. G Q°F 4. Pressure at top of tank p S I 'If Fill pipe extends above grade,use top of fill. 22. Thermal-Sensor reading after circulation Difference(+/-)......................................... °F �]Z digits{,{. Depth of burial in. 4 J_7+ °F Observed A.P.I.Gravity ................................. ? / Between ff,, 23. Digits per°F in range of expected change 32 Reciprocal Page e digits Tank dia. in. COEFFICIENT OF EXPANSION (Complete after circulation) IM . 1474 6.77 Za 24a. Corrected A.P.I.Gravity Total quantity in Reciprocal Volume change in lull tank(16 or 17) this tank per°F Water table in. Observed A.P.I.Gravity................................... Transfer to Line 26s. NOTES: Hydrometer employed................................... H 24c. FOR TESTING WITH WATER a"Table c a o Observed Sample Temperature......................... °F Corrected A.P.I.Gravity Water Temperature after Circulation @ 60°F.From Table A.................................... Table C................................................ °F Coefficient of Expansion Coefficient of Water The above calculations are to be used for dry soil conditions to for Involved Product Table D................................................ establish apositive pressureadvantage,or when using the four pound From Table B............................................ rule to compensate for the presence of subsurface water in the tank Transfer COE to Line 25b. Added Surfactant? ❑Yes ❑No Transfer COE to Line 25b. area. Refer to N.F.P.A. 30, Sections 2-3.2.4 and 2.7.2 and the tank 25. (a) x (b) _ (c) gallons manufacturer regarding allowable system test pressures. Total quantity in Coefficient of expansion for Volume change in this tank full tank(16 or 17) involved roduct per°F 26. (a) l0•?774,742 + � _ ,()2b�0This is Volume rhanga per°F(25 or 24h) Digits per°F in test Volume change per digit test