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DATA CHAF:rl FOR ANA SYSTEM, TIGHTNESS TEST <br /> (E= CmE4} <br /> GiM Wit IM 112 <br /> F.0.UX 341437 <br /> SMa7ON,GA 93[79 <br /> t�fl�1 sit-II�a <br /> CLIENT <br /> NAME OF SUPPLIER, � `� t � ✓L �' ? J,_^: _QcdT- S ART J J W" TIME FINISH 17-IC LENGTH CF TEST� <br /> OWNER OR CEALap DA =OF c5`, <br /> 7 ?I ^° _" WYiri=a [ 1 a TEMPERATURE <br /> 5 <br /> ADDRESS(NO.&STREET)RE=T) ' - <br /> CITY AND STATE <br /> TANK INFOFtMATION ., (� IN. CON i=NTS(PRODU )C f�}1 <br /> CAPACITY(NOMINAL) GALS. SII==`.OF FiLL OR TES, OPENING <br /> CAPACITY(CHART) GALS. TOP OF?TIME HOUR 16 C? DATE) - f GALL ONS TANK MAi=r1'IAL <br /> DIMENSIONS: DIAMEs=R NUMBER OF GALrONS ADOED TO STAR;,_S, APPROX.AGc <br /> d PUMP SYST'=�-TYP=-S- "tA't' <br /> LEND rl TrANK NO- - --- - SUCTZn>v� <br /> INCH=-3 OF W:+TE + $E=OrRE TcS ii /+r:-n f-� `r LEAK DETECTOR Y=_ NO 9 <br /> TEST CALIBRATIONTANK LAYC:YT VAPOR RECOVERY SYSTEH YES L 1 NO X; <br /> - _ � r ) <br /> S,--7=of GAL SAF o� Mss AOnEPHASE 1 ( ) PHASE Z (,r a, ,.F <br /> " OVERSPILL CONTAINER YES( )NO�C) <br /> LINE MOVEMENT/L� 3 '} SHEAR VALVE YES( ) ISO( ) <br /> fJt �!NE S <br /> LINES COMMENTS: <br /> UNES <br /> "JTAI _ U LINES - - LINES <br /> (ACJµ) <br /> END OF i CALIBRATION <br /> SII-OF CAL BAR OR MLS ADDED - <br /> LINE MOVEMENT <br /> / q _ LINES <br /> 77 LINES <br /> t ) rr J - <br /> 3cc = LINE- - <br /> v A� — <br /> MWa,SLJF n APS SPE.:IF7C G"AVITf <br /> PP. T T-cMPERATURE <br /> API -IFIC GRAVY'a 60°F (FROM tA3L A) <br /> COE.-C:e4T OF EXPANSION. GQD li C4 CS''C) -(F-7,01A TA.3L3 S) <br /> o Xr 4J�3 � •Gb (R=R s) <br /> C O it =1 JLL CAPAC[TY IGA W YqL Q--sEP F [ <br /> COMMENTS: <br /> OWNER OF 5I7c ADDRESS <br /> CITY STATE ZIP CODE <br /> OWNER OF TANK ADDRESS <br /> CITY STATE ZIP CODE <br /> COUNTY <br /> T_CHNIC:AN S DATE <br />