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0905 MAIN STREET (COTUIT) - Health (2)
�I a .. 6 Town of Barnstable f �` Regulatory Services Mom. Thomas F. Geiler, Director 1639. Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 To: BARNSTABLE,TOWN OF(CEM) Date Tuesday,February 20,2007 367 MAIN ST HYANNIS MA 02601 RE: Underground Storage Tank at: g g i 905 MAIN ST./RTE 6A(W.BARN.) �. CdJ Map Parcel: MW Tank.NO: 01 Tag NO: 00000 Our records indicate that your underground fuel(or chemical)storage tank is over 30 years old,and has not been removed as required by section 326-3: subsection 2 of the Town of Barnstable Code regarding fuel and chemical storage systems. You are directed to remove this tank within sixty(60)days from the date of this notice. After your tank is removed, please furnish this office evidence in the form of a permit from your local Fire Department within ninety(90)days of the receipt of this notice. You may request a hearing provided a written petition requesting same is received by the Board of Health within ten(10) days after this order is served. Per Order of the Board of Health Thomas A.McKean,RS,CHO Health Agent o-. ENVIRONMENTAL RECLAMATION LLC 21 RIVERBEND DRIVE NATICK,MASSACHUSETTS 01760 IRONMENTAL REAL ESTATE CONSULTANTS 617-803-1016 SESSMENT AND REMEDIATION SERVICES 508-650-1661(FAX) September 7,2012 Town of Barnstable Town of Barnstable Town Manager's Office Health Division 2nd Floor, 367 Main Street 200 Main Street Hyannis,MA 02601 Hyannis,MA 02601 RE: Notice of Submission of Phase IV and Phase V Reports, I905-Main Street �Cotuit, Massachusetts DEP RTN 4-21553 To Whom It May Concern: Pursuant to the Massachusetts Contingency Plan, this notice is to inform you that a Phase IV Remedy Implementation Plan, Phase IV Completion Statement and Phase V Status report is being submitted to.the Massachusetts Department of Environmental Protection for the above referenced 905 Main Street Site, iowned by the Town of Barnstable. The report and documentation can be viewed or copied at the DEP's Southeast Region, Bureau of Waste Site Cleanup Division located at 20 Riverside Drive, Lakeville,Massachusetts. The DEP telephone number is 508-946-2300. Please contact me(617-803-1016)if you have any questions or concerns. Very truly yours, ENVIRONMENTAL RECLAMATION,LLC . 1 Paul F. Reiter,LSP Senior Environmental Engineer Attachments: Summary&Conclusions Section(from Phase IVN Report) cc: Massachusetts DEP;20 Riverside Drive,Lakeville, Massachusetts 02347 r 4.00 SUMMARY AND CONCLUSIONS The Phase IV Remedy Implementation Plan is to conduct Monitored Natural Attenuation (MNA)by periodic groundwater sampling and laboratory analyses at monitoring wells showing detections above or near drinking water(GW-1) Standards. The GW-1 Standard applies only to potential future conditions if the area were used as a drinking water source. Current conditions show No Significant Risk and the future use of the area for drinking water is unlikely due to proximity to the salt water of Cotuit Bay. Recent monitoring results in August 2012 showed an overall decline compared to 2011 results and continued decline is expected since the land is now used as an unpaved parking lot,promoting natural dilution and biodegradation. Monitoring of groundwater.will continue and reports of results will be submitted to the Massachusetts DER 3 f NESM NEW ENGLAND SURFACE MAINTENANCE:LLP ENVIRONMENTAL SERVICES N ESM LI.P.COldi November 17,2009 Ron Mycock AR Q Mycock Agency 2010 P.O.Box 437 Cotuit,MA 02635 GROWTH tjj NAGEMENT Mr. Mycock, On November 17,2009,'New England Surface Maintenance,LLP completed the removal and disposal of approximately 980 square feet of vinyl asbestos floor tile and mastic throughout in addition to the removal and disposal of approximately 150 linear feet of asbestos paneling at the vacant gas station located at 905 Main Street in Cotuit,MA. All work conformed to federal, state and local guidelines with regard to the removal,transport and disposal of asbestos containing materials. Final air clearance testing was performed by FLI Environmental of Dedham,MA. Asbestos will be disposed of at an EPA approved landfill in Waynesburg,OH. , Please contact me with any questions regarding this work: Sincerely, Ken Furtney New England Surface Maintenance,LLP } r TAUNTON WEYMOUTH BOSTON FAX NUMBER TOLL.FREE NUMBER (508)880-0019 (781)337-2117 (617)426-1685 (781)337-5690 1-800-339-5476 i Commonwealth of Massachusetts 100097165 } Asbestos Notification Form ANF-00 Decal Important:When filling out A. Asbestos Abatement Description forms on the computer,use 1. a. Is this facility fee exempt-city, town, district, municipal housing authority, owner-occupied only the tab key residence of four units or less? ❑Yes Z No to move your cursor-do not b. Provide blanket decal number if applicable: Blanket Decal Number use the return key. 2. Facility Location: RONALD MYCOCK 965 MAIN ST. ' a.Name.of Facility b.Street Address BARNSTABLE 102635 �: . c.•City/Town d.State e.Zip Code f.Telephone Number 3.' Workslte Location: INSTRUCTIONS _ 1.All sections of this.. 11STFLOOR. form must be : a:Building Name/Building Location b.Building# c.Wing d.:Floor e:Room completed in order to comply with 4: Is"the facility occupied? ❑Yes ZNo DEP notification requirements:of 310 CMR 7.15 5:1:._Asbestos Contractor: and the Division , Of Occupational NEW'ENGLAND SURFACE MAINTENANCE E850_WASHINGTON STREET Safety(DOS) a Name b:Address notification (�OUTH 02189 7813372117 requirements of 453 WEYM :, I s�. CMR 1112 c.', i /Town .: d.Zip Code e.Telephone Number AC000196 f,00s License Number g .Contract Type: [J Written EJ-Verbal h:Facili .Contact Person : i:•.Contaot Persons Title PAU.L W BROWN ASO40577 6' Nmof,O o b.S ervisor/Foreman DOS Certification Number a°. n G LEBLANC AM061397 7'! a.Name of-Pro'eetWhitor b.Pro ecfMonitor DOS Certification Number ` ENVIROTEST LABS JAA000128 I 8' a.Name of Asbestos Anal ical Lab _ b.Asbestos Anal icalLab DOS Certification Number 11/17/2009 � 11/18/2009 9' a...Project Start Date mm/ddly`J y 6.End Date mm/dd/" �10 8.-4 �N: c Work hours Mon-Fri. d.Work hours Sat-Sun. —c 10. a.What type of project is this? .� �0 0 Demolition E] Renovations ✓Z Repair [)Other, please specify: b.Describe j 11. a. Check abatement procedures: Glove bag Encapsulation o Disposal only . - —� Enclosure . e Cleanu _LL. p ❑Other, specify: -, : --� .FV�FUll containment .b:Describe' UJ tx 12-Is the j6b.being conducted: Z Indoor's? ❑Outdoors? ,o anf001 ap.doc•10/02 { E. Asbestos Notification form•Page 1 of 3 j Commonwealth of Massachusetts ■ 100097165 Asbestos Notification Form A N F-001 Decal Number A. Asbestos.Abatement Description (cont:) 13. Total amount of each type of Asbestos Containing Materials(ACM)to be removed, enclosed,or enca sulated: 0 1130 a.Total pipes or ducts(linear ft) b. rotal other su aces square c.Boiler,breaching,duct,tank l� d.Insulating cement !� surface coatings Lin.ft. Sq.ft. Lin.ft. Sq.ft. e.Corrugated or layered paper L L J f.Trowel/Sprayer coatings pipe insulation Lin.ft. Sq.ft. Lin.ft. Sq.ft. g.Spray-on fireproofing h.Transite board,wall board I Lin.ft. Sq.ft. Lin.ft. q. is Cloths,woven fabrics j.Other,please specify: 130 Lin.ft. S .ft. Lin.ft. S 'ft k.Thermal,solid core pipe VAT/MASTIC/AD insulation Lin.ft. sSq,:ft: . L:Specify 14. Describe the decontamination system(s)to be used: AS-REQUIRED 15. Describe the containerization/disposal methods,to comply with 310 CMR 7.15 and 453 CM 6.14(2) (g) AS-REQUIRED 16.. For Emergency Asbestos Operations, theDEP and DOS officials who evaluated the emergency as Name of DEP'Official 1.Title c.Date-(inm/dd/yyyy)of•Authodzation d.DEP Waiver# e.Name of DOS Official' f.DO S.Official Title .' �N g.Date(mm/dd/yyyy)of Authorization h.DOS Waiver# o . 17. Do,prevailing wage rates as'per M.G.L. C. 149,§26, 27 or 27A-F apply to this project? ❑Yes O:No B. Facility Description �N �0 1. Current or prior use of facility: GAS STATION -o 2. Is the facility owner-occupied residential with 4 units or less? ❑Yes ✓0 No SAME 3' a.Facility Owner Name b.Address �0 o c.City/Town d.Zip Code e.Telephone Number(area code and extension) �u 4 aa.Name of Owner's On-Site Manage b.On-Site Manager Address �Q c.City/Town d..Zip Code e.Telephone Number(area code and extension) anf001 ap.doc•10/02 Asbestos Notification.Form•Pa e 2 of 3 M Commonwealth of Massachusetts •_. 100097165 3.., Asbestos Notification Form ANF-001 Decal Number. B. Facility Description (cont.) 5. a.Name of General Contractor b.Address c.City/Town d.Zip Code e.Telephone Number area code a�ensionL� f.Contractor's Worker's Comp.Insurer g.Policy Number h�te mm/dd 6. What is the size of this facility? I(� a.Square Feet b.Number of floors C. Asbestos Transportation and Disposal 1. Transporter of asbestos-containing material site to temporary storage site(if necessary)' - NESM LLP N r f r a.Name of�Transp orter b.Address ote.T ans e Stations must comply with the c.CitylTown d.Zip Code e.Telephone Number Solid Waste Division 2. Transporter of asbestos.-containing waste material from removal/tem ora site to final dls osal site: Regulations 310 P 9 P ry P ,;. CMR%000 -RED TECHNOLOGIES a.Name of Transporter b:Address c.City/Town d.Zip Code e.Telephone Number 3.. a.Refuse Transfer Station and Owner b..Address c:City/Town d.Zip.Code e.Jele hone Number 4; MIN.ERVA ENTERPRISES';lN a.'Fin' Mis osal Site:Location Name b..Final.Dis osal Site Location Owner's"Name',:: 9000:'MINERVA ROAD' WAYNE$BURG;. c:Final Dis oral Site Address� d.'C1 lfouJn OH �. 44688 e.State f.Zip Code g.Telephone Number M ®O , D. Certification �N The undersigned hereby states, under the KEN FURTNEY�� penalties of perjury,that he/she has read the a.Named b.Authorized Signature �° Commonwealth of Massachusetts regulations F 16/30/2009 for the Removal,Containment or c.Position/Title d.Date mm/dd6fflg) _ Encapsulation of Asbestos,453 CMR 6.00 and 310 CMR 7.15,and that the information Contained in this notification is.true and correct e.Tele hone Number f.Representing ° to the best of his/her knowledge and belief. o .Address _ U. _ Z. h:City/Town i.Zip-Code anf001ap.doc•10/02 Asbestos Notification Form•Page 3 of.3 .l�i JS82008 11:17 FAX 508 790 6226 TOWN MANAGER HEALTH �00.3 at:: i . 2.001E 3. 34AM MASS DEP i No. 8964 2/7 j t Vil j`" �_,22_�_ '�. COMM®ITEALTII OF MASSACHUSETTS 'XECUTIVE OFFICE OF ENERcy & ENviRO RS lr �. DEPARTMENT OF ENVIRONMENTAL PROrEmpy SOUTHEAST REGIONAL OFFICE 20 Riverside Drive, Lakeville, MA 02347 508 946- YV&L L.PA` RIQFS /t'g IAN stir EntN}_L5 ' 41 vea:aor £le WI 1 L 1.AURTF$h f}4'1'..:; q .}i is nitm,Governor �° G'omm7.�til7ll ' " I� ° e i lC 9 GA MA`11 R:IPRQMTT ACTION NECESSARY— •1, , December 5,2008 � i l{ '905 Maid Street,Cotuit LL.0 i6�p s.: BARNSTABLE 13WSC Mr.Ronald Mycock,Manager (90STlyiair►-Street;Cotuit� Chi 20 School Store€ .°a RTN#4-21553 C:otait, Massachusetts 02635 ,! NOTICE OP RE,�1a®NSIi�ILI7'Y i' i : QUEST FOR INFORMATION WITH ENFORCEABLE 1NMPdMDEADLJNE M.G.L. c 21E,310 CMR 40,0000 i, 5 33 ;i A'Yq -FNT1O1�};.Mr. Ronald Mycock in !�� Oh Se pternber 30, 2008 the Deparftenr of Environmental Protection ("MassDEP") received a li, 1 ' �i T�;li s; ?notification Form („RNF11) which indicates that a release of oil and/or hazardous material has I •rlccurred 6t the location referenced above, The Massachusetts Oil and Hazardous Material Release Prevention and Response Act, M.G.L. r r ': 1 c-21 S, and,the Massachusetts Contingency Plan (the "MCP"), 310 CMR 40.0000, require the performance j; ;'. r 'of response actions to prevent harm to health,safety,public welfare and the environment which may result '. i l 0n,tihis release and/or threat of release and govern the conduct of such actions. The purpose of this notice is to inform you of your legal responsibilities under State law for assessing and/or remediating the release at I , thi4 propetty. For purposes of this Notice of Responsibility, the terms and phrases used herein shall have �. the riteatuitlg ascribed to such terms and phrases by the MCP unless the context clearly indicates otherwise, �` j1 i �' Mssl3)✓'has reason to believe that the release and/or threat of release,which has been reported, is , , or may be 9 disposal site as defined by the MCP. MassDEP also has reason to believe that you(as used in ' ! 11nis.. ietter, "you" raters io 905 im/iain Street, Cotuit LLC)are a Potentially Responsible Pa a "PRP" with I lii.abol it;y un4r KG.L, c,21 E §5, for response action s�osts. This liability is "strict'°, meaning that it is not i hased o f fault but solely on your status as owner, operator, generator, transporter, disposer or other person Q °.Peolfildd in M.G.L. c.21E §5, This liability is also "joint and several", meaning that your may be liable for 2,l:l l espc:nse,action eiosfs incurred at a disposal site'regardless of the existence of any other liable parties,' iigl { , MAssDEP encourages.parties with liabilities under M-G.L: c,21 E to take prompt and appropriate `I -Ilctions in"response to releases and threats of release of oil and/or hazardous materials. By taking prompt i e tion, Yotri may significantly louver your assessment and cleanup costs and/or avoid liability for costs is ' 'IN',lufaahaero®L available iy altevattte format Carl Dould M.Comes,AMA,Cooedina4nr 131617.55601 059'gTYD#86f,'S39-9623 or 619 U-4866, ' I l ! DEFonthe Wand Wide Web: http/hwwv.ta8gs.govldep Printed on Req+cled P'epar tell. �i s� I1l!i. I ? L i r,. T W; Ei12008 1.1:17 FAX 508 790 6226 TOWN MANAGER HEALTH 004 I lI'tec, 113. 20018 8. 