Laserfiche WebLink
DATA CHART FOR TANK SYSTEM �HTNESS TEST _ _ <br /> � _ <br /> CRISP Tuir <br /> Y / <br /> CLIENT .. . . 193wm I _ <br /> NAME OF SUPPLIER. _ <br /> OWNER OR DEALER DATE OF TEST-- _ T74r'START' TIME FINISH LENGTH OF TEST <br /> ADDRESS(N0.&STREET - WEATHER TEMPERATURE <br /> CITY AND'SLE E <br /> Sy I_ i <br /> TANK INFORLUITION <br /> CAPACITY{NOMI CvllS. !SIS OF FILL OR TEST OP,NING IN. CONTENTS(PRODUCT) <br /> CAPACITY(CHART7OP OF=iiME - HOUR DAT GAL!ONS TANK MA-ERLAL M€'AL FrarPG_.QSS(' ) . . <br /> DIMENSIOtI,�;�(i91y1 - 'NUMBER OF GALLONS ADDED TO STAR ii —1=5-, APPROX_AGE (0 <br /> L,TH I JUNK NO. PUMP SYS-EM-TYPr'_Si7B wAKE <br /> • i� I INCMES OF WATER - BEFORE TEST <br /> _ - SUCTILIri L.RDc <br /> OR NO tkLIBRA"O TANK�rour T <br /> SIZE OFCAIma It <br /> RECOVERY SYST=iA YES <br /> ( ) NO <br /> �` � : <br /> IAL'n} PHASE 1 ( PHASE 2 <br /> UNEAIOV� 'I I # OVERSPILL CONTAINER YES( )NOK - <br /> } SHEAR VALVE YES( ) NO`K <br /> 2 9' UN=S - <br /> 3 - - <br /> LINES <br /> CINES-3 : �' ,3 UNES <br /> r -_ (ALM) . <br /> END OF TEST CALIBRATIO I — <br /> SIZE o�c;�.L:aa�;oR Mz:s ADIaED � _ 11Y 02 - <br /> {ALMI (F n AI <br /> UNE MDVE�[E �' .! <br /> So <br /> LIN <br /> 2 tC <br /> I "TOTAL LINES---3 UNES <br /> JALMI <br /> MEASURED APf SOSCIFIC GRA a <br /> PRODUCT TEMPERATURE _ -- <br /> API SPECIFIC GRAVITY a 600 F 7677 {FROM TABLE A) <br /> COE-7- EN <br /> CIT OF EXPANSION �D C 7 7'S- -_ � .- (FR-CM AE -B) <br /> nor!,-?Sl - x "�=a - {` o?,? ;-L- (FACTOR s) - <br /> _ TWAL C"ACTTY lGALI -c-a�VOL QtANGEf'F - - -- <br /> COMMENTS <br /> - OWNER OF SITE ADDRESS <br /> CITY STATE ZIP CODE _- <br /> aanzmas�s a+wro ry r�"atpT"atfsm teea+[Y .-..��:>� .. _ • <br /> eme+earn++>t•+ vo0.2% OWNER OF TANK - ADDRESS <br /> CITY STATE ZIP CODE <br /> Y. <br /> COUNTY <br /> J - <br /> ECMNICIAN S DATE _ _ <br />