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A. Tank Bot. to Grade t3S <br />Send Report to: <br />D <br />DATA CHART FOR TANK SYSTEM TIGHTNESS TEST <br />Client ///4( //- 144� — 1plll�ge L- <br />C. Tank Diameter <br />Address 3330 IV'- .40. 1,4/f/ <br />�Je <br />� <br />D. Test Level above grade <br />City, State q �, --:, <br />(EZY CHEK) <br />C7 -OF <br />E. Depth of water in tank <br />Phone <br />B <br />F. Depth for taking sample <br />C) <br />H <br />G. Temp. Probe depth (connector) <br />CERTIFICATION This is to CerttfV that thts tank system was wood <br />Those "rqM** meet the cntwm estabhShOd <br />A <br />H. Test level to Tank Bot. <br />on date shown. indwated <br />1. Groundwater above tank bottom M <br />by the Nabonal Fire PM*Mn ASSOCIatiOn "hid 3n <br />C <br />J. Product Pressure per t" height. <br />Tank No.4-- <br />Tight <br />'11P UCT MGWIMRI <br />Product <br />TEMPERATURE COMPENSATION A <br />TEMPERATURE COMPENSATION 8 <br />NET VOL CHANGE <br />Time <br />(MditarA <br />Reading <br />N o. <br />Start <br />Ene <br />+ X Factor A <br />+ Gain <br />4.oss <br />Start <br />End <br />+Gain <br />-LOSS <br />X Factor 8 <br />-Cont+Expansionraction start End X Factor 8 +Expamon <br />-Convaction <br />LLR <br />-7 6 <br />>z, a! <br />-S-1,31 <br />t 314 <br />f ccvWAL <br />IL <br />tf0i' <br />7,j� q 3 <br />0 <br />9q, 3'1 9t- 151, <br />4W0 <br />� 003 <br />?,.;� q 3 <br />41- <br />oet <br />12, 13 <br />e, 072 <br />' ?3 <br />5- <br />q 3 <br />tc;Lle <br />- <br />-),29 3 <br />4( <br />e-0,66 <br />LSA&C 6 ""Wee <br />7 "?, q 3 <br />;z <br />CC), <br />-qL�g sqall <br />oc 3 <br />1 13 <br />f� Owe <br />r,# /- 3 <br />A <br />C17' <br />141 3 <br />-S- <br />17,,)1'3 <br />Ca <br />ad <br />1,6,11C <br />I S -q <br />6e} <br />9,213 <br />tL-,/,v .5'- 1 <br />I r;- laq <br />ow <br />tcC3 <br />Z,,60 <br />'i 3 <br />C <br />-5- <br />12, /,W 551, <br />Q ) <br />t 00,2 <br />lq3 <br />s- <br />VA- <br />/S- <br />�-S- <br />� alto <br />Sq /,)a -51( <br />12 6 <br />.>q3 <br />z/ —., <br />I;cl,— <br />31 <br />t;k 6- <br />-too t <br />c <br />f LOLL <br />91t <br />oc2- <br />7- 30 <br />a <br />.c 7," <br />ac �Ef <br />.5-9, laq k <br />1301 <br />1,w <br />7 la <br />0 ICE <br />7/ <br />I,/ <br />6�F, <br />24 <br />-,-:qj,/30 15n <br />13. <br />7,31 13 <br />? <br />13u <br />' c el3 <br />-A, <br />A. Tank Bot. to Grade t3S <br />Send Report to: <br />D <br />B. Tank Top to Grade 3 W <br />Client ///4( //- 144� — 1plll�ge L- <br />C. Tank Diameter <br />Address 3330 IV'- .40. 1,4/f/ <br />D. Test Level above grade <br />City, State q �, --:, <br />C7 -OF <br />E. Depth of water in tank <br />Phone <br />B <br />F. Depth for taking sample <br />Attn: <br />H <br />G. Temp. Probe depth (connector) <br />CERTIFICATION This is to CerttfV that thts tank system was wood <br />Those "rqM** meet the cntwm estabhShOd <br />A <br />H. Test level to Tank Bot. <br />on date shown. indwated <br />1. Groundwater above tank bottom M <br />by the Nabonal Fire PM*Mn ASSOCIatiOn "hid 3n <br />C <br />J. Product Pressure per t" height. <br />Tank No.4-- <br />Tight <br />Test Pressure Formula <br />/70 x_.,��—(_x .036 )=_Ajk,- <br />Leakage Indicated <br />Technician re <br />NET TEST <br />PRESSURE <br />DateTested <br />