34AM MASS DEP No. 8964 P. 3/7 ilk" 11� 2 r� incurred!by MassDEP in taking such actions, You may also avoid the imposition of, the amount of or. reduce certain permit and/or annual compliance assurance fees payable under 310 CMR 4.00, Please refer P P P Y to M.G,)<., c;21E for a complete description of potential liability. For your convenience, a summary of li-sbilr Ed M.G.L. 21 ty ner c. E is attached .e to this notice 4 � rti, ' You should be aware that you may have claims against third parties for damages, including claims for cantAbution or reimbursement for the costs of cleanup. Such claims do not exist indefinitely but are governed by laws that establish the time allowed for bringing litigation. MassDEP encourages you to take 1' I an action necessary to protect an such claims you may have against third parties. ,'Ic ; „ i) �'' P Y Y Y g part` l e' Infon ation on file with MassDEP indicates the following contaminant(s) were detected in. ground water dwater s,, ampler collected from the site at a concentration which exceeded the Deportable ` 1 Ccvn�,rntriations for Groundwater Category I (kCGW-1) per 310 CMR 40.1600, 1 I !MAECALc®xC _Er®>v RCGw-1 09-,C:10 Aromatic Hydrocarbons 9�^ y carbons ._.6 tng/1 0.2 mg/l 1 r, C9-C 12 Aliphatic Hydrocarbons 2.4 mg/I 0.7 mg/1 } k,€f r i i � 1! C.5-CII Aliphatic Hydrocarbons 1.1 mg/i 0.3 mg/1 ' ; ^1 13era.ne 0.007 mg/i 0,005 mg/l RE ST E®R INFORMATION Ixn df i 5.F Q NMassDEP requires that the following information be provided for review within tbiu°ty (30) days VA :,m receipt of this Notice. This deadline constitutes an enforceable intet•im deadline established. ,.�"!.•y;t N il,l : putsuant to 310 CMR 40.0167, A Bite diagram identifying all existing groundwater monitoring wells, all sample locations and any site assessment data gathered during this investigation. The site plan should also indicate where oil and hazardous materials have been used and stored on the site that may be possible ti t release sources, 2'. A description of current site activities focusing on all possible present and past sources oil and hazardous material contamination including, but not limited to, on or offsite, under and aboveground storage tanks,drums or other containment vessels. 1 �, � tl W. �'��d This sate shall not be deemed to have had all the necessary and required response actions taken unless and until all substantial hazards presented by the release and/or threat of release have been eliminated a nd a leve➢ of No Significant Risk exists or has been achieved in compliance with M.G.L. c,21 E and the J1cp, li g l7 ? Unless otherwise provided by MassDEP, potentially responsible parties ("Plop`s'°} have one year from the initial date of notification to MossDEP of a release or threat of a release, pursuant to 310 CMR 40,0-00, or from the date MassDEP issues a Notice of Responsibility,whichever occurs earlier, to file with �'El iVJassDE1V' one of the following submittals; (1) a completed Tier Classification Submittal; (2) a Response 'I d ; f ' II Acrtion OIlJecmne Statement or, if applicable, (3)a Dowmgradient Property Status, The deadline for either of the :first two submittals for this disposal site is September 30,2009. If required by the MCP,a completed i, a, .2008 11:17 FAX 508 790 6226 TOWN MANAGER HEALTH 2005 ?0018 8:34AM MASS DEP No. 8964- P. 4/7 II. . j I1 Tier 1 Permit Application must also accompany a Tier Classification Submittal. The MCP requires that a 51;1200.00 be submitted to 1b usflDEP when a Response Action Outcome ('RAAO ) statement is if t zN jll Bled for tbaa 120 days from the date of notification.gq q Sl ' You must employ or engage a Licensed Site Professional ("LSP")to manage, supervise or actually pi>if mi the necessary response actions at this site. Attached is a copy of the MassDEP's guide to hiring a ,, it Lic. ased Site Ptofessional< o you have any questions relative to this Notice, please contact Jaime Goncalves at the letterhead Y Y .;;s ': °a ;I addFaAs or at (509) 946-2773, All future communications regarding this release must reference the fol lowing Release Tracking Number, 4-2150. ,II Very truly yours, if I �ijlf# 1 Daniel Crafton,Acting Chief €� Y Ali Emergency Response/Release Q Notification Section 114 Oil t Um-�jAak-001�TGmncslvesMSERO Elt1SERO l20 day l`lO1U4.21553-CMuit-9051Vfain St.doc 1 c''I'EXTTIED lam 47008 0150 0003 5433 7130 t ;' $` Attract dnents: Summary of Liability under M.G.L.c.21 E Department's guide to hiring a Licensed Site Professional if cc: ward of Selectmen hoard of Health Fire Dept. b I DEP-SERO t k `III A-ITTN: Data Entry t! g �E.I Iv t4 ,! I t f p' � i9.1 � .•t ,I ! £ w 91 't vp if I t t tQ�l�l�1,s =�, �•� �� tFl t� 1 it �� u s T� - /1�i .��-z�u �/� uSTs ��� f lp Will F�ndMa !Parcel 035098N+m o♦Barnstable ,�� s h/ ; Mealth epa e t ea th 5rstem Fyn +ice i3 � Map/�Parce# 035098 ` z . -11111-11 1 ,�ank�Nbr 03 �Y'TagNbr i� 01300 ` ,r Install 03/09/1987cati'on Notification D WJ i ate ��Removal Notif�catonDate `' Testy � � D �� ` / 7M / ��Removal. �i 09/30/1999 g 'i f/ / l Variances �' / -JU ,r e" 'y G Fue Stora erReason B 3 r suelf3fored �� 9 ' ✓ 'y Capa �ty Construction t, ak Detection Ca�hod�c Detection Storage Tank#nfo 01000 DS �� �d¢�t�nalDetails, removed 1999 4 I OSS` yl 7 Gi le ke/ perle O.I A/C) F-Iiavmc.. OF--- BA R N STABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repai.r O satisfactory 2. Printers BOARD- OF HEALTH ac 3. Auto Body Shops ® O O unsatisfactory- 4. Manufacturers S. Retail Stores COMPANY (see"Orders,") n 6. Fuel Suppliers ADDRESS �� `� as Class: 7. Miscellaneous f QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors MAJOR MATERIALS Case lots Drums AbdveTanks Undetgro.und Tanks IN 1VOUT IIN IOUT I IN IOUT # a llons Aee ? Zja7so7lin:e�,)Jet l0©o Fuel (A) 64 Diesel, Kerosene, #2 (B) Heavy Oi ,. 0 paste'motor oil ) r� --motor oil (C) l� rattsm ssion/ Y h draulic `Syntheti.c Organics: degreasers Miscellaneous: A tvTJf�EE� F+i.0 DISPOSAL RECLAMATION REWtRKS: 1. Sanitary Sewage 2. Water Supply OTown Sewer Public On-site Q Private 3. Indoor Floor Drains: YES NO� Q Holding tank: MDC O Catch basin/Dry well On-site system � ' ��u 4. Outdoor Surface drains:.YESINO _J Holding tanks MDC �� Catch basin/Dry well � � f�%a� _ !��! !0_ .!_�/ 'U0_u O On-site system _0y OSP s . != S. Waste Transporter ep� �� � � �0� censed? , stination 1 LV AL 0 L:=,_ ST "IA 4�23 $e r*s .e viewe we1l spector Dat' /t <• � F nod Ma/Rarcel� 035098 own of Barnstable %, ' /[? � Health Department HealthSys�tem Map/Parcel 035098 T�nk Nbr" 01 � .,Tag Nb� ��" Installed ;�L Getian � TesPNotifi ationfDate ? F Stat s Qat u Removal Notifi ca tionwatea Tesf y ' ii / y Abandon R maval. f 05/13/1991 Fuel'Stored ' FFuel torage Reaso�� Capac[ty Cons ruction Leak Defection Cathodic Q t coon 'Storage ank�lnf 010000 /#dd�tional Details REMOVED FIRE DEPT 051391 77, Find MaplParcel ,035098 xTown ofBarnstabley d Health Department Healt S�tem ON V1W, -0 AIP! Mapl{�arcei % �q035098 A rr 7ankbr 2yg Nbr ? 00 000 Installed Locaf�on BE � &, / 1 estji ANotifi�6116 CJate �- Statusy ` Rem al Notification®ate sD > r 1 ^W TESL h E at.. s Abandon vy q s PIMPRA Removal 05/13/1991 ps "'° AM Ak FuelStored FMI Storage Reason k ' Capaci �Co tructton leak Detect�oii athod�cwDetection S orage Tank info 010000 Q I P 1 AcCditional Qetaik -" REMOVED FIRE DEPT 051391 • a �; Add e v Change ,y 1 'I OAKf �� .,hr. U A> Ile Y. w -- - --- t - _ 9 - _- ___ I J F • \ i i - �: a� . ., - - v "- _ t t.'c" r '. • _._.._.��� f { �� a, �� I r � - .. r , i I � � � ! r i 1 i , , I i a'' 1 I t i � � C TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair Satisfacto 2.Printers BOARD OF HEALTH 'y 3.Auto Body Shops / unsatisfactory- 4:Manufacturers 1 � 0 f (see"Orders") 5.Retail Stores COMPANY &72Q 6.Fuel Suppliers ADDRESS Sit Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALSUnderground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: fok /'9G� Gasoline Jet Fuel (A) `00 Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) 6-"— transmission/hydraulic qcows Synthetic Organics: degreasers Miscellaneous: k DISPOSAL/REOLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply vr,& r aZ.. M14V000617Cez1 �e C - O Town Sewer ublic -site OPrivate Z ( cen.•z i�� � �-f.o� d� 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well 1 q 7 L � -�• /ti-0.WS pS O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC (9,644, .,V_S ) 04.t*,-A O Catch basin/Dry well G f iQ,�,i,�rts.� &o `i bs1 O On-site system �I�. . L 5.Waste Transporter Name of Hauler Destination Waste o' d YES NO ✓ L s Person Intervi wed Drate 1 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM AME'vF FIRM: 7v 1 F CX" -P') &uLING ADDRESS: M&1 0 S TELEPHONE NUMBER: CONTACT PERSON: o C 0 l d ' Does your firm store any of the toxic or hazardous materials listed below; either for sale or for your own use, in quantities totalling, at anytime, more than 50 gallons liquid volume or 25 pounds dry weight? YES X NO This form must be returned to the Board of Health regardless of a YES or NO answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put - a check beside each.product that you store: r/ Antifreeze (for gasline or coolant systems ) Refrigerants —7 Automatic transmission fluid w Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides) Hydraulic fluid (including brake fluid) Photochemicals Motor oils/waste oils PrintingInk ✓ Gasoline, Jet fuel Wood preservatives Diesel fuel, Kerosene, #2 heating oil (creosote) Other petroleum products: grease,lubricants Swimming Pool chlorine Degreasers for engines and metal Lye or caustic soda Jewelry cleaners Degreasers for driveways & garages Leather dyes B-at`tery acid (electrolyte)Rustproof ers Fertilizers (if stored � Car wash detergents outdoors)PCB' s Car waxes and polishes Asphalt & roofing tar Other chlorinated hydro- Paints, (inc.carbon Paints, varnishes, stains, dyes tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers "Poison" labels (including Paint brush cleaners chloroform, formaldehyde, Floor & Furniture strippers hydrochloric acid, other _ Metal polishes acids) Laundry soil & stain removers(including bleach) Other products not listed Spot removers & cleaning fluids which you feel may be (dry cleaners ) R E C E I V E ® toxic or hazardous (please Other cleaning solvents HEALTH DEPT. list) : Bug and tar removers TOWN OF BARNSTABLE Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners Disinfectants MAY 1 5 1981 ; Road Salt (Halite) Y s TOWN- ..OF BARNSTABLE ' BOARD OF HEALTH F. NT OVTOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FIRM ADDRESS �r etly f Major types of materials: 1) 2 3) 4) r S) 6) I. Description of material(s) use: II. Storage (denote product by number listed above) A. Containers cans,b.ottles,jars mgal glass paper plastic drums,barrels i aboveground tanks underground tanks ! 0VV Vw e bags,boxes open,loose,uncovered- inadequate. labelling B. Storage Facility - ✓or # Remarks/Recommence::'ions 1. Indoor a) separata, contained room b) stored in general work area i) inadequate ventilation ii)_-floor- drains- - i:ii)- inadequate-fire-protect_.ion• 2: Outdoor.: _ a) uncovered,- exposed:to=weather b) pervious_;surface/catch-ba--s3ns ;. I;I-R__Disposal'. A. Reclamation/Recycling unit B. On-site disposal 1. Town sewer 2. Regular septic system 3. Separate holding tank C. Off-site disposal 1, hauled by own firm 2, hired hauler a) name of hauler b) address or disposal site ,- ,q Persgn(s) Interviewed — — — — — — — — — — — Inspector — — — — — —,— — — — /6 30 81 Date - - - - - - - - - - - - - - i r _ V . /7� o ' • ---- - - - - --- — --- -- - - __��1.rc�Gu.�.�. .max._ ..��r. ._ �/.c� 30_ .4.�.i�•� _.__�. _.... v 'G � 1 � i � � ► t ! G � t I � i i ' r I � � i_ 1 G t •Y t � � r f • � � 11 'r � �' # I I � � f I � a I j G !j r• f i �_ 6- � �' e� � �� � `r� _:� � �� �_i J /� / � � �. ...�- l ._� _ _ � _� __.:.-!;/,��✓-✓'r-`ice ,J�`/•`""h__. `�j'�`'�'!'L�1_--G�`u.'V„'-�- ---------� - ---- -- -------�.�.:_�� _ _ ..--- .------ �"� r� - -- - 1 ' ' , 1 I j I � i 1 1 r ? j t , 1 , � � � 1 , � i } � , , � i � t � { � ' t i I I . 1 , � - i 1 , 1 � i � t # ' , 1 � ! � � 1 t �� �� I � � � �i t � � � t � I � i � i I ; � � I I l , 1 I t i t t T I I r � � .. i , ? 1 i � I: I � � i i � i � � , _ � - 1 � f, i � i' ! I i I � i i � i i � t i i , } � 1 � I �� � 1' I � � i t 1 t } i 1 � � 1 ' i 1 ' } t { ! t i , i , �i � , I � I i , I � I G � i � 1 � � � � f � � , ' 1 , i. - I f, � i 1 I '. I I. I It 111, � f , !f f 1 � � �� j i � I 1 � � I ' � I � ��� i i I �� � t � � i t I i I , � � 1 � ! I � r , , - i I � I { 1 1 , ! � ,� � ! � I I i I ' ' � i ` t t i I 4 � _ � ' � i � I d t � , � i � t , i l � � , } i t 1 � 4 � � i , I , i } �'i � i � i I i E 1 I � 1 i i i f ' # I i � i 4 i ' ! i ' ! � i I i i I , ' i 1 {4 , 1 i i I � ' � r � � t � � , � � ;� � � i I � i � i r � I 1 � � � � � I � � } � i ; I I I ! � 1 � t } , � , i i � � � I i � i � i I r I. , ! , j � I , , , r 1 t . � � , i I t' 1 �= t ' 1 } � � f � 1 i a � 1 , r , I ! , , � , � � r � . I 1 � � > �- � � � I r ' ' i ` � y , � i �. I � � I � � t � ( - 1 1 � I I � ; i r } v�- 7 - '1 � { i, t y k r � I I � i { � � � J i � � I � � I 1 t � E I *9 OF �yF caw 1926 `erg - -- COTUIT, MASSACHUSETTS JULy Dec. 22, 1982 Ronald A. Gifford, R.S. Health Inspector Board of Health Town of Barnstable Dear Mr. Gifford, This letter is to notify you that Chief Dottridge has suspended Mr. Bernardo J. Procopio 's licensetto operate his vehicle, a red International fuel oil delivery truck, Mass. reg. A/C .61152, in` which a leak in the fuel oil tank was discovered on Wed. Dec. , 22, 1982. Mr. Procopio does maintain another delivery truck which still has approval to operate at this time. . I would also like to "thank you for your assistance this morning. Very truly yours, i` D. r y Rogers, Firefighter Cotu' Fire Dept. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH NOTICE TO ABATE ANUISANCE . As occupant of you are hereby notified to remedy the conditions named below within 24 hours of the service of this notice, according to Massachusetts General Laws, Chapter III, Section 123: 1 S If at the expiration of time allowed these conditions have not been remedied, such further action will be taken as the law requires and a fine of$20.00 per day may be charged. By Order of the Board of Health .