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A ." D91—A CHART FOR TANK SYSTEM TIGHTNESS TEST <br /> A^ � CRISP T K imila <br /> � jqL t 4E ��' ram, a 95� <br /> VICES - . (2M 931-IM <br /> NAME OF. LII�PLiE,�, t ' rRT ....'SI`ART) } } TI�4E FFhfISH o f LENGTH OF' TES <br /> �. i�", EIi' at}_ DAZE OF�TrS�' <br /> _OWNEA.0RbEAL�l — 1 .; TirtufP TURF -- <br /> ADORESS(Nd" e r EE 7}�/- -9 c�✓ f WEAL riE� <br /> CITY ANDZTAT L <br /> TANK INnRMA71ON <br /> + - IN. COM,=NTS(PRODUCT} <br /> CAPACITY(NOMINAL) ! GALS. S;Z=OF FILL OR TES, OPENING _-- <br /> CAPACITY(C'fAr-in GALS. TOP OFFIMME HOUR/ -,Z 5 DATE/9 c)-u GALLONS s 9 ii t:s TANK MA+-;SIAL M�TAL{ /} FrcrPG.�ASS( ) <br /> DIsMENSeOIIS. MAM=s,= NL';dS R Or-GAL,Otr'S f,CCWC S ;nT'-S'" 7 APPROX, AGE TANK N <br /> NGMAK= <br /> LEi H TANK ��C�., SUET Sy —.="A-;YP�_SiJE - <br /> INCHES OF W:,TES 3E='C,=s= TEST hr cn 7 Es L=it3C s7E+eCTOn Y= NO { } <br /> TES, CALIBRATION __ TANK Lr," VAPOR ? OVERY cvcr+ rt YESCr} NO{ <br /> S,=` OF CAL BA;; Jn M_S :v4E n �� :j PHASE I ( PHASE 2 ( } <br /> Ia.s,s iia �Ar OVERSPILL CONTAINER <br /> LINE MOV=M_NT , % / ' _ SHE }AR VALVE YES N0( } <br /> _ "-INE., ' <br /> z <br /> L"NES <br /> iAL I ";'IES - _ � �. LINOS <br /> IALL,1 <br /> END OrFirSs CAL;SRATiON <br /> Sr.T OF CAL EAR OF, M'S ADO 5 - 0', 3 <br /> (ALMI (F.ti...,,.;Al <br /> LINE MOVEMEN71 F _ <br /> 2�. - ?.. --- -�-�- - LINES <br /> Ell <br /> :JNEZ <br /> �J�RE� API SPE•C:FiC G;Z.AV i:' � 1' <br /> POC a TTEmPERATUP.s_ r� 3 <br /> � <br /> G i (F.-MM FABLE A) s <br /> API SPECIFIC GnAV1iY� aO r { <br /> COE=7GE.'VT OF VPANSION (F:,O f<TASK 3) <br /> s~' <br /> TCTAL C"ACITY IGAL7 VOL C?lANCF_"F .- ....._... _ .. <br /> COMMENTS c__ <br /> --- - OWNER .OF SITE- ADDRESS <br /> -STATE r ZIf.;CODE <br /> .0WNER OF--TANK ADDRESS <br /> CITY._. "„STATE ZIP CflDE.w_ <br /> COUNTY <br /> J � I <br /> UATE <br />