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DATA CHART FOR TANK .SYSTEM TIGHTNESS TEST <br /> (EZY CHE} _ <br /> PRIM UiK-T' TING <br /> 213 <br /> CLIENT <br /> NAME OF SUPPLIER. <br /> OWNER OR DEALER DATE OFTESTZ2-IT--;f-/TIME START ,Z27 TIME FINISH/`?/GJ LENGTH OF TEST 2� t C <br /> ADDRESS(NO.&STREET) WEATHER TEMPERATURE <br /> CITY AND STATE L <br /> TANK INFORMATION <br /> CAPACITY(NOMINAL) 6 GALS. SSZE OF FILL OR TEST OPENING IN. CONTENTS(PRODUCT) II _- <br /> CAPACITY(CHART] GALS. TOP OFF TIME HOUR 2.5dfj DATE ,�-/�-F� GALLONS TANK MATERIAL METAL be w_TREREL*55e--1T- <br /> DIMENSIONS; <br /> 1:- <br /> DIMENSIONS; DIAMETER NUMBER OF GALLONS ADDED TO START TEST_��1 6� APPROX.AGE <br /> LENGTH TANK NO. 4e)Q ' PUMP SYSTEM.-TYPE-SUB(X) MAKE <br /> INCHES OF WATER - BEFORE TEST r+FTER TEST SUCTIC3N <br /> TEST CALIBRATION ,S TANK LAYOUT .LEAK-'DETECTOR YES - NO <br /> S SIZE OF CAL. BAR OR MUS ADDED. — --1- ,7 —_, ) _ ) VAPOR RECOVERY SYSTEM YES(- ) NO(kJ <br /> IALM) IF>CTOR AI <br /> LINE MOVEM <br /> 1 to ? LINES <br /> 2 to + r LINES <br /> 3 to _ LINES i <br /> TOTAL LINES -3 = LINES <br /> - (ALM) <br /> END OF TEST CALIBRATION <br /> SIZE OF CAL,BAR OR MUS ADDED <br /> {ALM) (FACTOR Al <br /> LINE MOVEMENT I <br /> 1 to - _�s � LINES <br /> 2 5 to r> _ I LINES <br /> 3 to_ l H � ) LINES <br /> TOTAL LINES _3 = _,9 Z, n LINES <br /> (ALM) <br /> MEASURED API SPECIFIC GRAVITY <br /> PRODUCT TEMPERATURE -. <br /> API SPECIFIC GRAVITY a 60° F (FROM TABLE A) <br /> COEFFICIENT OF EXPANSION (FROM TABLE B) <br /> lx _ ? (F.CTOR B) <br /> C.O.E. TOTAL CAPACITY IGAL) VOL.CHANGE/-F ) <br /> PRODUCT LINE TESTING SYSTEM ' <br /> OWNER OF 5TTEfs7r,p1�kp,, ,7D /; ADDRESS/r? hl <br /> PRODUCT MONITORING ON li Product Serial I3umbeF ' <br /> Time Reading ) ' <br /> IMilitary) No. Slav End ±� X Fataar A +� CIT, L¢ STATE a ZIP CODE <br /> .003 OWNER OF TANK "A " - ' ADDRESS/1 3 5?,- <br /> .003 CITY _ STATE[ ZIP CODE <br /> .003 - <br /> couNTv <br /> I .00 1 <br /> L r n �r � t�'� <br /> I TECHNICIANS) -' 1 DATE <br />