-.) }-� Inspector O FORM 600 HOBBS&WARREN,INC. REVISED 1979 JOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: e14 Mail To: Board of Health BUSINESS LOCATION: �3�-Town of Barnstable MAILING ADDRESS: � p P.O. Box 534 TELEPHONE NUMBER: 0 C��` Hyannis, MA 02601 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: _yid Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qua (ties totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants -::� otor oils/waste oils Road Salt (Halite) a soline, Beet-fuel-, Refrigerants , kerosene, #3-heating eif Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform,formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers. Household cleansers, oven cleaners FEB 4 1995 White Copy-Health Department/ Canary Copy-Business k"�EM114[`,—;, f r 1 A� Ol e f . f 3 ✓ r ' r ✓ 1 1 t a45 TOWN OF BARNSTABLE OMPIJANCE: aneCLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers C0MPANYr02orly.,7— 4�gi�bi 1 (see"Orders") 5.Retail Stores 6.Fuel Suppliers Me ADDRESS 2415—A �10! �- Class: � 7.Miscellous `f-/4AUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALSCase lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: My/001V Sa t t%g Gasoline, ldt� Diesel, Kerosene, #2 (B) i,,L fQ� Uy l waste motor oil (C) new motor oil (C) �61 ev transmission/hydraulic Synthetic Organics: degreasers ���� t Misc laneous: 1 IT DISPOSAI✓RECI.AMATION REMARKS: l �� 1. Sanitary Sewage 2. Water Supplyy r .✓ '-� 1 r` O Town Sewer Public 3'On-site OPrivate 3. Indoor Floor Drains YES N0 O Holding tank:MDC _ O Catch basin/Dry well -0 O On-site system h 4. Outdoor Surface drains:YES—No ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO'V�'tig 5 2. J(� /'e7rfson (s) Inte ed Inspector Date ASSEMSORS MAP Nk O " d f F � TOWN OMBARNSMBLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 0 3.Auto Body shops , r ; O unsatisfactory- 4.Manufacturers `COMPANY •1 •f(J� t� f �-t'� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 96 L 1;;IJ 1 '1 t Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) .Diesel,-Kerosene, #2 (B) Heavy Oils: waste motor oil (C) �{n /4,11 4, V new motor oil (C) transmission/hydraulic f Synthetic Organics: degreasers U `J �1�J'•-f-I lR (.."Cr[.�+1/ 1 �//y "f' F'�l.#i�""-� Miscellaneous: DISPOSAURECLAMATION REMARKS: ,. 1. Sanitary Sewage 2. Water Supply < ``'<`+� `��� •/t"'f r' -�* t! / •� Y `"� O Town Sewer !!Public G" r O On-site O Private t4 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MC O Catch basin/Dry well O On-site system 5. Waste Transporter,'FVAI Name of Hauler Destination Waste Product YES NO 1.. [_+ 2i.�--� �. f N'' ,� r`f if•i+��,� p,�. �/'R!I",f l`Y d"��5(! .E' �'/j•f f. 2. Person (s) Interviewed Inspector / `1 Date Cotuit Fire Department OT Uj Fire, Rescue & Emergency Services G �' CWW / 64 High St. - P.O. Box 1632 1916 Cotuit,-MA 02635 RE�G" Paul A. Frazier Phone (508) 428-2210 Chief of Department FAX (508) 428-0202 TO: Tom McKean, Director of Public Health Town of Barnstable, Board of Health. P.O. Box 534 Hyannis, MA. 02601 FROM: Chief Frazier, Cotuit Fire Department SUBJECT: Tank Removals, et al - DATE: December 13, 1999 The following tanks have been removed/abandoned since my letter dated July 6, 1999. If you should have any questions or need additional information, please feel free to call Thank you. NAME ADDRESS DATE : NOTES King �:= OST'033 468 Cotuit Bay Rd. 09/13/99 330 gal. tank removed, Cotuit, MA. 02635 no contamination or odor present. Desch 0�fo q 18 High St.. 09/17/99 275 gal. tank removed Cotuit, MA. 02635 from basement. i McConville ob�-bog162 Clamshell Cove Rd. 09/23/99 500 gal. tank removed; .Cotuit, MA 02635 no contamination or odor present. � � �ice+-a,/.PO� '�(`-✓.�./ Procopio 03�� �� 905'Main St. 09/30/99 1-2000,-2=1.000 gal. tanks Cotuit, MA 02635 removed, no contamination or odor present. G/ V } . 10 g • HAZARDOUS WASTE MANIFEST AND SHIPPING PAPER MA3 9 6 H • .c r i k MANIFEST NUMBER NAME MAILING ADDRFsSS PHONE NUMBER STATE/EPA I D NO W GENERATORy'^ v k: z z0 •..•+" ^""k f .. a"` 1' .., tr� ,t�..'..• / �!•-.� N \ .}X.' i'�' +,, '1'r;...„' ;;. .r' • *�" d>w f �• 's, " .:r ,e l F; s 1, ,a s`� }• l / r _ r fit.. p F r PRIMARY TRANSPORTER `M ., a d �y si Q LL jr "Q• K�,.yr,•"G- -�,, / c ' y4f. _.f . �.. .� / ,`E� - .-• } -•�j /:.. l:'+'•�t �r 1 yw a'• .•" .;,a ` , , , - .�,.F '�r, J.O.a �� .3(° .- x .. .w.✓' 4 r� f 1 ..� w.s .fx .' k; Fi.•'' .f / C: i. -a� L f A.' V fw f- CONTINUING TRANSPORTER ' }J_ III oz� W W cr z d H< �w V) Hsi € - +: pD oz w .. W w ytpr,. y.i'� � r ,+ y.iu .r ...E a: . '� �, '` " ` W (p W! _. '' a°f' , .r'�'•.+ !' `'' aid':. R .`�' .-'- - ` d i+ "" '"s• ,g'* ,s•; ! .�F `' :. =•,e.... a — z 0 t ' . w zF '• IF MORE THAN ONE MANIFEST/ TOTAL. 40 OF THIS_FORM�' MANIFEST NO. OF FIRST F@RM, DATE SHIPPE[ :„ MO TH . tAY Y At EXPECTS ARJ2tVAE: . 1, NTH DAY' YEAR cr a o W J AT v;.. a SHIPPING PAPER IS USED: Ft?R 5 A13 ,s N0. ISj I, ,.r � �,; f , . z J p' J a _ D.O.T.HAZARD U.N./N.A. UNIT CONTAINER,, E.P.A. WASTE DESCRIPTION OR WASTE a w 0 a �.. 2 U.S. D.O.T. SHIPPING NAME - WT./VOL. . UNITS �w_ $ 0 , ' CLASS NO. - •CODE NO. TYPE NO ANALYSIS IF WASTE IS N.O S' i a �a U ..- co W w w U z w Z � '. ,;r•"`e�°"" t JJ 0 g 5 t } A w 2. • zco a W _j Ill w Z �� 1.—L--.� i t ts:"''Q.aF=.- w Wcr._ w w H w, 4. cr Ej m o Q rQ Q O w w Q �c SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION;AND EMERGENCY RESPONSE INFORMATION: p a o o a o�w o z - U)T -< Ir . . �u 'm IN THE EVENT•OFA SPILL,CONTACT THE NATIONAL RESPONSE CENTER,U.S.COAST GUARD I-800-424-8802 REQUIRED LABELS THIS IS TO CERTIFYTFIAT IAM THE PRIMARY ti OATESHIpm0 ACCEPTEp a� ATE C0 ' A LYNO, FORTRA)I O'ATE QE pE'1.;VFRY, i VJU) MONTH 'DAY YEAR � NSOR RAIL �" � TH OA�� YEAEt t �w TRANSPORTER AND HAVE ACCEPTED THE . -.� �' VEHICLE $" } DESCRIBED SHIPMENT IN PROPERCONDITION j x W FOR TRANSPORT TO THE IDENTIFIED H.W.F. . ~ 0 J YES NO SIGNATURE OF TRA)t§PORT pATE"SHIPIYEt ACCEPTED STATE COMPA N4. FORT III R, DATE, OF�OE,, mod- PLACARDS REQUIRED' THIS IS TO CERTIFY THAT I AM THE CONTINUING �•M MONTH to YEAR MAE A L �`� 4NTH' Z�2 TRANSPORTER AND HAVE ACCEPTED THE- VEHtCLE - QO _. - DESCRIBED SHIPMENT IN PROPER CONDITION= SIGNATURE of TRANSPORTER !p. I � FOR TRANSPORT TO THE IDENTIFIED H.W.F. t L t r kLj INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENT AND LIST REJECTED MATERIALS,INDICATE DISPOSITION OF REJECTED SHIPMENT ME THpp tiAING W Vise- �� ! 4. .W - 3a I CERTIFY THAT THE DESCRIBED WASTE(S) WAS DELIVERED BY THE-AFOREMENTIONED DELIVERING TRANSPORTER AND THAT THE INFORMATION ON THIS S. MANIFEST IS CORRECT TO THE BEST OF MY KNOWLEDGE: Vi57-I" . SIGNATURE. MONT!' - DAY ATE: AR 6,. GENERATOR STATE E Ir .GENERAL INSTRUCTIONS: HAZARDOUS WASTE.MANIFEST AND'SHIPPING PAPER_ _ IMPORTANT: Read all-instructions-before completing this Continuing Transporter's Name: Description or Waste Analysis It Waste is N.O.S. • '* form. - - Enter the name of your continuing transporter. Enter description or analysis for any waste which does not ' have a U,S'D.O.T, Shipping Name. if waste Is a liquid, enter '• This manlfest.contains seven copies. To-insure that -" - - Trans orter's Address: .. _ ,,. _ z. _ p its specific gravity. eachcopy is readable the manifest must be completed with • _ Enter the mailing address of your transporters facility. `.a'typewriter or by pressing f..irmly with a ball point pen.` , - Special Handling Instructions Including Container Exemptions; And ` " The-instructions for the generator, transporter(s) and Transporter"s Phd_,Number: - - Emergency Response Information. ` hazardous waste'fact IIty(H,W.F.), are on the back of each -- _ - 'Enter.the to 1pphone number including t rea,code of your Enter-any.container exception and any expected problems In » ,. V copy:of•the form. The information required for each entry transporter's faG�'lity.. r • t�. handing; include specific properties of the waste not identified .,- .. ..on these forms are.included,,tn these Instructions. The - - r by the U.S. D.O.T: Hazard Class (eg. cancer causing) and 6 descrip- - ,.manifest number Inthe,upper-right hand corner of this for. _ - Transporter's State/EPA I.D. No.:: -_ tlon of containers marked OT in the container type column. Enter - x Is preassigned by the.state•in whichrthe waste is generated. Enter.the State/EPA identification number for your transporter_. •r emergency response Information regarding protection of the public ' ti p _ H.W.F. Name: and emergency personnel and containment to be employed In case of aThe seven coples of this manifest are Intended to be . - spillage; include.telephone numbers for k"y personnel- filed with the appropriate:.party as they are completed. As - Eiil ei-Pbe ammo of file hazardous was lti'tad lily iviuy the manifest proceeds,the copies will be removed back to - 3 your wast e. •Generator Signature:. front. The shaded portions of this form are Intended for - _ Enter thesignature,of the Individual responsible for hand- - - data processing; it i H.W.F. Address: important that numbers appear In the - :Enter the address of the hazardous waste facility.receiving ling the waste.• hash marks and the-digits end at the far .g riht of each closure + ` ,. . your waste. An example for wt./vol..Is.:1 ,5.,0� If.more.than six , , r m - „Date: x'.,_waste streams are fisted, or.if more than-two transporters are f; _ H " - „ s - „.Enter-the date that the''generator shipped"thewaste. used, an additional manifest'form wil'i'be needed.' if an ad- e , TS t.. _ xr• H.W.F.`Phone Number:. << _r �. + '.{r"- Enter the telephone number'lneluding the,area code of the - - f 'r 4> - q di tional copy Is needed.fora cdntfnuf ng transporter, the gem- • • Generator's Emergency Phone: hazardous waste facility receiving your waste. :=aerator or.pr(mary transporter will provide the necessary photo Enter the telephone number of the Individual to be called .-copy. The disposition of each of the numbered copies, as they, - - H.W.F,. Site State/EPA I.D. .No.: - in the event of spillage or other emergency.- - - ' are completed, is as follows: - *" .M - - Enter the State/EPA Identification number I.- - t • waste.facility. 4 "` r I.• ORIGINAL: _ - 'M TRANSPORTER SECTION � t The original sta s with waste from generation to con- - + Fr•_ ' _ - Y Total No. ofForms: .p tetion by the hazardous.rwastefacility. When'the manifest is » - _ Required Labels: •;completed, the hazardous waste facility will mail this copy,to Enter the number of manifest farms used for this sht pment.. Indicate whether the containers are marked and labeled as the state where the waste was generated.. • - - -Form No.: required in 49 CFR§172 Subparts D and E. .. _ •• 2,'• Destination State: of' - Of the total number of manifest fors.used, enter the number; Placards Required: r s - m tp When the hazardous waste facility completes his section this form. - E 'Enter the names of placards used for the waste shipment as of the manifest, he mails this copy to the state where his Manifest No. of First Form: - appears in 49 CFR§172 Subpart F. facility is located. - - . 'pif this shipment contains more than one form, enter the - - 4 " . 4 - • manifest number of the first form. Signature of Transporter: , y S3. Generator Completed Copy: Enter the signature of the Individual responsible for ship- s When the hazardous waste facility completes his section of j"„ f„ - a ment of,the waste: •t _ Date Shipped: - • the-manifest, he mails this copy to the generator of the-waste. ' ''' Enter the date'the transporter took the waste from your. >,F - �-• - ° ' + - - - - Date Shipment Accepted: - W 4.'...H.W.F. Copy: ` site. _ Enter the'date the transporter accepted the waste, - . When the hazardous wastefacility completes his section - i - Expected Arrival Date: • - of"the manifest, he keeps this copy for his records. w Enterthe:date you:-expect hhe hazardous waste fact lily to - _, Vehicle I.D. Number: - receive erutheaste, - Enter the two letter abbreviation for the state of'-Lehicle'- 5.. :Transporter Copy: _ -v s • �, _ registration and the company identification number for the trailer. When the transporter has completed his section of the man- .T U.S. D.O _Shipping' e:.Nam . ifest and transfers the waste to the hazardous waste facility,y. .-Enter the-U.S. D.O.T. Shipping Name for your waste as.ap _ Date of Delivery: • - E he keeps this copy for his records. a • _ pears in 49 CFR§172,Subparts A, B,and C. ,, y , Enter the date the transporter delivers the'shipment of waste- ;. to the hazardous waste facility or the continuing transporter, t,,6. Generator State: `-'- . D.O.T. Hazard Class: - - When the generator has completed•hls section of.the man- ..Enter the U.S. D.O.T Hazard Class for your waste as appears r. .. Continuing Transporter Signature: In 49 CFR§172 Subparts A, B and C. A, " Ifest and transfers his waste to the transporter, he mails this � ^ The transporter receiving the waste from another•transporter ` - 'Copy to.the state where the waste was generated. - � - � - •� - e � shall sign the manifest. U.N./N.A. No.: _ 7. Generator Copy: - - Enter the United Nations Identification Number or North Date of Acceptance: " When the generator has completed his section of the manic - ,.America Number as appearst-in 49 CFR §172 Subparts A and B. - {,r A continuing transporter, who accepts a waste shipment from test and transfers his waste to the transporter, he keeps this - _ . another transporter, shall-enter the date he accepted that ship- copy for his records. .. - • - " - ant. a • _ Wt./Vol.: ' . Enter the total weight or volume of the waste. - s a 'Continuing.Transporter Vehicle I.D. Number:, ,,.,.. - r NGENERATOR SECTION.` ! - ., Units:. -' - - ' Enter the two letter abbreviation for the state of vehicle _ y.t • r Generator's ' - - - '-Enter the units as listed for quantity of waste(s). Units registration and the company identification number for the trafter. Name: t a of your facility as appears in the.EPA moll - of measure which must be used for this manifest and appropriate Enter t Name: codes.are: Pounds(lb), Tons(ton), Gallons (gal), and,Cubfc' Date of Delivery: . fication package. - - - r`Yards (yd). '� _ Enter the date the transporter delivers the shipment to the • hazardous waste facility.,, - .Generator's Mailing Address:,' 'Unit Code: - Enter the address of your facility.