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DATA CHART FOR TANK SYSTEM TIGHTNESS TEST- <br /> =r cHaq , <br /> CRISP UJL nEvmG <br /> ►.0.max 3""SMWQX CA 95,M - <br /> CLIENT (2091931.19N <br /> NAME OF SUPPLIER <br /> OWNER OR DEALER DAic OF Ici./ ay :T' . <br /> ADDRESS(NO.d S,'n i! 396 A' ( d _ 'S ART <br /> TIME F_NISH %!,� LENGTH C= TEST " <br /> CT(AND STATE S'f).._ �r 1 t VJ= H:R TEMPERATURE <br /> TANK INFORMATION - <br /> i 7 <br /> CAPACiY(NOMINAL) j GALS. S; E OF=ILL OR TEST OP N.NG <br /> CAFAC:T�.'(CHAn"') GAS. Tup Or-T:N.E HOURJ1r' Ow IN. CCNiEN;J(pR07UCT) Lr E' - <br /> CI,MENSiONS: QIAM- NL'MEEn' OR GALLONS ADD=)To SR L GALLONS - TANKMAERRIAL ME-A!Ne) Fcon_: a<c( ) <br /> . LENG-1 H _ "-- Ap?RCX-AGE <br /> .. TANK NQ— _. 't9 Y...-+- <br /> ' - .. <br /> - ) HrKES'MPJMPSYcIN _SCF1 1cP o n•__S1 krRTES SUTIOTE AUSRATION N - <br /> �r - _-_AK OEIc0IOn Y NO ( ) <br /> S. - CAL EAR ORM o - . -../'J - "' o TANK sYCu- <br /> VAPOR R,ECOVEHY STEM Y _L )-N.Di, <br /> -INE MOV M_^li .. - - '^-'"' I A- +� PHASE 1 (..) - PHASE 2- ( .) <br /> t 1�4/ to (,b = 1 a,, -- - - _ OVERSPILL CONTAINER YES NO <br /> o `c ' * - i- LIN=S - ( ) <br /> IC L ! - LINES <br /> ri SPEAR VALVE YES(•)t) NO( ) ` <br /> tc 69 _ LINES <br /> r� <br /> - LINES - _ LINES <br /> ,VD OF 7F..S. G1ueRdnON _. . . _ .. <br /> 0=CAL BAR OR ML'S AOOEO - <br /> =r i. <br /> ;NE MOVE <br /> 71 <br /> to <br /> To <br /> 0 UN_Z <br /> . . _ `.NES <br /> 'SNE: <br /> .:NES 1 <br /> IA-wI I <br /> AZURED API SPEOIFIC GRAvi„_ y .. . - <br /> 00007 ! MFEAAl IJRc -+ <br /> Sp=CIFIC GRAVITY C SC-F <br /> -=+E' -•N i OF EXPANSION p 1 b�t - (-=OM iA3,_A) - <br /> c <br /> tern: <br /> CONSIENTS: JacA;,;ry Iwu VOLNIlvuc c(FAC'CR E) - - <br /> .. - <br /> OYN=R OF SITE - AOOR=SS . <br /> .. ... <br /> CITY ZIp CODE :. <br /> STA'= - <br /> - -` - - - OWNER OF TANK ADDRESS ., <br /> . . _ CITY _ STATE ZIP�COOE. <br /> COUNTY - <br /> TECHNi iANi5) <br />