Laserfiche WebLink
(EZY CHEK) - <br /> CLIENT <br /> NAME OF SUPPLIER, <br /> OWNER OR DEALER IJC •[b- <br /> ADDRESS(NO.8 STREET) t / DATE OF TEST T M ST -Az TIME FINISH d _7 LENGTH OF <br /> CITY AND STATE ART, <br /> WEATHER - - o T� <br /> - TEMPERATURE <br /> TANK INFORMATION ~~ <br /> CAPACITY(NOMINAL) _GALS. SIZE OF FILL OR TEST OPENING <br /> CAPACITY(CHART) <br /> DIMENSIONS; DIAMETER GALS. TOP OFF TIME HOUR/?J 7 DATE1N. CONTENTS(PRODUCT) <br /> LENGTH NUMBER OF GALLONS ADDED TO START TEST GALLONS TANK MATERIAL <br /> TANK NO. METAL( ) LIBERG ASS( } . <br /> APPROX.AGE <br /> TEST CALIBRATION INCHES OF WATER - BEFORE TEST PUMP SYSTEM.-TYPE-SUB( ) MIKE <br /> SIZE OF CAL.BAR OR MUS ADDED ()� �r f.FTER TEST SUCTION <br /> _ a <br /> TANK LAYOUT ERK:DETECTOR_YES - NO <br /> LINE MOVE E T _ lD _ VAPOR RECOVERY SYSTE>7 YES(- <br /> 1 (ALM) (F LCTUR A) <br /> to LJ <br /> 3— aq- l0 _— °---1 LINES <br /> to�H � _ LINES <br /> - TOTAL - LINES <br /> LINES _ 3= LINES <br /> END OF TEST CALIBRATION (ACME <br /> SIZE OF CAL.BAR OR ML'S ADDED <br /> LINE MOVE. ENT <br /> S to <br /> (ALM) (FACTOR Al <br /> `) <br /> Z to - o LINES - <br /> 3 to 3 LINES , <br /> TOTAL LINES <br /> LINES _ 3 = � y LINES <br /> MEASURED API SPECIFIC GRAVITY (ALMI <br /> PRODUCT TEMPERATURE <br /> API SPECIFIC GRAVITY a BO°F <br /> COEFFICIENT OF EXPANSION 00 (FROM TABLE A) <br /> �17 (FROM TABLE B) <br /> C.D.E x 4 O .) R B) <br /> _ <br /> .__ TOTAL CAPACITY(GAL (F ICTCI .. <br /> _ _. ....... . L CF7 F <br /> PROCILL7 L NE TESTING <br /> TIM Reading PRODUCT MONTOM ON U. SYSTEM <br /> Stat - End +� xFauarR I Number }mduct <br /> OWNER O�SiTE �f�r 1�� } fS ADDRESS <br /> Series <br /> CITY ' <br /> STATE <br /> -.00 ZIP CODE - <br /> OWNER OF TANK <br /> .DO <br /> ADDRESS <br /> DO _... ,. CITY <br /> G ( STATE ZIP CDDE � <br /> 00 COUNTY <br /> TECHNICIAN S <br /> DATE � <br />