` _ - Enter the appropriate code for each of the units used; ' • - _ - Ib(P),,ton(T), gal(G), and yd(Y)• - r _. HAZARDOUS.WASTE•FACILITY Generator's Phone Number. „ ' -.Enter the telephone number including-area code for your Container'No.: -- - ' " - a Shipment Problems: . fact.lity. > ` Enter the number of containers In the waste shipment which # - Enter any differences between manifest and shipment, list , this man lfiest accompanies. - rejected materials and reasons for rejection, and indicate,the Generator's Site State/EPA I.D. No.: - _ - r •- , disposi•tion of rejected materials. Enter the State/EPA Identification number for your fac(I-I fy' Container Type: - .! - Identify the type of container(s) used for this waste using Handlino Method: i Primary Transporter's Name: - the following abbreviations: CR=Drum, TR=Truck, CA=Carton, BG= Enter the Handling Method for each waste as described in i Enter the name of your primary transporter. - Bags, PT=Portable Tank, CT=Cargo Tank, TC=Tank Car, and OT=Other. - 40 CFR§265 Appendix I, Table 2. ' It Other (OT) is used, explain under Special Handling Instructions. - 1 Transporter's.Address:. - Signature: r� -Enter the mailing address of your transporters facility. E.P.A.,Waste.No.: Enter the signature of the individual at the hazardous waste • Enter the EPA hazardous waste number as appears'In 40.CFR•,., t _ facility responsible for the receiving and disposition of the waste. • ? Transporter's Phone Number: - - , Enter the telephone number Including the area code of -. _ §26I Subparts•C and D. , Date of:Signatu re: » _r your facility. - - - - - - ' Enter the date that hazardous waste facility accepted the shipment. Transporter's State/EPA I.D. No.r - Enter the State/EPA identification number for your transporter.' - _ _ �l! i. +.+, si.;:. .s�R+ ,�`Jr..'�:; �u r. ��Y...rvF�1'�.•n.,•� rF' ..-.. + '� r . ,T , . r .. .. � � .. c +.. ., .. Y 1 TOWN OF BARNSTABLE COMPLIANCE CLASS: 1.Marine,Gas Stations,Repair 1 BOARD O satisfactory 2.Printers OF HEALTH 3.Auto Body shops �������� �� Q unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS fr <3 C1S33: 7.Miscellaneous fM "°uQUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks f IN OUT IN OUT IN OUT #&gallons Age Test Fuels. rF Gasoline,,Jet Fuel(A) Diesel,Kerosene, #2(B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAL/RECLAMATION, REMARKS: 1. Sanitary Sewage 2.Water Supply , , -1' . � . O Town Sewer OPublic _ Q On-site QPrivate 3. Indoor Floor Drains YES - NO Q Holding tank:MDC Q Catch basin/Dry wellZ�.r. ' ri .C ! J rt.� , • ++�/� ,'w E O On-site system ' 4. Outdoor Surface drains:YES NO ORDERS: 'Holding tank:MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 2. Person (s) Interviewed Inspectors r Date �r �..,,Pp..Fur-savq�,'td�'Fb�;..;fT,wt�j,;� �+�.r:Zty,�fv.�1+'�R„P,:.'j<: sza m^�-�:..arrr �.r�sr.^sr..-=.,......,.P n,,ate,r,.r;a ,ra}gs}s;��. 4-t'S'!�E:!'= fi="!fi"f�, �"t�;.£'ea sa's.i•- h , TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair ,y (2 satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body shops O unsatisfactory- 4.Manufacturers 5.Retail Stores COMPANY �`�f.,<�'r / 'P (see"Orders") _ � 6.Fuel Suppliers ADDRESS t Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT-outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks £ IN OUT IN OUT IN OUT #&gallons We Test Fuels: � �Q �'T Gasoline,rJet_Fuel#(A) :Diesel, Kerosene, #2 (B) ' Heavy Oils: ` waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organicsi, degreasers v I Miscellaneous: DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply ' t . t, O Town Sewer APublic OOn-site OPrivate 3:Indoor Floor Drains YES N_O O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO V ORDERS: O Holding tank:MDC O Catch basin/Dry well ' O On-site system 5.Waste Transporter Name of Hauler Destination Waste ProductLicensed? YES NO 2. Person (s) Interviewed a Inspector ;/ f Date "A , 4, J fi yo-- r i E a 5'� E ,u TOWN OF BARNSTABLE V s UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME �y'�' � �. r 0oa ADDRESS H it I!) 5 , VILLAGE -%•?'732 LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL JAV );i ooj+rT G f- 6AY b-oiv 95 ® © 62 -S'�,W (Give same information for-any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 2. u N K 3. 4. U DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS 0 �; -� _. _ �. �. �4 ♦ t r, ' s ; ♦ , rw wt...,. aft q'2.- a v 'f4 �x; 1 y , 44 •. 'f w € s 's r ; 4 �)"t, .N , r,•t { y";�`4 Y r'",'.. sL"'. :�, 7 i 3[ t, ,s't *t , k,. > 1�a r � -. .y.. , i �*_,.!-f.+: ��ri yt - e t 4. v r f-...h ,F`S.„, .� ,,e 7 .., s t ,�F_: e -, w 1.'<4 W,# a " t+M. 4 K q' ^' ( •r:x 1' a v 1° 'S m-d .'' " t 4 r t rf } .t ` t i h t. n a x Y'p. r :. e4 4 P n 1 r r y d�' �xi . {� k a {,-, 3I , r9 i > 3 y i r �.. " Y 1I, ,C - X M.-" f'1 4 t ri 3 ry:y, # e k c lC- '� z a o. 1R t s Y kii"." .'rF` Fat'`x � " a 'd' ay(,.+' S vf' } ♦ ) d.[. i 'b a # a •W" 1`- s rt ,.. K. r k ; t 't 1 h,'k, s+ R v.'—a^# I ,` r.e y t 'S 't H ,, �'��,. 'e...`. I +, s+ w +zr *F 1 9 - t 'k- i s g r"I . 7 a » S:' x f.x ' L L:n +• ..R r , t,. A ' 'r 7<': t k0f t r -i ' .. ,August`.. 13p',• -1580 tv. 1,< Y, �<, r 4, 4- t, r� , �, 5 "" - , I x { Ord r ,t ,•;.. a "7 ;v. t�. .4 ,. s K *, e } r''� ..< xi. ; F1 'k{'k�,C'�t'"• x Zef ..�. ,.' II • i-.. 9 k 6 Y 7 r i ; t ..t a 'a q '4 er7. H r , w a ''F <.r L , {[, 't tit } ''• mar f t' ; Y r .. y , a . ai '-'fs r, . � a r .�, *~i t w r s 'S t'�. F} $ 1 ..y, =-'., 'y' . •'I ik ::- ,Y ; r, qx•„r. ,u it c< »,. 7 a- ter. :,n r ,r, ;,,"" , { e ? 4:. Ate',` A :a ax i``s 2€ e t ,,.,i. 'r s. r t �' s-)to aR,_rx ,. wx + ,; ✓d a ,rt4•,f {.n .. $•i. .1 e` 4 . k M,t �?A $ y 4,x...rt #;, ia }i t tt "c F �` X .`4 aY'.'` Af i .. ell ) ,f< "' + 4 r�S r � k 9,+.. _-a } Y•,'t'. r if + �.e_ `14e s '`et ,. r:: . " J. F y,I.�[ c r_y, s° ,., Bernard JI Proeopio. { t -� E , '"' ; 'f ' "<'{ j , . : ,f , �� h v�'�: -"I...I,'..A�1,�,-�.. ��:r.'-,�,.".�"�.�I.���,.-I;,�,*.�-`I�I,'�-I,'.�,. ..,I;.J,I-�,,.,..t�..�-,I I. II. .-I�j �,f.I.I,1 l. I,-,I,, :).�k I,I-,* Cotuit'. Exxonh r - _ „ ., �^ � r ,�� It .. , , :y Ma n, 'L�Xr x• 'f -, - "`. .,�, > , r h- ,x+s 'r a : Y;., € t `M, k '- ' ✓� K { ', •< Cotu Z.1. Ma* ' ,. . , u_ ,ram"k,;,,. J '` 1{+' ry '.; �*O ,15„ ' _ x f `a,`a y a ,I• e` i -`t FA':y �N.I ° q�'4""L "ram„ {., i +:ur .;a + �3F . {• t s: .t Dear Mr. Procop o. .7 ,� ,,: x afu s, #:, The information you 'keturned t to us r in aced the,age, o:f .yours , underground fuel tanks was unkno1an. -' ti , _ c, wa rk , t s ,. " ='a �. ' r a IJ k K �.y. a +" ;? r, - t :, y '��,ts t ''. t_, ✓'_.k f J. x,i' 9 '�' y 51 1. A+1, ` ti a ! 1 Y *'` .} x F' 1 .'i ', You I must •have your,,tank :tested using :the: KentMoore Pressure , '. ., ,l 'Test by 'Noeember ,20, 1980«„4: P .eese submit testing results;!and.W k, i , , ,� �f r f ' ,''<, their � nterpre.t:atao #to .this off' ee4.pry or: to NoveMber•o.t2' I:].980 1 y' t In;adda,tion . this"'test must,be performed annually and the `f ,results: s:ent 'ta this, office` ' ' t .,3 .. k ' "" s a r �*> s a: ++ " A, 11. 1 k nr{'€ ; ?°' t" ' . Dt For'"your c`.onvenien6e t tae have enclosed `a *'iistng ,of"companies"' f' `- ' x '' t _ `' I N who' perfor""m tYi s testing. �#You'may .also utilize. any,'other `don r. Jk; s., ♦ , �pi F ,ceirns qu.a14 f�ed to perform this.:�.te'st ng« *' 4_ ;�. , ' 't ! c S` T rrc M ;f `k,, t• — a _ € r d 'ti . w:, , t � ,, , 1 . r b, < f, > Y :i_> Wx. f • C ip'.I P' + / 4 :E ` fl W 1 ,�+ "' l # t Veyy�y� truly " ours z> y y{ x, " i - A .F .i * i'. .A :,5" a •!1v J k � L .iZ tt,a ? {'- .. M '' * \ f 1 't'.r' M , A9':. !. 4 k .r.. y`K.. h ?K k I,,rt[ 6 k: s "r-John-M � ,xf'l'1Z ./ { `� : . ...M fi ar'�. #'. a r �, >_#.r r , , ,i ..1. 3+. } * :,, o . r g K,, { �'I a 6, a r'"t �, , Director of. Publics:Healthjy V 'Tw -F �" � � � C a° rs .p�., / , ,.,. , ` _ 4,.c :KY [L y.pi A# - .s + r, g t 3.t s r ♦: 4_ i JMIC IRItI S ""',,. ` p, s' xe r , p ,4 y {t„ .a, t. .o",, ,k,- 4q.'^ _ V aenClth '1 r«{�" '4 > f" II, T •,; `.s �'f',.' ..'t.,I"�;,�7.,,,.,.I._,` ! k :_,a Y 44 "{,ay,R' , x' r , i' �€ .z$ r v r a �, 'W' ,, J r, r.; i 4� ?' o r` '(2 4 " E< 4, i kT y�, 4 ',a) 4'41 d!r a � a « :rP { K Y`4,'?' J!• ,", I. 'b� �• > 'rvps".., t �d', a e ,�I oK.�: , 1., r :s, a .A s a fr 'S«1 " h.yh r x a r P a.,,..�w.::, Tw r fiiA ct t y.. _- - �,{C'�" t t ,.t w C r�` $ '*R t'3 ''� , y ;t, 'd., .t `.i 37�x �'�1 -Y v{'S, rs°"h=. t. .t„ 's c.., _1 t Ti xr"7' > �y ♦ ,tf ..<.' rx r , { .�.; Y }* a,. ` • 3 f t7 e ' w* ,fi "3A * 'k n*.., `{{ z, k :a y{y,qi_+ ," t a '+•,.' b «n l a a +4 nw '1�T ^r� .. .. k F { 4 ,' F ,. r' 1 a y,.i: rk'. j rl,'.AI { ,".y x ,r',4r t wok `. L 1 i ,,n q „sr ♦ i �. a ra r,h.f F A aX- '�.t i , • ., !I, 44 .f E4V r x *k':" , -t f .ke. -, ., `c 1r,z' t�� F ,r `. r+ 7 :yam it f y x,` .' f a ., -v.'.a 4 ! 0 3 r - •. _q ; ••_J f' a,.. M ,. . Yi .,At �AK ) . b '1 ,x I ,.,,£,i ..3 P5• - _ h ".:+ { y,+I r,s . S`RR}` _ k' t 'ie a i v, it a Iy" . - t,+- w, ,_ S --.e r. x X „i,.. - 1. .0.•tip �i "> '" ` a f1 Ia r rr 4 d t b C rr S f i f _ k> 4' 'f 4.:, .• ¢.. w. Zit i ,4 i r, y ♦ x:F I . .t { 4 } '€,' , ''r tl i.4 .i. i;,'<, `,- r} Y +,. `'4., s .... r .' + .rf .r` mow.• ¢- ' ''t ° } , .y . a'w.A q L,O.CATI ON 1 t3.J. Prot :r.^ Corner c f. Main School. d/-,,/a COTE P r' rOIN Streets, Cot dt, INIt� MAI,n & SC kz Off. ^•�,. v":S ob.iit..,' MA 0263r, � 3/ i3OOK & PAGE - DATE GRANTED lvIOUN':I' STORED 6,`,' 2,500 galas; 37 2 S.F.;, C`lO/4o 4- , tanks 10,00' each 77/1N1 ,14 ;, T'0,000'.:a,dd tlonal 6'U.l. :'52 5Q. . March 2-9 fat; FHh 'c 19 MAP 7 10 1,78 A TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME EXXON STATION #1628 ADDRESS School & Main Sts. VILLAGE cotuit LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: (gals.) OR CHEMICAL Service Station Yard 2000 Gasoline 12 Steel " '.' it 2000 " 12 't 3000 " 12 if 4000 " 12 It (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 1968 2. 1968 3. 1968 4. 1968 DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS I Te�- hnician� aJ.) • AkIF: �E 1 A-1,.iXeh /�li�r 44. Nawae of 6.00"..0-not or DMbr Aod.eee No.a"suwrUl Cur suoo O•ts or nr 1S. TANK TO TEST 16. CAPACITY �] From 2 Q� V � Q Tenon aChanfa . ca most chaina v /P1 Nominal Capacity d "- D upedry gnarl available t Tank Manufocturoi s Chan 7e_,"a alobCompany Enginoesing Data Is there doubt as to True Capacity) Charts supplied with TSTT Brand and Grade See Section"DETERMINING TANK CAPACITY Other Stick readings 17. FILL-UP FOR TEST OBS API Gray. :3 / V to X in. Gallons Total in Tank J Sock Water Bottom . / OBS Tend O erFen Fill- p • Inventory C � - O to X In. - Gallons r. a 'Corrected API < FA up. STICK BEFORE AND AFTER EACH COMPARTMENT DROP •/ - _ / ° m Gray. 60 -4 p ^ OR EACH METERED DELIVERY OUANTITY G� (A D X rs Product in fuU tank(up to fill pipe) Tank D.omelor _ rn mr 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST.THIS TANK Fill " Suction/�e Feed Return 1 9 n asXM O M y See manual sections applicable.Chock below and record procedure in lop(26). t o _ Vent Vapor Recovery T CO ; Water in tank High water table in tank c:cwation IV - - . m. D ^t ; z y e rA 19. TANK MEASUREMENTS FOR 21. TEMPERATURE/VOLUME FACTOR (a) TO TEST THIS TANK Pr- N D s TSTT ASSEMBLY A M Inventory Top_'f Center_'F BtNm__to 'F On Truck_ "F �F rpected Change .6 D -4 X M bottom of tank to Grath....................... O -4 a C -4 22. Thermd•Sonsw reading after circulation s f 0 < t/t - Aaemblo tubing a 30"for 4'L.................. _- .. digits Nosiest . Z 1" - -4 24'for 3'L................. N � �� . ._- - - � - 23. Olglte per'F in Hoge of expected change a+Bus A aoTGs Total-tubing to assemble (Approximate)......... _ ` Qi V 24. V CIL�V ' X B t�l/(�10g, / _ Z /9- gallons CA 1�� -fi total Quantity coefficient of expansion fed vo ume change in this tank tv e. Z.O.-:._: N 'nge _ - full lank(17) / fa involved product Der 'F Tank top to grade'............................. _ �( Dd/��( ,? `/ �( / Eanand hose on Toot Elbow 6-or more 7- // 25. / V'l 9/t/� + L 10 = •l 4A0J 0 This is pelow bnk top.:........... �_- volume change per'F(24) Digits per'F in lost Volume change per digit. lost •••••••••••••••••• Range(25) .Compute to 3 decimal places. factor(a) '1P Fib pipe extends above grade,use top of fill. 26. 30. HYDROSTATIC 31. VOLUME MEASUREMENTS 34• TEMPERATURE CJMIENSATION 38.NET VOLUME 39• ACCUMULATED LOG OF TEST PROCEDURES PRESSURE CHANGES CONTROL IV) RECORD TO.001 GAL. USE FACTOR (a) ........ EACH READING CHANGE 27. 28. _ 29. Slandnp.Level 32. 33• Product 35. 36. 37. Temperature At Milk Level record is Iackes .t Prodgct is Ckanp Csmpuucioe Adivatnent total and dellocties Dula Record details of setting up flood. Graduate Replaced(-I TMrstat Milker♦ (c) a (a)- Volvoo Mingo Time and running lost.(Use full we Bpiswioe level t•, Seater'. Lowe- Eareasion• Es►wise(e)or At how level compete length of line if needed. N•. . Ahw Irodoct R•ediaa. ,Is) Cootracties- CMtrocties I-I cheap►er how (Z�here) g 1 lMNiy Metered MNieB; Rodip Repeeree(a) II) (NfPA criteria) /a NMI VMS i MIMI�3 Irk I I OI TeLhnician • f Lt y ACW,44et5 ;F . o 14(Ga�•0 �628 wow �' "eul .Sir �af�.� �� ,z/i3T seen o1 9.00"..O.rw.r or De►1Mr Aedrees Ne.ewe 5~116) Clry - {We Desa I Teel 16. TANK TO TEST 16. CAPACITY From XStation Chan lC. {/ 2�(jD By"nowtaccurate �OG ❑ Nominal Capacity capacity than available Tank Manufacture:•Chan leawsry by peetuon Gallons Gallons L_f--1 J Company EnOino.rvrp o.1a Is than doubt u to Time Capacity? ❑ Chans supplied with TSTT . Bwne end twee~•� See Saplon"DETERMINING TANK CAPACITY" ❑ Other n 17. FILL-UP FOR TEST Stick readings'OBS API Gray. �i0 to%in. Gallons Total In Tank p .suck Water Bptlarlt C N before Fill-up - OBS Temp 49 ZOo ell to O to U In. Gallons 3; a Corrected API = Z ems■ FIN up. STICK BEFORE AND AFTER EACH COMPARTMENT DROP Gray. @ GGo blast OR EACH METERED DELIVERY QUANTITY JQ D i Product In full tank u to fill i r Z ( 0 DWI Tank Diameter _ Cj Z .-.. m C) A 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK " Fill Z " Suction/D�e " Feed & Return 0 = m < See manual sections applicable.Check below and record O tD N � procedure in log(28). tt ill r• � o -4 2 Vent Vapor' Recovery M W M C WNer in tank High water table in tank c.-.n.vation - r to. D_ N _ N ; 2 n ? W N 19. TANK MEASUREMENTS FOR 21. TEMPERATURE/VOLUME FACTOR (a) TO TEST THIS TANK c D TSTT ASSEMBLY r- H n m .. Inventory Tap_"F Center_'F Bottom__,'F On Truck_'F Expected Change :A. D 2 m Bottom of lank to Grade'....................... _ � C 22. TMrma1-Sallow"roiling titer circulation p N Assemble tubing . 30-for 4-L.................. digits Nearest Z m H 24'for 3-L................. 323 23. Digits Par'F in tange of expected change -- C �sa4aasa Total tubing to assemble (Approximate) �' Z �• *loll* 24. X, 6 Ir el �L390¢4if g.Hcn. 20. total quantity coefficient of expansion f^• volume change in this tank N �'�+� e - lull tank(17) for involved product per'F Tank top to grade'..........:............. ..... r r Extend hose on Test Elbow 6'or more 25. 3 9 D 4 4 4 + .5 Z 3 This is below tank to ., t 6 - volume change per'F(24) Digits per'F m last Volume change par drgrL lest p""""""""""""""" — Range(25) Compute to 3 decimal places. factor(a) • - ..;,;tj,-: ;„.:;�::�;,�y,;;.*If F8i pipe extends above grade.use top of fill. - 26. 130. HYDROSTATIC 31. VOLUME MEASUREMENTS 34. TEMPERATURE CJMP(NSATION 38.11ET VOLUME 39. ACCUMULATED LOG OF TEST PROCEDURES I PRESSURE (Y) RECORD TO CHANGES CHANGE CONTROL" .001 GAL. USE FACTOR (a) ........ EACH REREADING 27. 28. 19. ' Stan4pips Level 32, 33. 35. 36. 37. Toerpreta or At Nigh Level#*cad Record details of Setting u ►wbet in ►"Nett l total and darlaetiae 0414 g D Ibad N Inches CMap Ceinpebtioe Volume Adjustment GnduHe� Replaced I'I Thermal Higher♦ •It1 ■ I•) � V.Irm.Minas Time and running lest. (Use full in {atisninp I Level a S••e•( Lower- hpaneiea• Eapsaties I.)er At lair level compete 124 ht.) length of line if r-eaded.) Ne. el .kick {blow After ?Watt Reading . Ic) Costractiew: Csstwcliee(-) chaste per Mar Madug Restard Riadiss Readies R•cevewd I'I (r)-It) (NFPA chleris) - ky4a d?7'✓a irj ddC- ? / 41.3 Z 4 O 4 a•,ots 124 t ZA. -4: .094 �• 2- 43.1 Z 14257 .4,go +,oSS �42 f t t7tfl8 -.at3 t 4S ,r (.�et esT c3.3 -z- . 0 4o f.odo 1S8 +-16 4.061 —loot' i y Z 13,E t ,54c o �,o6S t +1 �.ob 1 .o •'7 0 2to +1 4- -,013 iO27 Sao - t 2 20 • '1 7S + 0 5 2 27 }1"1 ♦. 6 S F G- c. 2 - - ---- i ! I i I^ i- 1 f - � A TeLhnician SrAid Sir 12�3 A6 4 Ma..s of ev.Mte..O..wat a Deter Add,«• No.•wd etreer(e) city surd O• of 7-t 16: TANK TO TEST 16. CAPACITY Fram . Tstet.on Chan o ir7 n�.O By most accurate z��C) ❑ Tank M.nuf.ctunf's Chan Nominal capacity capacity then wadable ,(use we.wty ev Pau..a" G.uons G•uow. U_ Company Engineering Data b '/ Is there doubt as to True Capacity? ❑ . ❑ Charts supplied with TSTT CCJJ Blond and GreM See Section"DETERMINING TANK CAPACITY ❑ .Other . Stick readings 17. FILL-UP FOR TEST <7B S API Gra`v. 33,,e to%in. Gallons Total in Tank in e n Sftk Water Barran 0 BS Temp S Ir,venl` 6¢• zoa c; C w O before Fi0-up ory . A to X In. Gelbna Corrected API 'r T .0 ~, FEup. STICK BEFORE AND AFTER EACH COMPARTMENT DROP Gray. ( 600 s34.0 -4`p OR EACH METERED DELIVERY QUANTITY D -4 Product In full lank(up to 1d1 pipe) - r- z Tank Di.rMl« Ulm -4 Z � - mA. I M 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK 1, Fill 2 S uc t i on/ o I Feed P,c _ 7D a TXM O toy Sw manual sections applicable.Check below and record procedure in log(26). t t _o 2 Vent 2. Vapor P.ecovery rAtt C C ; _ ❑ water in lank ❑ High water table in tank c:.cwation - = to. D y c H -4 19. TANK MEASUREMENTS FOR 21. TEMPERATURENOLUME FACTOR (a) TO TEST THIS TANK f"' C D m TSTT ASSEMBLY Inventory Tap_•F Center_'f Bottom—_'F On Truck_'F Expected Change 2 Bonom of lank to Grade'....................... 6 � _ -..•• 22. Tharmol•Sensa readingafter circulation �.3� 4G? F 0 -C C - ._..,..... - Aiello _ Nearest � (Yl .. /►slemble lVtliflg+30 far 4�1............. � � � ` Z T ss - y .- ......... 23. Digits per"F In range of expected change y Cf�l s Total tubing to assemble (Approximate) _ - aqua 4i 24. X .�Wz 00 _ 7��•.J 7" _ gsilona fit 'M� "total Quantity coellicient of expansion(r•• volume change in this tank t•t ��• �: for involved product per 'F N Tank top to grade'.:............. full larn�k(17) 1D Exltatd(rose on Test Elbow a,of Mora 25. r 7�Zs4 + c7 _ ♦ Q�Q3/6/A This is L_ . X s - F 24 Digits par'F in lest Volume change per digit. test below lank top...:.i: .......... ' _ volume change.per ( 1 0 - — _.., _- Range(25) _._:... .. ., .Compute to 3 decimal places. lector(e) . ' - 'sF Fig pipe extends above grade,use top of fill. _ 26• 30. HYDROSTATIC 31. VOLUME MEASUREMENTS 34. TEMPERATURE CDMPENSATION 38.NET vOLUME 39. ACCUMULATED LOSS OF TEST PROCEDURES PRESSURE IV) RECORD TO .001 GAL. USE fACTOR(e) ........ CHANGES CHANGE CONTROL EACH READING 27. 28. 19. Steadpipe Level 3Y, 33. 35. 36. 37. Temperature At High level issued is Inches Predoel Lt product Chan" Computation Adjustment total and deflection 1teCefd details of setting UP Road. Graduate Replaced(-) Thermal Hisher.+ It) ■ (a) volume Mines Time and running test.(Use full w Beein.iAe level to Sate" Iowa- Egensiea+ EgaAsion(+)at At low Ind compete (24 hf.) length of line it rseded.) Ne. el which Bdoeo AfterProduce Reding (c) CMlraction— CMtractiea I-) choose par hew P� .•n Madill Restored Rodvp A.di.0 Rsasored(+) (v)-(q (Nf►A clitoris) w e, I /•/nn <''�,`.., .-.e�► •r�:f n nor. L-r�..l .. :: ..:•.. ... _ PSG Z cg = .60 a 114S __, 'F�-..-_ w Z 4z.3 4Z .4 'Io 8o e; o S6 -+-%3 +.v 39 146 t 2 200 .�,- .0 c� t t Z 480 zo o •��'7s +1 Z tZ-T 1 .•SSo +1 1230 3 tz.1 IZ .5J0 •58o +-030 •600 +12 +-.036 - 00 r24 4 t2.5 12- eS o 1 . 405 oz .G o i-ro t.o5a i3co ~ 5 f2 12- .605 .630 It -4.o3: .: g . 1 �•+f►• - u"— .. :'�':- ..•.,.-..-�+�.. r -�i.�.� _ _ ...!....w.... •%++..+.•+2,... �..•bv r;L...�i3'.t�t.:-ti. _ .b.:,ilr .._� •. t ,..G..w..• � . ,Y. .zu.",r`�.. +�1 -.. - .�• <":.�Y - }.� �^�-C-R' .1 :r.' t-. .. ��6^. �.s^ i .r_...o- .�.. c.•.'a- .. . . f-.+l.1�►. 11.1.. 77 e�=' ti, � ♦ , *_��r. M. • .� t �N �'S.�.i.-S s'`K-•�t'.t9 ' .. ,rrn 7 SKI- rYC.f. �- .,4 Q .� •a _ - -- --. _.... .__... -. �. .....�. . i 4 'F.. •_ .% .. 1. J. - ' +. 'li •....�e..�,� T e c:hni ci anJie.T GUn:l�� i.,ri D tat , yof T .. _......_..: ...-. team of irMw al N .O.rwn or deer,. - Address""*.sad Mmsl(11) .•,. ..; Clrs fYN .. . ... ale of Teal i ..:;. . '1L "TANK TO TEST 18. .CAPACITY,_,' Fromla•a b.:mt• s: .•,r r _ i - 30.-eti r t Y 5 `,w '.n•Y `.., , -�.� llOn Chart t` By most accurate " .NomMtal Gpaelty 7 [JJ eapec"chrt availaW r Tank Menulecturar s Ctwt tdelrary av seeklea ,... Genoee Gsaom LJ Company Enpinearing Deis .. : Is than doubt as to Trw Capacity Chart - s supplied with TSTT a1^` eland ane Grade- Sea Section"DETERMINING TAN4 CAPACITY' Mom' �y � Otter `aJ 17 FILL UP FOR TEST i n ". Grave c L •ego• .. Dirt rn 0d to X in G Ilona T Tent ^ _....._ C I. J $dCk wale.Bonov"- OBS Ter-1P - �- Q C u I.-loveI.-loveFill-up Inventory N W >0 0 to x In`. Gallons C o r r e c t e d a I '�' M 'C �j/ Fin up. STICK BEFORE AND AFTER EACH COMPARTMENT DROP Gray. V0 �`p Lt OR EACH METERED DELIVERY QUANTITY- �'" ' "� " / D r x /induct In NIT lank(up to IN pipe) �--- Tank Diameter COD M m to 9 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK ? .11 Fill- Suction/Discharge Feed & Returr. � a CoaxM L Oslo manual sections applicable.Check below and record procedure in lop(28). o V! t1 _ o - , - nt Vapor Ve V r Recovery /3o� c TC C ; water in tank 0 High water table in tank czcwetion . ca NJ y c yCA 19. TANK MEASUREMENTS FOR ` tt 3 ;a , 21. .TEMPERATURE/VOLUME FACTOR (a)TO TEST THIS TANK r to C T _ TSTT ASSEMBLY a tom♦. x`:, 1 ;Inventory Top_•f Gntr •F Bottom._-F On Truck_ F petted Change D 30 S to Blottom of tank to Grade . •f' —i s C "� __. H__ ..« + 22. sor reading after circulation -F 4'0 < lei Assemble tubing+SD'for 4 L _ ., digits Nearest - b _r M TMrmal San �^/ N •2a lo►] L...: ........ 23 Olptb oar"'F In range of exported cA�npe Vl a s x f J , gf s Total tubing to as serwble IAPproxlmato) r sdigits ..?9G� O ... i 24. �► -x ���;a fi_ ,,,., .�.a a total quantity ...;.1 coefficient of expansion fryvolume change in this lank-. ,� '."'t';'" N S!n.Il a_ »�I W aM ..... tx d fun ton (1T) 1 .w+ w for Involved product . pal F 1 �4 ,�►t" �.Y tics c�top gr 194 EsiartA hose set Test Elbow 8'or more �//k� , / �/ �F//�`'t� _ t n 25. C T,. {.�L� Z, g (�(/1 c a � s. Thla r. r. * YolurM cM lnp0V /par*F((24 t r 4 Oipas Or in l , �, Vo lame change.per digit: # tes t•y,. ' tsatow,talk top- ..... � Aanpe(26) 'c '�' Compula to 3 decimal pleeaa laetor(i)„ k v �,%�. M y,r;•d t r�r' yi^ -�� a a Yet�r,_�'a,•:''.�w`�"3 '+b.mtt. .. • ,'W FIN pipe extends aegw pre0a.use top Of fdl. qt a4'' i V gy:c• J m 4 wd/FDA6 y+V4Y.`I k .y59r li ,,.::,'GY�'�s,fo'"F' �. ... Y: r �' 30:. HYDROSTATIC 31 ' aL 34. y 38 NET VOLUME 39 is> I 28.»`.t ...� E bL>' TM � x ^?+ cm--'VOLUME MEASUREMENTS"^" ''"• " TEMP(NATURE WMrEMSAT10N.r.b ACCUMUtATEO .� .q i3Y.lOC OF TEST MOCEOUREf n PRESSURE RECORD TO.001 CAI. USE FACTOR(s) ., CHANGES CHANGE i •: i i;twlu+...:;:. t •t-,•i ., -.a, c.u:.,..w,Rn,i,... t�' CONTROL•.. - (y) - EACH READING 1. 2�••.•iris Zee L. 29. Stealsies Leval 32 habit l► 33•?h..art` 35.r 38. 37. "':r : TewFarktw •At Nitk level r«ad ; , F s RftOf�dabllf 0(ff[lIR + r ledws Cb-" GwFvlatise., A/jestwsse... isW sd/anecties ; , Date 0 fro R „�' Grdsals Redacad(-) h rmal Hion♦ O. (e) Mkws test.(US*full + I w'..• Tiuser Leave Egsalse+Sr E Falwiae(+)« At low kna}aa�w t1 1ItRe i^ 4 ,'r btir level to s y). . length of(ilea if"imled•) ° ., . A• sr.ala�y- .wkK► Is1eu..+e: t Anw ax'. s....hslleu• R.diy a k) ,r .ACealrationCsaVatMa(—C :draB�Mr .. �; tN'osli'v 01t`` .#�T+=e��N �a"�di8�e';vrw:za ; -,�m:.,.r s.fix, MNrB.< 1ReetwN,., yBselfag Redly,. MaeerN l�1.: 4 „,;•;:•.fir .:r. 'a`saRt�,. tarr •�;iw' :esn.(sl, (4 yam. (.. ' t 1 K �,�,t: '" -�'• `I' -S:5 "7. - f.•. � i,..t :, �I .�, ?+ �• QS.-. _ .C+�:,KCs.,2 r`, Lti-.4 ,� c,h) `.� I n of Y �.� >Y:: j,'��s�:•l. �, a y,�,�. ,a :�a`� -�+ iir�T,C'y .•...,•. �„�. Mgt. M �F�' °�. - .r6.;4 i." •�t :� w.",''; E N ".f .-1. 1W '} 1 ... . e�:.':� .::`i"�Y•�.. •c.-"_ _, .._. ._�.. ,,.. a::9•'_ ...4.._ v ems. A :i. PIMA MY 'SAwil W Mmi MM imm NO WI ®® ®® W Q SENDER: Complete items 1;2,3 and 4. T o Put your address in the"RETURN TO"space on the 3 reverse side. Failure to do this will prevent this card from W being returned to you.The return receipt fee will provide 00 you the reame of the person delivered to and the date of delivery. For additional fees the following services are L_ available.Consult postmaster for fees and check box(es) for service(s) requested. 1. Show to whom,date and address of delivery. OD ra 2: ❑ Restricted Delivery., 3. Article Addressed to: Cotuit .Exxon, Mr. E. P:rocopi Main Street Cotuit, Ma. 02635 4. Type of Service: Article Number ❑ 8egistered ❑ Insured P 522 444 2 6 ❑ Eertified ElCOD ❑ Express Mail Always obtain signature of addressee or agent and DATE DELIVERED. O 5. .Sign e— ddr ssee O X= 3 LIVV y 6. Si nature— Ag t 5 X 9 7. Date of Delivery m z S. Addressee's Address(ONLT if reque8t�� ee paid) m n _ m I I I UNITED STATES POSTAL SERVICE °. OFFICIAL BUSINESS SENDER INSTRUCTIONS Print your name,address,and ZIP Code in the � �s » apace below. e Complote items L 2,3,and 4 on the reverse. e Attach to front of article if space permits, p ENALTy FUQR.PRIViI f@ otherwise affbt to back of article. 1.I� uSE.$300 e Endorse article"Ratum Receipt Requested" adjacent to number. Gj .. RETURN BOARD OF HEALTH - TOWN OF BARNSTABLE TO (Name of Sender) P. O. Box 534 (No.and Street,Apt.,Suite,P.O.Box or R.D.No.) 1 HYANNIS MA 02601 0534 (City,State,and ZIP Code) 0- - i i r �C P 522 444 236 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) San ttbt.uit Exxon v Street and No. cb P.O.,State and ZIP Code C d c7 Postage $ V) # Certified Fee 1. 55 Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered 04 Returnreceipt showing to whom, cf Date,and Address of Delivery T o TOTAL Postage and Fees $ LL 1. 55 6 Postmark or Date E 2/12/85 V 0 LL d i I �1 STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, i CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) 1 1°p1i yol}want this receipt postmarked,stick the gummed stub on the left portion of the address side of the article leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra charge) If 2. Ilyou do not want this receipt postmarked,stick the gummed stub on the left portion of the address side of the article,date,detach and retain the receipt,and mail the article. 3. It you want a return receipt,write the certified mail number and your name and address on a return receipt card, Form 3811,and attach it to the front of the article by means of the gummed ends if space permits.Otherwise,affix to back of article. Endorse front of artile RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee, endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.If return receipt is re- quested.check the applicable blocks in item 1 of Form 3811. 6. Save this receipt and present it if you make inquiry. a PL February 120 1985 Mr. Bernard J. Procopio Cotuit Exxon Main Street Cotuit, Ma. ' Re: Your underground,` fuel tanks at`•,Main St-w,: Cotuit Dear. fir: Pr000pio.: Our records indicate that you;have two underground tanks which are thirty years old or '.older. The revised Health, Regulation to.-Prevent .Leaking,.of Underground Fuel and Chemical Storage Systems Regulation, which went into effect. December 20, 1984, requires all tanks' thirty years of , age,' or older,. to be removed under :the dire.ct .'ok the 'Board of Health or the Fire Chief. A copy of the regulation is enclosed. You are directed 'to have these tanks 'which are` -fifty years old and thirty-six years old removed. bl:. January 1, 1986: ' However, on April, 28, 1983, • you- were notified that all tanks .twenty years of age, or older, must be tested annually for leakage* L Our. records indicate.. that you +have not complied .with this order: You must have your •tanks ,,tested immediately or furnish ,proof of testing for the year 1984. If you furnish ,proof Lof 1984r testing, you still must have the ,tanks tested again by. May 1, 1985. Testing must be done each year. Please be adviaed` that failure. to comply with an order could result in a fine of• not more that , $200. Each separate days failure to com-. ply with, an oader shA lconstitute a a' arate. violation. We- would appreciate your cooperation in this matter so vital to the public saS®bItyand . the water quality 'of the town. Please call if you have any questions - -775-1120, extension 182. 'Very truly yours, John M,.-Kelly Agent for TOWN 01 BARNSTABLE. BOARD OF HEALTH Robert L. .Childs, Chairman Ann Jane Eshbaugh Grover C. Parrish, M.D. Eric. RELC ® RUGGIERI ELECTRIC CO. COMPLETE SERVICE STATION MAINTENANCE ELECTRICAL INSTALLATIONS AND REPAIRS 45 ALFRED ST. WARWICK, R. I. 02886 737-3767 December 23, 1985 TO WHOM IT MAY CONCERN: I HAVE AGREED TO REMOVE AND INSTALL NEWTANKS, AT THE EARLIEST DATE IN 1986 WEATHER PERMITTING, FOR THE FOLLOWING: COTUIT OIL 905 MAIN STREET_ COTUIT, MA. Q2635, Very truly yours, William C. 7gieri Owner WCR/rs /< y�FINC TOWN OF BARNSTABLE OFFICE OF i BA"STMM > K"& BOAR® OF HEALTH �p 1639. ` 'O�pYA�k. 367 MAIN STREET HYANNIS, MASS,.o26oi February 12 , 1985 Mr. Bernard J. Procopio Cotuit Exxon Main Street Cotuit, Ma. Re: Your underground fuel tanks at Main St. , Cotuit Dear Mr. Procopio : Our records indicate that you have two underground tanks. which are thirty years old or older. The revised Health Regulation to Prevent Leaking of Underground Fuel and Chemical Storage Systems Regulation, which went into effect December 20, 1984; requires all tanks thirty years of age, or older, to be removed under the direction of the' Board of Health or the Fire Chief. A copy of the regulation is enclosed. You are directed to have these tanks which are fifty years old and thirty-six years old removed by January 1, 1986. However, on April 28 , 1983, you were notified that all tanks twenty years of age, or older, must be tested annually for leakage. Our records indicate that you have not complied with this order. You must have your tanks tested immediately or furnish proof of testing for the year 1984. If you furnish proof of 1984 testing, you still must have the tanks tested again- by May 1 , 1985. Testing must be done each year. Please be advised that failure to comply with an order could result in a fine of not more than: $200. Each separate day' s failure to com- ply with an order shall constitute a separate violation. We would appreciate your cooperation in this matter so vital to the public safety and the water quality of the town. Please call if your have any questions -- 775-1120,,; extension 182. Very truly yours, M fr.. hn M. Kelly 41 for ate. a�z:� gent �n.Qyl,e_. iv_ TOWN OF BARNSTABLE BOARD OF HEALTH Robert L. Childs , Chairman 6w1j,W. 6'L Ann Jane Eshbaugh 10 4"-k Grover C.M. Farrish, M.D. Enc. A R O.K i 4. sz ,s di r'Y.A: t` :*ti f "'. ' "r•.rE aaM. �."_.: s`^.. r.; r' f -I x 11., :- .w # r ;r ''A , e .-., s, r'"'^ v -.. .^ay ., -,€'r; _. ..ar ,F'' _ - ,� 'a+ r>' v"`y ^,i_,,, { � ,,,), 3 3" - if -"7 4" i,.. 4 A , 'ae l h ♦ i - w4 t ; ,:F k "c r f I".` 'M f. y l # £P { Alr 5. 'it i 4 4 r t „ a„ -<a, h �.- 42 amr r3 ` 4'.4 J d f c +gam- "°` { Y •N'f �k •'I Y ." -p f q Y t A y^ " L' A t . 'Al- 1, , ;4% S 2, s'C::�. *• .a ,.; gf el �' a ,t -.. :4 ,1 ,z. 5 `c ``r a... °`4�" q..r a'f' ;a- �,y aY -s�- '3 .r kk a: + •a .. „, `t � 2, .r ay .. '`' t r.I a - Deceber ~198U s �. 3 -� �'! P .,a 3`e." ' ,4 t s€``f, ' -- 'x, x'r: `Jgf a ^ [ t 'e a.�t e v "` {t ak,_ s i r 3 , }!'`4 ,s }fi �a� am r va P+ r a ' ' ,d CT '.,r :! c. - " t:,.. at "4 y t J. S t�,.a . -''$ z ,tom. .t.',+ - . > o Mans er M° €- . ., _Cotuit�fl%it '. A s r ; � lr . �� r % - *r MAJ xSt1. a vt � as X x a * a. 9 u ��: _ �_ + y �` .al w ,� rr e�, 1. m; � , x:1�, , .f° ia, "+IV tint •�' R '-!r i- e � fi _`* $` -w ;r' '" -ror� a t'+ + • 2# x If - 1 iJQ4zi p.« ;e. r� s 'a Y ' r° rt 11 t xY ,r ; �i- �, �,t. fie, t:_ *_ µ ,`rp # �. �fi_ a s , ' t, 4j. '4n�`Aiagust l' , �80€ you ode.:natified `"td�have "yaur and r '' � � r° `, ground ,fuel: storage sta+rnkt�t� td6ted •usifi4 the Kent--Moore. �", „ � �``' li A S q d ,,r .:f.3 px' $surd TE'st j.+r b�jT November ��;f�.;�.���+ s r yx'", „, +. }b '[J.r#a _ 11 4,.µ 2 , 4 �` E " r ,M R t yss.r2 -a. 'f. roa r r - �, ¢ - r .„+ax t; s,f -r �x,. -v ' �-'` 6 y �.,sr 1,�. - ' date,° we have not 'received 'the results of any testing � _� � �I vz,w. :l s % Js�'. b -t. `perfcraned• c �� s - t� ^* - St,� �a. '`.' >..``; I- 1 �,Y{,- I r �.`'a".'z .I z ,' "r.to �z, rla �,... `:''*a > as x s ^.` a .,„_ �} LL `t"` 4 xf a this testi 4, s 4not dohs ,immeda;afd y, the Towns Cl&erk s s , A z a , , , effice will be notified by this :office Ito `a .thhald your F ,} � ' ,* re a:strata on for storage Xof 'fUe1--undexgrciund. -*' �r , l:t - E n .. _ r b'� - , IF � i t i J x k Tn :addition,;. you are: subject Ito a`<fine ,of tvJeiity (24) r ' v x . do�.lars- for each ,-days failure¢to comp3� w�th �a ,Board af* �. „, e,"H®a te! ;order xF :I s'., � �; , w I e r 'r'± a - a my 1 +."r 'a" `` s 1.. :`' � ?''' y, '� ;. ' �w,,., F a'T -asp. t"`�. Very truly *yQrs 1. k 'A"' A a L 7: '' L 9 . .t,,.X t`'hi' f �' l--f ,. +r % -1�1 r x . a;5 , ^r r 's, " 'r ,,gi<' P a' -.+,. fa ',:' ry �. w.�m � x x �t" a.a i ' % - t r . e, , , _ '� L .�E g . y , `.sc r fit'`#t-' �,r, k ,. ` p` d -0,r _ - r s, ._, ra s ,,`_ a;�` ``r �' g, John M• -Ke11 _O � ` a � �e� � .� ,.x � � � �' � a , �s R Tir-ectvr4 of�;Publ c HeaS.tly"It Ty r 4 , , s s `' `"' ., .fin•' ;i` ✓- err w �""�' _ ,.r „# ; ' ' } �F.: _ ,�,-x �''tr ::;(' ,, +,� s` t. a:, , '', rx v ' �r �f r I 3MK/rn z � t � t' .w ..."r". 4* _t ... e.t r , r , S r.,x f,:ti' ,f d, ;.,, # 3,'a,, .r ' w�- t �., x r ,y;, n.... _� I ". -'"x s 3 - _ er r.. --__ . • - .. '�. r �b _ , ,�` # .�z ; s r = - iF a r r' x z s • j r % �t '`y. a r. a s ,', $ Y_ 1. T x * 4 s ',a y :F,� x -ter ah `1 ✓ { ,.., z i, t F 3 4s' g 'v,s s ,, 5+. n .x 'c. r _ sY : s x 'ate r? � x, ''T r' .,,,. 1 - "&`' ? L f =1 3 _.;j�'_ v}' .3 A✓ _ ro- 1 1 � �,j i- W s 'r} .'s a '~r. '"1 { ,y e: 1�1 rr .,[-r-l ' `�` T` S�_; 4 - '§ --st J wa` 's�,'* w* ,. s Y R 4 5 1a.Y I xF 4 S ~^.: •l 1 Y - w -R. w lr i h .t. a i #,I r ,a a P TI �r _ .* a t 'c ° $ r Y ,, :F; T.? _-. .t. �* f it,� 'f +i�rF. `` 1 �,. . 1 d w s s , t ' e ? a NPE346 WEST ZI STREET ECUOB INC. NORTHBO O IMASSACHUSETTS 01532 TEL: (617) 393-2537 SERVIN9 THE PETROLEUM INDUSTRY EQUIPMENT SALES, SERVICE. INSTALLATIONS Nov. 20, 1980 Town of Barnstable Office of Board of Health 397 Main St . Hyannis', rya 02601 Location : �,xxon Company, I-lain School Sts . , Cotui t, 14A. In compliance with Town Bylaws, underground storage tanks and related piping were Kent-Moore tested at the above location and ,found :TIGHT. Kent-Ploore results are enclosed. Sincerely, ZECCO INC. J . Robert Troiano ..r Y Form 77-1000 Data Chart for Tank System Tightness Tester (J 21103-364) USING KENT-MOORE CORPORATION TANK TIGHTNESS TESTER MODEL 1000 Copyright O Kent.Moore Corporation 1977 PLEASE PRINT 1. OWNER Property lJ v h )O k Vti1 k1 I Il. c C. cT C'�U/ /?-5 s• are Address Reoresenisuve - T wanone Tanks) j 7.�:,=! Name Address Rsoresent rive Talsonono 2. OPERATOR r. i'f ^fin 10 Name Address Tsledhene 3. REASON FOR TEST 7 UJ it) _ L_rt f.cJ (Explain Fully) 4. WHO REQUESTED r'D8 // i 2 o TEST AND WHEN Name Tide Comanv or Affiliation oats Address Tsiepndne 5. WHO IS PAYING D FOR THIS TEST? Company,Agency or Individual Person Authorizing Tide T«eohone Baling Address State - Zip Attention at: Order No. Other instructions Identify by Direction Capacity Brand/Supplier G(ad. Approx.Age Steel/Fiberglass 6. TANK(S) INVOLVED ExXOA-) 000 c/o s sT 7-0 `5cboo L._ �;7 or„I oroe0 000 3RD in. fnon, I� yfODG a i /L, eo/:)d - O D G e S o 1yi N i N. �'..• �n7/1 0 V L r Location. Cover Fills vents " I Siphons Pumps 7. INSTALLATION �O�L�m>� C I� TOP DATA 4�/. i 01S7--1 hs `or,e T10h ' North Inside driveway. Concrete.Black Too. Size.Titsfill mete.oroo Suction.Ramon. Rear of station.ere. Earth,sic. I tubes.Remote Fills Site.Mandolded Which tanks Make if known xj S. UNDERGROUND is the water over the tank? WATER. Depth to the water table Yes aliNo Tanks to be filled Po') hr. t C. Date Arranged by. 9. FILL-UP Nam. T«.dodo. Extra product to"top otf,-and run TSTT. How end who to provide t Consider NO Land. ARRANGEMENTS r. Terminal of other contact for notice or inquiry • Comosnv Name Telsohonii 10. CONTRACTOR, c'- v G �c i E S— S MECHANICS, any othN eontractot - involved ' 1 11. •OTNER INFORMATION f /1i`'` ''�� y o OR REMARKS Additional information on any items above.Officials or others to be advised when testing is in progress of completed.visitors or observers present , durinq test tic. Tests were made on the above tank systems in accordance with test procedures prescribed for Kent-Moore Tank Systems Tightness Tester Model r } 12. TEST RESULTS 1000 as detailed on attached cost charts with results as follows: Tank Identification right' Leakage Indicated Date Tested �i!? keTe'7r 'i0on OeOMV This is to certify that these tank systems were tested on the date(s)shown Those indicated as'Tight"meet the critens tstabfished by` e Nation I 13. CIRTIFOUTION Fin Protection Association Pamphlet 29. Ji4 MICE r'Iv Hong onttaetorm o By: a slave 1 • •� � �.fiAc�ic� 'A4AR51ifi"i� . . �.. Sahal No.of Taster Frictinicians Address, . .617-334 94 t3 . . Z::.^�• P '� '.x a r f < +. a - 1 E 1•`t a? t ` ,y.b°a-�`»� yt,, ;�'x.'"`' E .'"'� '"t i u -i F • I j I ! 1 ' ., ¢r •^+' _s: _.<'.,' k y"", .:?.� +r,:a{ ,, .}• .+ , .:, u"s�a*,r�.r � '.:.�t' s :e_'-�. � lS'`=iY.. ,!.". `a:,w i 'tj..ii,F,,,i! 3 a.�-,-^.u2 ��*. -#:r,"'�' "'�,�c �.4,.r ,i:.•,w .p; .e KyY.x.. ,.,, .�,rG ,'t:an:•, ,'I.`±'. i tl , 3x'"`,4•y¢-'t•a.`. -•w , �> "',�t. zy�..�y'Ire,: ...�.... 5.,.,,, :y- _�'! „�,r '` '�. 1 �TF �/� ' ( ...1 .�r• - �� (� .' Name of Supplier.Owner or Dealer Address No.and Streets) Clts Stab Oa of Test „ 15. TANK TO TEST 1 1 1 18. `CAPACITY + �! I' ' j From h .. ,'! a: i ' 1 I I il I i Station Chan , h I 1 , By most accurate 0 � 9L� � � I U 0 Tank Manulacturer,s Cl!eR I , N nal Capacity eapaelry Cheri available i I Identlls b position I� _ J. ; ;' .IGaaoM r C ' • Gal one i Q " j M ! I I I Comp�ny Enpineerin peta orb ! I �. Is there doubt as to True Capacity lEl ( i i !' I I° �/IV F CJO � 1 I ChaRq�supDFbd with TT Q Brand and Grade See ion"O TERMINING TANK CAPACITY r { I I I Other i } kALL-UP FOR TES } ! i } ! tie road}n a $ ! 1 ! ! } 1 I } (! r %in. , I Go i Tool in Tank f N Stick ater Bottom (� Gallons +` Fig trp. STICK BEFORE AND AFTER EACH COMPA TMENT`IDROP ' OR EACH METERED DELIVERY QUANTITY 0 proAuc{In fuN tank(up to fill Pipe) I y To 0 ametgr 1 i li 1 ` I I I I •,I r� 1 i I I ; I I �• i ,I I a j 18.` SPECIAL CONDITIONS AND. PROCEDURES TO TE T THIS TANK t\ y (Sae-manual w:tions applicable.Cheek below and record piocedu in log({20). 1 _ }1 , t. i 1 I. I ! i ta'ell . . t, s �rocove s temsi Ste 1 I S (� bet tested j tt ne s 9a plat to to •H h wale►t tole M t+nk ex atom U. O being pa ry -}a, , Z :a 1 i 1 / T rc. ,':"`_�y j 19' TANK MEASUREMENTS FOR , ; i Lv%Tw, Zt. TEMPERATURE/YOLUME FACTOR (a)TO TEST THIS TANK 21 1 ,t<TSTT �SSEMBLY i i I "� ! i fi' *' I. Invent Top Center F` Gotto i j I 'Fj n Truck 'F) �x 1 Change t 1 M , pec p / L Bottom of tank!:to GYs�A'..� , .t r e' �_L i I f j I } y'e t ;� 22 aI Sensor111Modiiq alter ei ulation ` 'F !AmImble t + 0'for 4 L •! ' i i. f sighs i Nearest i ~�, +'21'/or 13} L. .. r I Z3. {pits per.'F M anpe of expected change:' .1 Z `! II 1 ••I digits , Tot tubing to essembhi (Approximate) X•I r t:��(� 7 ! ! s= /' + I gallons = + i c r s tal quantity I coefficient of expans" for volume change in this took Tank to to grade' +..... � * F ; g tank(17) for involved prodyet I per'F ExtarW hots on:Test Elbow •o►maa I •. • , (. 25 ' •. r +Y' This is i } v • tt 1• ums cha s 'f 2� Digits Per'F in teat T Volume change per digit, I i test tDbabes qnk 7...........;................ .: ng ( ! g N top • rmge 26) i Compute to decimal placei factor(,ej all Fig pipe ext above gisde•use top of fill s mar e. 1 . �, " �w,a?' � d •` ��'•�'r`Uy,� ,• �"�y, '"�2,t+,�'x';'�: n-,e.: ���tl 1 .x _ ` �- t .1 '. - i ., �'4 .:^, j ,tn s. Y� "Z� CF w�o-� "r +x;.A•� 3'y �� L:`i ��•r.Vl�.• �q.C' < .. 4 � - 3 1 f•F •- I Yee' �. ' .. , ��a* `e w`Cf•t��."•r ,5.3 �^s� i� �'i z ,? ^n w d - .�r 1 •` t i-1. �'f� �x 5:;,° .�� "a m r #: 3sS.i• r .. ^r� ^.6•+r. C... ._._.... _._ —_.—_._ I I 1 t � t �; Y '1: i �,a` rs{3YrR k' , k,r t aa-�`���"��[A'H•:��e"°' F'� + r .3'.,4 '�y +y,�P � „"� � - ' xxon 1'q. �►� '�.1, Sc�1cr S l�. or Tvi %Y lY� S• . 26 30. NTOROSTATIC 31. 34. 38.NET VOLUME 39. s VOLUME MEASUREMENTS TEMPERATURE COMPENSATION ACCUMULATED LOS OFT T PROCEDURES ger'' PRESSURE (V)RECORD TO .001 GAL. USE FACTOR (a) . CHANGES CHANCE L. Yt, { , CONTROLzL EACH READING ZT. `"' 28. - -i �, t; ti .� �:. 29. ' Sta�pipe lwd 32. 33. 35. W . 31. Tempenron At Nigh tm1 Head Product In Product Change Computation Ad'astmant total and deflection Record details of setting u in Inches g v I Date g P Mad-. Graduate Replaced(—) Thermal Higher+ (c)■ (e) Volume Minna Time and running test.(Use full all Beginning Level to Sensor Lower— Expansion+ Expansion(+)a At low level compute (2 hr length of line if needed.) Na. of W Bolero After Product Reading (c) Contraction— Contraction(—) change per hoar Reeding Restored Reading Reading Recovered(+) (v)—W (NFPA criteria) AiAlev r t' U J L� 3 �/ L ?, 44 (6 Tn • 3l _ /IAir I c% V.') 1 / Zr l L 6L L/ z 12 ••51 11 JL Y.r1 e1, � O e��t� f��VL'L jZ (L e� �l'S �enn T•C�Z >;(v f-� n� . ')C� Z . :3 i i2A(r.. kcw a e� 12- 1 Z :E�� �� �T.o 3�� v Rq, R _ _.'.M - t rk r -'v�<'' r ..y �: i - t -R, 1. .'s c; {$v, :�_r4F-s:&S'{„'crr,.tr 'Sp?a,`� n'�,' .'•``v`' v,•irc�:i $ ;:.�» swS z+ -..."'�„ ,:Urx r..: �....., .,,,� �� x �.' .,�U^r� ,, ,� �,,?L. ,; .a" .�-�w:,�;�°"�•}.�.�� .f�' ^.�"' '?`r "�''�e 4:;xz*.v�'.4�4 �a"'r,=k� •ri�a '``�, .. �'s'?e x ¢ ��"'��s'�.. a �...>,�.. .s:_.� xi:.3 •M�t:°t``�'it^$b�,�"t' '�yc..�t'-,....,,��"r 'a � '�, � - , . Name o/SuDDlleb Owner or Oestn ddreaa No.and Street(e) � CITY . Suta Oate of Test 15. TANK TO TEST 16. CAPACITY From Station Che �• _. .: capacity most accurate �) ❑ C few ��rJJJ / Nominal Capacity_{ � y 0.7� Tank Manufacturer's Chart / it chart available ❑ IdentIty'lly position Gallons. Gallons Company Engineering Data - Is there doubt as to True Capacity? yA)1F/}Uf;o 6 10 e ❑ ❑ Charts supplied with TSTT O ? Brand and Grad See Section"DETERMINING TANK CAPACITY" ❑ Other FILL UP FOR TEST Stick x Ong' O r1 Gallons Total In Tank a LL='A Stick Water Bottom a z before Fin-up ' T (mrento y Oz to X in m7 Gallons rt d Fdl up. STICK BEFORE AND AFTER EACH COMPARTMENT DROP ` OR EACH METERED DELIVERY QUANTITY ` iF 0 difr �, _ Product In full tank(up to lilt pipe) .;., Tank Diameter 18 SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK Sole manual sections applicable Cheek below and record procedure in log(26). f ;{ s ❑ Water In tank 3 ❑ High water table In tank excavation y ❑ Lines)being tested ❑ Vapor recovery systems ❑ Stage 1 ❑ Stage 11 Z .r <,..YT.x"",�3'J,n•.-5 a•z^,A,.-:,'�:'"r°:k,,�` .ti` „J i'?,� e r �;. 7'. .. �Mu l rn �p 18 TANK MEASUREMENTS FOR n ys7 •?, 21. TEMPERATURE/VOLUME FACTOR (a)TO TEST THIS TANK ° IrF MTSTT ASSEMBLY xs 4 1 r m u � It To F Center_'F Bottom_'F On Truck_'F Expected Cha �. R ory p_.' P� on" Bottom of tank to Grade.' ' + a =d Z2• Thermal Sensor reading after circulation 'F Assemble tubing+30"for 4 L dlvles Nasrest h ' nt 24•for 3 L..'. Z3. Digits par•F lnrrer►ga o/expected changek l �"v Total tubing to assemble (Approximate) digits / 7 _ �,�.{- �w ,, � � .: � �4 z4. �1'�U x �rcrC � gallons _ ° 20 F t t coefficient of expansion for volume change in this tank 7" . ," ty ra a a « + c Y total quantity D g i 5' -'Tank t to ads'... {..�... * t a s fug tank(17) for Involved product per �'F t top g► ... 1F riT •tR'J��(_!_ This is Extend hose on Test Elbow fi. or more 'a <' �,. Y5. /• C, �� (��--- —�M _ -- ` 'below •� volume Change per'F(24) Digits per'F in test Volume charge par digit, test O tank top...... factor • • an s 26 decimal awa N ....•.... .....•... .... R 0 ( 1 Compute to 3 d ( ) .. i t t r "It FN pipe extends above grade.t»s lop of fill. r �Ca. •, :...lot 2',:4r.1,_^h :, = a, "` `�`?4, Fs,., -: _•.c--a ) 1�. .:.„ ., ....x ..,...*p,'1 fr /+. 9tl,4eP.>.. 4.FFlo .;...,fif,l�y..---^ ,. ,.. �,..... ..._•:,. tr"F: y-... �• ,.�:, ,...4i} ,� ,. 3 ,...:c- S ,_�a F:.oar.-. ,...„ ,,,,... -. ,.>.-.pus ..�".. �-.. 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Sa vi ' z ,, � .....sY'.. -7� 2 .r.,#^Y.q•Y.• �.. _....++' ». �•.,..:..,: �. ,,.:. r`�'R:. x-„M^a. tw -.:: s �?hw ,_•, +6k. '�k h:�: .cTi N �: �� �`,•."` ,.�,"•_. ^y ;t i:e r "r .::k" =�. �...:r.,.., *•:.. ,.:._,.w "„.c4 Y'v?w,....a' �, tv'.ay �rt i, 0Y y sr , ;z 01 kT x' :i^,,..r. --±t„.:`-'r�+ �•, ,;u< 'r�h. v<. a ..M>"'" e }-.,r dti"F a A: 4 a�i'� _�FSr 4 ,, zk y.,;, tii {..Y4•, rr %- k- ;Ts. -w r r'�'f} "# � .tt s r�`� t Acl :� •?r. xs sty �]� �� �' \ 1 p� � V J UJ cc ��, �Y ,yt �� � �• r n � m d r' a` I_ik _ T. }-� '� \+'� /.f� r•hF` gyp'., ^#�5 �` � - � f� � � .:i a 'v \ 9 e 7a 21.1 om 1 k - � w O E♦ \ O �� 13 �`' N O O o o lJ� � y= w[L,�k di OW tW lJli V� (n \ W <I♦+ W CIS • cmA ui cl �T �D v W wllJ (fJ � J � lN y• N %U N •J J � .1 ` � 0 0 0 -t � m 17 N N N D� s3 It •� - Hof � � � R• � _i =C p D C ' s� r::; ;, `. '. -q z t 'LI 1 l�l' .1 ..•t .u:..lt I:1. 'Y 4 ,I r s ::y , tr L,1 di• ds.Lti i.11. ILL Ih:.iw.l 1,.t.n,,..,i n'Py t 1, 111 1 IJn t /1 .. - .%°Z 1'I'+•{r ' {:.-- ' L,: rp.l V Is t a:qr .I u U it, IJA 1.,1 Iln 1:, yrtit: r1 111 1 ,{. r.•"''�-3- i )_ 11. 1.1 - • ::a.r Y e h lam* } . ''° •``e •i - li •d'UI :..x -- _,� ._. -.-:,. .... :+Rt', ,,._- 'f• .': .a x; b , .,.. ,;r, 9 .. .-;... � rmt-.�'e, /r,. .a ,.•u {. '4 ,r ,::•:. : �. .. ,r r ,y, w;em.+. .... k;^. 5, 1'i.e••� ,1`' ..w.rA .-. 2;_.,. �h ..at.•u. s )R te.. ",�: ,° ,t1-r, f -sw„ I j '.�:-MSs"'•r_ ;a3,. 11.4 1.1. .1..r...j 14, /mama of'syppller,Owner gr Desist li,• I Address No.and Striet(s) CI Sbls I Dili o,Test 15. TANK"TO TEST 16.: CAPACITY L From ' I $`' El Stati�n Chart f' a most accurate I 7` N ° final Capsoity �C � ei'city chart available `l n �� z) ❑ Tank Manufacturers hart Identity by position i _ ' 1i Gallons 1 G.lions ❑ Com ray Engineerin •Data ' Is ere doubt is to True Capacity 7 i �•� P Y. `,: 1•I P !�( � �'/.'r/3�i'! ❑ ❑ Cho supplied with STT tD j f O �.BrerM and Grade Se .Section"DETER MINI C�IG TANK CAPACITY" i the`� O - i O .« P I I � C 3 17 FILL-UP FOR TEST t f ` �� Stick►eadil gs g , C •- ,c. -, ,,:. ;. a` t _ Total in Tank r � to%in- G Rons (n Stick Water Bottom 1 t 1 O baton FiR•uZ11P f Inveni Dry' o in t % allons s - Fill up.'STICK BEFORE AND AFTER EACH COMP+RTMEN t DROP OR EACH METERED DELIVERY GUANTITYDO -m r 0 641 C Product In lug tank u to fill t i ( P pipe) - Tank ameter SPECIAL CONDITIONS P I 18. 0 S AND PROCEDURES TEST THIS TA S ES TO . S T TANK ,E in - y ,,,:.'See manual sections sppltable.Check below and record procedors in log('B). v t7 _ n l "� ❑ Water t tank :Y High water table in tank el� anon ❑ ne(s)being tea ❑ Vapor recovery systems ❑ 'Stag .1 ❑ S go 11 N Z '`d rai:",�- `',;c�� �^�``�-�'',....;: tp�..r�,�"; a° ds Y^ °t��z _"cs r I `"� •;:- >"< ".o'- Ii " ,1 - ,". a;m 19 TANK MEASUREMENTS .FOR � ,��z�`i z 21. EMPERATU E/VOLUME ACTOR (a)TO TEST THIS TANK x t: TSTT ASSEMBLY r N� +, t +:._ •- . ..,. } Invercry Top F Center, ,_'F Bott m_`F On Truck 'F ' Expected Change `Bottom of tank to Grade'... '. Assemble tub +30 for 4 L ,, ""' 22• Thermal-Sens reading after,irculstion 'F ... digits Nearest h' 24 fo► 23. Digits"P�'F i Hoge o/expo tad change ` Z ITotsil tubing to assemble (Approximate) _ digits p 24.. I O-: Xw re 6 - Q ' o`l.�}l 7 2- gallons 0. *. r F 4 c w xr r total quantity coefficient of expansion for volume ch ge in this tank Tank top to gads' full tank(17) for involved j product per'F Z ` r Extend hose on Teat Elbow a or moo 25.^ •n . 030 This It. below tank t ................................` vh�ja volume ch rag per'F(24) Digits per'F In test s Volume change Per digit test p op „c Rang*(25) Compute tc 3 decimal plat factor(a) (nl 4 If FBI pips extends above grade,use top of fill. y,a, -..i.. . ' u Fx v1..` .S "?1' •J, '•'.4+ :_. '�^ ...r.A`�a... ...�- 6.<y?- � .sit:..a.v J• .•'.,i:` t.,.s ,y .,.. -:v5 ..:i r 2r, .r:'-f�,; ;f "'-..:+L 'N -'� ^f 'Jd'#.. 'f6-$f'3.4 s ...�+F+e.n ik Tt 1''=�" •fi Try ¢rv + i. .r.;. '"� '" etc,� �'•,5'§a Je'...t- f x�i x3 1 w r�'. } r `- � .rl 3`� s.: e � �, r , r s' • f .::.,MPS, •v.t i e•w ^ "� , t ➢ l :a •d �' `s. ..A i.. + ,� _ _. .. - ,. °, ,..-. .. ..' f> .. T','. .a! '.�' J"L,:6", '!._ .,a':.Ahv� $.,c...0 } �,1:k IS �F6 .Y t 31'i •i ,.,,'l Apfln Cr SO4o S79. / /1'l 26 30 HYORDSTATIC 31. 34. 38.NET VOLUME 39. H- e ': LOB OF TEST PROCEDURES +s c � � i. PRESSURE VOLUME MEASUREMENTS TEMPERATURE COMPENSAi1DN CHANGES ACCUMULATED 9 y e�} '( (V)RECORD TO.001 GAL. USE FACTOR (a) .. CHANGE CONTROL �J ir` EACH READING 27. } 28 Y k?' Sk :r ;.-4 .. a�_ '29. ."'Standpipe lanl 32. 33 35. 36. 37. Taoparaturs At High Level record _ Prednd In Product Record details of setting U in Inches Chinge Computation Adjustment told and deflection Dole g P Read- Graduate Replaced(—) Thermal Higher+ (c) * (e)- Volume Minus Time and running lest.(Use full Ing Beginning Level to Sensor Lower— Expansion+ Expansion(+)er At low lord compare length of line jf needed. Ne, of Mekh Balme After Product Readier ,�iF 0 (c) Conhaclioa— Conbadioa(—) change per Aerr _ 1116162n r�t� C y F Reading Restored Reading Reading Recovered(+) (v(—(tf (NFPA criteria) 7 /1 /�Jo7, 1/apt �/14+�1 2 %r �'S� arm c��G / 3orY� G / ere 5r �AIn.I %I0C10 L71 .r1e. 7-0 4L'� e0t 1/NP 79 c " w�L / 3v� y .ob �'S- -7 9S ' 2- 161 77 iXk . S 8 a �s� 8 S y y .0 7 o/Z ya , Z/o ,n z 8 fiz ,off / 8 ? e3 e �/ / • 33 7 / , R rO;yS / v Leo /z '/c2 •,3� .a o � 3a � `/ �Z3 �13N �evPC 3y 42 .oG/g � .l �� i/� 12 - �,evp (� Z //• /Z31 .o2C . nS �S d'/ .p � •��o I/�3 ?eh f "" To •12'1' LQv°e C, 3 o-314 Z . z G 9 - .o 7 7 f 2- 06 Af 3 1:Y,6 p�� i I iZL.Qve (. /012- / Z n�353 �-� 0S? /oy fe i 12•1 �eue L d ' Z /21- .// .p O `/0 •/ To ,oa o a Z z 0Z, rR -)_ .k` p.i K tw!!":K r �'�"i: .$+4 � �- .L.9 .:k?. r' ..'" y. �; 4'� : `� •Ae -a - `�- ,2y t.•` „'"�'• #?y?' •.,° rs 7 r�.W x ;-` g,, �:•• ,;^ " arc ' .r ,c > r `w,- .4•--'t r es >.,., Y �`�".tz A c :r ` , -' .. . 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Comp ny Engineering Data ' Is thke doubt as to True Capacity - "� /��e Q C��h? Chart>r supplied with TTT 0 � 1 Brs Grade See.Section"DETERMINING TANK CAPACITY 1 / Other t� j ! 1 I _� 3 �7. FILL-UP FOR TEST + ° , rt t ,f tick readin�s - ">f 11 1 1'; i c: b%in. Ga M Total in Tank m o Stick Weter Bottom i , "II before fill-up Z i to%in G lions 1 Fill up. STICK BEFO E AND,AFTER EACH COMPA TMENT!`DROP " 1 i t I OR EACH METERED DELIVERY QUANTITY1-4 m /�fug tpnk(up 9oMillpipe) Tank iarneter U" + i ) •� v0 9, It SPECIAL CONDITIONS-AND:PROCEDURES TO TEST THIS TANK a � t `� _.. " i - ;I + it >' •I � ` �� ! � , i � :. l /• D See manual sections applicable Check below and record procedure in leg(29) r 1 Pre ( �i GaA)r-OCT� O-Gca� Water in tank 0 High water table in tank excavation Q Lie i(s)being test Q Vapor recovery systems Stage 0 Stepall -O Z I f.;�I,• �., 1...., ...i::... 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X co E 8 i >= a,p Q.ltorte `_ZB ;t � � � -- ; ' otai quantity j coefficient of expansion for volume change in this tank p .• ull tank(17) for involved product I per•F Z> E+ml hosegrade*, S 0 r� ^4-` i IQ �. .0 3 1 G� This is test Elbow 8'or trtorah'} Z5 l+ .e tank o......................... .. � " yY change F(21) + Digitsl(.2 )F in test Volume to o I decimal digit. factor(a) } t above grade,uw top of fig. .ti r ' u ,e ,a.-,y ,thh;w.+:s. .L•-` .• .t i,• „r.:, t+ r- + .;ti,t'74 - 1 'L�'- k:- � "�Yyac.•f .�i� ..,y�.. .y.h - .w....t. t. Y.`i�•e. K^ a��` 7-:�`.' a ,..T. .,:.. 'S .;,r'�•, ,1. s� .. �*.'&. ,Y^ t,t�, •�4 t "y;',� +.;.., F,W :n• :>. sir rl<:�;.y. .�' .,..,: - r x'•• .. ... .�. y..,. ;.. M• .i�R as"' a':.L�,:! l�-Y,.,k s _ x 'y ::�,fi:.. .w,�• � �..�• y;=l _ _ tis� r�fri x <..,,•,yv: :.'4 -C-`f*...•,. ,.+r• x �e..ra a� +y�r'k. `" _ •d 'k7, :.:r .!;k ,.1•.. €s^. .•. ,,,..e-.• e.n..t:_ + -�.:a• .,.M .,,r: •+ is :t ':.s,. 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TANK TO TEST - -- ��'.: Station Chart PTwOt VrjQwot21� Ole eymostaccurate Nominal Capacity Capacity chart available ❑ Tank Menufaetursi s Chart Identlt bypslon 0 R.,•... a " Ga1bMGseons ❑ Company Engineering Data dew Is there doubt as to Tore Capacity? ❑ Charts supplied with TSTT 0r4n&4nd Grade See Section"DETERMINING TANK CAPACITY- ❑ Other 71 0 .► a # t- 17 FILL UP FOR TEST } "f ` x� � z • ` Y f Stick readings ',.C ......, ..;> - ,rt ,>•a t. i ✓'Fie pz r R> r: . to X In, GallonsTotal in Tank •. Stick Water Bottom , r }err 0 before Fill up :.. .. M r Inventory k.._ to X in. Gallon Fi0 up STICK BEFORE AND AFTER EACH COMPARTMENT DROP ; + OR EACH METERED DEUVERY GUANTITY .. Product In full tank(up to fill pipe)' yt:t Tank Diameter r 18 SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK r ' t� D See manual sections applicable.Check below and record procedure in log(26) Q ate►In tank Hlg water table in tank excavation Uns(s)befog leafed ❑ Vapor recovery systems ❑ stage i ❑ Stage II _ Jri -k r H �i'ak ��tt� m 19. :TANK MEASUREMENTS FOR ti ""��`' ' � 21. TEMPERATURE/VOLUME FACTOR a TO TEST THIS TANK 4 - s i'A t" f AN f k . `=TSTT ASSEMBLY ; � "� M r + s Inventory Top FkGnter 'F Bottom_'F On Truck_'F Expected Change.� Boriom of tank to Grade*1. ... ° ern or 6 ~ , AnhAssemble to •30'for 1"L �� 2Z• �mal S reading after circulation •F t:' ,:f +e`ai"z`+.•c„hs ,,. 4y - x >< '' 9.-i... .;,r,?.:.: �`'FY�^ " -L,k'>',..' ~s C: ''� . , fi _..rr d191b Nearest cti ., 3 ra "Y, '•*: { Oigits per•F in range of expected change Z 23 #c .£ Total tubing to assemble IAPpoximetel z > digits 4 24. X @ Z gallons 2 ti ;N c.' ` r� c s 7y ` s t }: :_y total quantity coefficient of expansion f« volume change in this tank { sYTenit top t0 grade'.......�... x }rz'�v ` ( for involved product per' full tank 17) / F Extend hose on Test Elbow 6'or more ? k� k } "}+ 1' 25 G'r 7 '(� �. Q ell This is a0 4 ,{. , volume change •F 24 ♦ Digits per'F in test N x below tank top.....:....... hanG Dm ( ) g Volume change per digit test J Range 25) Compute to 3 decimal place! factor(a) -:-If Flea pipe extends above fJq Of ft71. " .X ve - "°S grade• •�. " F +' rW c a - r .,.•E.::.h -! ,tti. :.:t:-.s - eV«.w.'•mck�: -,.• .. r...,.. c. !�`��,.:-A,. czn 6,.,"uitJ4�',u. -. 6..,. .. 'k'. �..,-�dE ;+kpW:.a .r n. .'}. 5.. •ar'Y� ,�aor '.tr k''J -5.�- i; �.. s '.iu"�•• rR�}�s 4r.. ,.+h .�,. J $ ,. i.0 @ 1...1!4-.S.Y,w� .:... ,.+, .'. ..f. ..:}yY ..,a„51.. a .. 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N N [Qq 4 r 1 • y C l^i �It � m _.. i a c • Ne3 `� " c o c i a � — • Form 77-1000 Data Chart for Tank System Tightness Tester IJ 21103.3641 USING KENT-MOORE CORPORATION TANK TIGHTNESS TESTER MODEL 1000• Copyright*Kent-Moore Corporation 1977 PLEASE PRINT ' 1. OWNER Property 21' t e) sme Address Froonisiontod,re� - Teloonooe • Tank(s) Name Address - - Revresentahve - Telednone - 2. OPERATOR Name Address TeleohOne 3. REASON FOR TEST- 1 �w (Explain Fully) 4. WHO.REQUESTED S �" TEST AND WHEN Name Tide Comwnr or Affiliation Oau • Address T{lechone 5. WHO IS PAYING FOR THIS TEST? Comoanv.Agency or Individual Person AuteoNting Tide TNwnons Billing Address _ y,City State Zia Attention of: Order No. Other instructions Identity by Direction Capacity Brand/Supplier Grade .Approx.Age Steel/Fiberglass 6. TANK(S) INVOLVED 0�y ? UrL <G - �U/ Location Cov sk or Fills Vents f Siphones Pumps 1. INSTALLATION �e y 2 Q f �L/� DATA 3 _ NortR Inside drlvewar. Conuete.Black Too. Site,iltellll.m�ke Oroo ' Suction.Remote. Rest of station,etc. Earth,Ott. tubes.Remote fills Site.Minifolded '` Which tanks P Make it known .i z 8. UNDERGROUND Is the water over the tank WATER Depth to tee water table yes No Tanks to be filled hr. Date Arranged by. 9. FILL-UP Name Telephone ARRANGEMENTS Extra product to"top off-and run TSTT. How and who to provide T Consider NO Lead Terminal or other contact ����,��S I /n L for notice or inquiry " Comosnv Name Teleohone i .r 10. CONTRACTOR, MECHANICS,any other contractor involved i 11. OTHER INFORMATION G� j • P<sl — i. OR REMARKS . Additional information on any items above.Officials or others to be advised when testing is in progress or completed.Visitors at observers present during test etc. Teets were made on the above tank systems in accordance with test procedures proscribed for Kent-Moon Tank Systems Tightness Tester Model F000'as detailed on attached test charts with results as follows: 12. TEST RESULTS _ Tank Identification Tight I Leakage Indicated I Oate Tasted ra // /t3 This is to cartity that these tank systems were vested on.the date(s)shown.Those indicated as'Ttght"mae na established by the National I 13. CERTIFICATION' File Protection Association Pamphlet 29 t l9 OD 'ELECTRIC, oa. �' Le I ck R. : ELRICK`ECECTRIC, 1fJC: 114 MEE11N4 HQ e• onrraetor or Com y ,gna n J �y��, tr (1 15t ><erwl NO.at TesterKIImCNn{ W t .�V Kiwi r r iA,.; Aadnu 617.834-9433 _ r 1 1 LI 1.1 i l r l nl 1.,1 ..1 1 n, l.; �'+ IU,u l Ball nt l ir.,,l...i�111•• 1:, 1 ..n :al i,l 111 tl •`II I'1{..i 1 1 1 .•1' 1. 1 '.Ic•1�•.c•. - _ - • 1`:1 Idl-III ill un1 1:,11 ...IfA I rl IIII IIh.I li 14. •� � 1 ;I I r � �. c • .I I,..IC��.t.. (�.� • I �Irl, `�' oc '�oo� 1S C " uf / ey�' � �,5: I/e:s��'�1,0, , I Nettie or Supplier;Ov1'ner 6t'Dealer Ij .Address No.and Stregt(a) CI 1.., .. i Stets I__ . 15. TANK TO TEST 18. "CAPACITY ' I I 1 From ";�, (lal'1 :� :':, !` I' Station Chart I� By most accurate h ! '' I+''�• t ' Nominal Capacity r capacity chart evailab7s Tank 11Menufecturer's C14Iart —T Identify by poattio Gallons I . Gal one Dats Ii �; Comp ny Engineering X // Is there doubt as to True Capacity 7 e i._ •(, u ❑ Charitsupplied with T TT 0 Brand and cnee See 5aetion"D6TERMIfViN TANK CAPACfTt►" `' Other O .� 0 17. FILL UP FOR TEST N tick readin a s i• r 10 Ii In Go Total in Tank (`n Stick Water Bottom S 1 N= YI before Fill-uptnoinfi f` ` to)i in G Ilona ' .I.� F - 1'': _`' �1 {,�,.. r •-.: d..,, ..., � '. I .. .L�'.. 1 }t . 3 r.* f•pYi :'If `t Fill up. STICK BEFORE AND AFTER EACH COMPA TMENT�DROP OR.EACN METERED DELIVERY. QUANTITY or � 1 Prbdue�in full lank(Ld;to till De) I / z 1- r attic ametell c S 18. SPECIAL CONDITIONS AND PROCEDURE TO TEST THIS TANK j l See manual sections applicable.Check below end re"or.procedure in lop(28). 1f Water in tank D;Hiyh water tsbk it1 tank exc+avetion LI i (a)being test ;x O` apor recovery s stems Stspe Q St a 11 Z � 1 • �' it 'I i (. i" I r' 7 TANK MEASUREMENTS.FOR 21. �EMPERATU /VOLUME F CTOR (a)T TEST(THIS TANK . ' TSTT ASSEMBLY A ,: .. (' Invent ry Top_ ''Center 'F `.Sotto i __ F n Truck 'f `.Expee CMnye'� e. Bottom of tank to Grade'... 2 1 ! 4 _ c }... II' 2• el•~ read'utg after a letiorr )I ( i •F 1 Assemble tubing+30-For 4•L _ (��j ( i;.,;+ r�i -� •...+24�fa►3'L.....: (r*� .. • ' 1 . . � i� "rest � 1 dgln t Z 23 igits per F in range o expec "hangs Total tubing Id assemble (Approximate) ! digits • 24. 1 D f '� x{ ,t.)G, e"n ... gallons g S: 2U. otN uenti .coell''fentofellpensi ntfo+ 1 _. I utl tank(17) r :i ' Ived product 1 i eh I stank a O Tank top to grads'.................. ..�... er•p a n this i (: I 25. +.'D i�t ( m C�I c i(1� ' ( This t; Extend hose on Test Elbow 8'or morel o i below tank top,.......J:........... ... I ` j 1 olume change per'F(24) `f,- Digits. of'F in t•st - Volume than a per digiL test o . .... f 10 d 25 / t` g f� ng 1� Compute to!0 decimal pfae lector(a) 'If Fill pipe extends above r ••Bede.use top of fifl. / f I 1 i' _'�' �` ( '� f( / �•� � � J t-1• i .�r`. 1 , J / ++ I ) f. -t 1 (•.I�. � ,� � (,.'i ` cj� �•f: it I ` , i`+' /- .-�: � � •, � •� / /,1 ` � � �(C/ l . '� l � D w l ' I .� i ( s .�I�r t ' ! l IIt ',� ,y,. ;. ) ) / 1 �• l f i.r•11 �� `-�,� /i' `'f 4� t � ( i i'..� f• '.f�/ -1 .. .- .a.'✓. Syr•.....' ::...r - . S e n ) m IS of44 : G WLo Q \ Qj IN L EcB :� M W >W� .s C. O., C 6 W O QED Q) v11� C W 111 Ln -� 0 tbh rn `G G � p o _ N N O G G O Qvz W� CD Oh C u g � Q e a J M Q �, r . " rJ rb _.16 u cm cn 0 AQ cc ZM CC o mvm� z rim -- - --L ' Ir 4 � ^' V 1 ^ 1+� ,a ..i if L .v 'A It�..IIIi17.1•:.1:. ll Idl I ll.11n❑ •wa, ,. 11t.:: 1:• ti Ili u ._ ..... f: ..wnll�l nrl:tl .Lt, .t"�"�'',`Pyrt •,��1 I f7 i - 1'JPlliIi7 U RI 1/51 I;1'i71,. I tu..•._la.• 1.7,,.:.1 •�s 1 11 I : 1 1 1 i• I e t - ,:r ,�.. .r.-.,,:` ,,r t.�fz;r1•.vN .u°'r=.r. "S4'a' u[? 'p�'�'f�- '�..-:;.'�34 ii X• Yx4. Y„ - ' ...... �1 ',�' �r K_^?'' �a�,`4�6��f' \_��YY• ,vV �...� �. �iai�24'4 n+�,� •.�. "F`. 'v La.,:.,,, �r 1ST"R1��`".�;_• - - y.�},y � .:..,?..1. ( � .... .1:i I. :t,'1 .S'�.'H. i 14. G C.. r SSG ZI S IU / i �� 3 Naine of Suppllet,Owner-of Dealer r• I Addre 'No.and Street(s) CII ""'r' I..�•.:� stile i , ofit"t .. ". ....... � iLl 1'.1 �. 15. TANK ,TO TEST 16. CAPACITY I From !' "i C�CS'i Ir' / U RIC_ I� 10, 1��. I ` Statiop Chart �� 1: /�) By most ecewate L - , Tank Manufacturer's Chart IcyNominal Capacity eepaeI y client avails I Identify by position Gallons •Iona 'I .G Com n En ineerin ' r F :: 'I II p i� y g g,bat. f : Is tM�re doubt ai to True Capacity n (� f ❑ �' 1—f Charts supplied with TSTT O Brand and Grads Ses' tion"DETERMfNIN'4'r TANK CAP CITY' I i ' t '❑ g 17. FILL UP FOR TEST tick readings to X in. Ga Ionib Total in TankS N m 1 Stick Water Bottom p before Fill-up Invent ry to X In. ,. Ibns ~ f Fill up. STICK BEFORE ANO AFTER EACH COMPAPITMENI DROP OR EACH METERED DELIVERY QUANTITY 0 product in full tank(up to Ril pipe) . f z.� Tank ismeter O ,f i•�. I i i _ 18. SPECIAL CONDITIONS AND PROCEDURES TO TST THIS!TANK i _,- I I > Sea manual sections applicable.Cheek below and rewrd proeedule in log(28). i �. ,, .. •• 1 �y tax@' • �.a �Wata in tank c r High water table M tank ext ovation .I1 ❑ Une(a)being tested ❑ spa recovery systems Stage I ❑ Stage II Z, 19 TANK MEASUREMENTS FOR 21. MPERATURE/VOLUME F CTOR (a)T TEST THIS TANK 'TSTT,ASSEMBLY I i r.;,. fi Invent Top_ Center F Botto _'F' n truck 'F Expee Charge-� Bottom of tank to Grads' • 30 for 4 L r � 22. fihermal-Sens roeding after e' ulation 'F Assemble tubing+ ° digits 2 3�` e� r g ��c- 1 � x rGl Ft*24-for 3 L...:. . 23. �igits per'F In ange of expect W change Vp digits 0 �, Total tubing to assemble (Approximate) / R 24.. V 4.1 1�/ x r! C� gallof �x otal quantity eoefiicient of expansidn for vo ume eha a in this tank Q 20 t.F • r n z, r r , � ; + all tank(1 fa in 'Ived product per-F t Tank top to grads .:.... g.Extend hose on Test Elbow 8'a moro 25. r i t :a This is O below tank t :, ~' �' change' 'f(24) Digits per'F In test Volume charge per digit test N top... ..............� Range' 25) Compute to decimal aces factor(a) W •N Fill pipe extends above grade,use top of fill. if i 6T.i�3p. v •1 2. s F . }. � a� �.t'1�'r�,t,Y�•.,r aye t i ��` a " r .• - t W aB a — �J J{.! yt 5. x - �x 2uV Ee E r co 97 tc — W c .3 Fi O e.� t 4`• c 1. �u COSH `` �• ►- E `e pV- `` �/ ' 1 i + O D : O � ¢ICA S v O e= V 4 ee MN, nw 401 r a 0 N x c 0 t ' N - e e O N � r m e+• \ 1 -l.-ea e Y c o nKov 'r �� ac: "4 d SKr V `- • '``�; ° �`. �'' r •. ME • �'� � r ,•. f � tirj�{ -. � _y,yre 1,1"� 'r'- d.� e� n 1 s,.. z a., �g. ''�j( f;�7x•' e Z• c a� ;y��` S. - 5 'FAa 7.r � $ .,�`.r`"�y,�. J`d.: y -,', a _"t � *'. ? r tea' ,fir fi 'i'"# x-..-.:='.w �. a; .: ,.. 4' xi ,�f�+s•St�b� it a :.�,,x .. a.. - .'-•-'---�'k ,.... �,_ i. .., -... s.•,v" . _3, .4,x ,.t, e. -rc .« ,a- :i i �,w. y r ,.,;,s,aw,1,",'E. - ,us= .,,a.. *>t f', ..,...:..` Rk , s- 14. c,f , rc co m�/� �SCh �/ S i= Moss !' /3! Home of Supplier,Owner or Deafer 1 Address No.and Sueet(s) City i Stele Date of.Test 15. TANK TO TEST From 16. CAPACITY r i.a tetion Chart O ��� Nominal Ca as ��'G' I By most accurate �O ' D Capacity Capacity chart strailabla i ❑ Tank Manufacturer's Chart Identity by position "-Gallons Gallons Coin an Engineering,Data i ❑ —f "X i / V at/� Is there doubt as to True CaPaeity 7 ❑ 1 ( ❑ Charts supplied with TSTT =0 ' Brand and Grade See Section"DETERMINING TANK CAPACITY" i' 0 I ` ❑ Othef �' 3FILL-UP Q 17. FILL UP FOR TEST Stick readings " z in. Gallons Total in Tank a (n • Stick Water Bottom �{ I t 1 before Fill-up ! lltventory �' 0 to X in• Gallons Z m n d iv r .. Fill up. STICK BEFORE AND AFTER EACH COMPARTMENT DROP 1 s { yy OR EACH METERED DELIVERY QUANTITY 3 Product in lull tank(up to fifi pipe) g i" t "%tI�II Tank Diameter 5/ a ' 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK See manual sections appl'tcabls.Cheek below and record procedure m keg(28) ; r h i' 1 O a it Water in tank ❑ High water table in tank excavation ` i ❑ Une(a)being tested ❑ Vapor recovery totems ❑ Stsg 1 ❑ Stags Ii M .19 TANK MEASUREMENTS FOR �,���i���y i � � 21 I,YEMPERATURE/VOLUME FACTOR (a)TO TEST THIS TANK { i ^-) 'TSIT ASSEMBLY r w < , It, 4 i .'.. ImrerAory Top Cerltet F 8ottoin_.'F i On Truck 'F Expet tad Change L Bottom of tank to Grade'.. • ZZ i Thermal Sensor roading after relation �' 'F n 1 Assambte tubing+30'for 4 L . V.; i dish Nearest ,4 •,K.s:.,.':� tt,� �^i i f t j a 24 fo►3'�....... 11' F F Z3. i Digits per'F h►tangy o1 axpeoled change rt e 4 r Total tubing to assemble (ADproxlmstei drafts n w z 24 o / a �( C c ffi r o 9 gall" _ j ZQ r ' ` :' ,w : + 1: ;.: �x,r total quanttq { coefficient of exports on la volume change m this tank y a O �i` : �' £ � t , w full tank(17) as for Involved product par'F ' r m Tank fop to Grade ....... .... '. �, ' � " Extend how on Test Elbow 8 a more � �; 25 II� •�•J 7 .} • This b O below tank t I { ; .I"volume chs par'F(24) k its pe'F in test Volume change perdtgta test s" op............................ r Cpmpu decimalfactor(a) W r •If Fill pipe extends above grade,use top of fill. at . s Range( 6) a to L - .: < ' :,. ..a. „ti+ {.. .. $1 r..f..:.:` ,...:.,:i:, -'.Sr:.tt+< " ! re,.•g-,.'. rr,:,,.sri.. >.. xx. ."J,'. tY ...�a•. � t if r. �s , , .- �. -i.r, ... ... ,. ,. ,k.K.n: t .. •P{^. }�'...�i+,5 x,..,. .. ... .. ...n. i�..�. d .......v. .:..v, h..i,.... .3.:: ..�`� �a '� +. 's,� 4_ ,. .. , . .<...:, rr „rr>l, ^43r :..�.� ,fix•.;:..:, �k +w,>. Zr,:x:. ..:.. }x ;": & .' 4' ... .::. i , '>r� �.e ..1�:?, '.r...'•k^-+5 :o..,ii f Z,,,.: �?... ..1 S.,M,.:Ss ..cY, + i .: ,' .. .�...,. ;-:... �'. r :�;3 a., ,., is .,:.�.,. .. .., 1. -.,t.,, If 3...•.• .. � .. c....-. �� ' ,e�� r�. ..,-•... :"' ,.:, ,„„,." y. s£S -ik,.�R'??Z .-. .. to .*...s. ;w.< a.< .,�,µea+ a 9 r' :q .: ,.:.., ::.. � t.::_,..,.. � 9 Y. � r.>r r .�.,.„q: ft �",;.. •,,.E„.�N':'+t , ,s w ,tzr _t t:l-' ✓ e Ya -.r - t �., -r e o � ` -V R ,Y • V Q =w t w V V - �, - <' ., Ci CD a- -i M N N � � I 0 C> tn d� "n fr o. eti . I I1 Cjk • W p � 4 O e NH r C - C. Ilk .�W r • rn ,\ v • NON~ ri .r C � � V � � \ \ \ ` \ \ \ .. 2 0� � \ \ � Vl�aOI 1 `J eJ �. '. W -as 96 I • h �° p p 1� c-1, t� •tV N cy v i�cs t r•!� ,.t r > -�r s ,. 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CAPACITY /( //��Z. �!7 OL~� �T Station Chart i Nominal Capacity art available �0. Tank Manufacturer's Chart Identity by position _ Gallons ' Gtllpm . •. u y most aeewets capacity chart ailebN ❑ V� tCapacity? ❑ Company.Enginee►ing Data e is there doubt as to True Ca acit T ^ V / o ❑ ❑ Charts supplied with TSTT ti 0 Brand and Grade See Section"DETERMINING TANK CAPACITY" ' Other 0 3 _ ... 17 'FILL-UP FOR TEST ,= Stick readings to,X in. .Gallons Total in Tank (n Stilt Water Bottom ' r O ° before Frill up Inventory Z * W. to X in4. .Gallons [ t Fill up STICK BEFORE AND AFTER EACH COMPARTMENT DROP 4�r - ., OR EACH METERED DELIVERY QUANTITY 'i Product in full tank(up to flit pipe) r ` Tank Diameter / �• '. 18 SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK See manual sections applicable Check below and record procedure in log(26). j r A e.: Water in tank High wife►labia in tank excavatione ge❑ Une(si being tested a +❑ Vapor recovery systems ❑ Stage I ❑ Sta II a ' _T ', �',y,!^,�`�s,-c`' $•t :?..:.,..:;. .:: .i'", ;h.; � '�^-:. + :`y'kw7 �w-'. ,t � w"^�'y'��•'•; �,:, -. ..Y,.. M 09; TANK MEASUREMENTS FOR r d y 21. TEMPERATUREIVOLUME FACTOR (a)TO TEST THIS TANK TSTT ASSEMBLY n Inventory Top_'F Center 'F Bottom_'F On Truck_7 Expected Changi»� s otto of tank to Grade'.. m < _ ;.• ``, Q Assemble tubing t 30'for 4 L 22. Thermal Sensor reading after circulation 'F .... s--.iz � ,;r, � digits Nearest 24�for3"1..�.......... 23. . .,. Di gits per F in range of expected change Z Total tubing to assemble (APP►oxlmatel ` ' adigitsdigits 24. 'A /%jam8 X : o�i o sgallons 0 antity coefficient of expansion for volume change in this lank P'' 1 Tank top to grade.............................. full tank(17) for involved product 'F w �s ^^ per „ 'Extend hose on Test Elbow 6 or more . �S. r Pl t7'. r • �� tr This �: a� ' p + : _is tN '`below tank lop............ - volume change per F(24) _ Digits per'F in teat Volume change e per digit facts •.................. Range( 6) Compute.to i playas ( ) *11 Fill pipe extends above grade use top of fill y ' =,�''.^' .r i.;..Y w �..* :.v ,,., .✓9 tail ,�',. ,0. t. a+ #' f ,q • . ...<�roy�',y,.(.:. � T �:.r-.:Z,y.l' +SG. ..`.�. ;. .Y..2 ,.",. ':ii�<. Y'"� .L2:.i' 1. :') v .,� •. .• .. .Sy. -ar ^.;,. x K, :.ofi..�u'S .,e .. 4-'::'r' P. .E.• � � }�'i i� � tfk `:,- �m{. z j k #' i�a' � �''` a + �.r y! r � tic Ca%v, 3O. HTOROSTATIC 31. 34. 3S.NET VOLUME 39 ACCUMULATED' v 26 ;', t.<; x VOLUME MEASUREMENTS TEMPERATURE COMPENSATION CHANGES lO0 OF TEST/ROCEOURES PRESSURE (V)RECORD TO .001 GAL USE FACTOR.is) CHANGE ^' CONTROL yy// C" EACH READING Proenc)in 33. 35. 36. 37. Temperature At High Level record 27 28 29- Stan ncheevel 32. Product" Change Computation Adjustment total end dellactioe 'Date Record details of setting up Read- Graduate Replaced(—) Thermal Higher+ (c) s (a)— Volume Minos Time " and running test.(Use full hig Beginning I Level to Senior Lower— Expansion+ Expansion(+)or At tow level somputs (Z .) length of line if needed.) N.. el which Before Aibr Product Rudi� (e) Contraction— Contraction(—) change per hoe �/ �`I Y �"vw.,7 Reading Restored Reading Reading Recovered(+) (r)—(1) (NFPA critsria) l� 01 owl VIP 4, 30 P) q. cn 6 - 3�z 7 q,2, Ginn r ^ ; ,. ' l $�..; 7 E1�t c� r r C vE /�C , 1/ / • [�ram. • �� ,i2 F �' 6 z K ' - ^ �+ / s]2'..,,J� /^�� •r 11 j.."l „ C tl:Z,' e�i�� /1i.. •!+'f� 'S .� �/J ...���" �C/tU�� `.�J�W �/ �^ Pik/// S S E T 'I _vC fU- r: P / S ✓ T `& '/G ✓ / 6/r C A-5P bll SY-57"F T /mot '' Z6V'5L 9 1 r Au 6'� So / ,- / b Jz T % 06/,5719 ens r To iZ 'f keva ! /3 /Z � 3� •S/ / Z 320 IZ3c •COS -003 12 ,y a ',pU I-14 A j e � ,Z ' /Z �/ . S r r o 7 321 + I ( � ,c►o�s � � 6 ► 157 f :CL Q ►o ' IZ' Le,v 12yz 12- 1 •S 7 3 n (o 2-L .4- 1 rok (S ,00 dr 3C ' Cot" 1 v•S 0 ( 6 h e De Al it• I O 12 t ev e L .� Z /'Z 1 2- S t © b Z -+ /5 0 s a [EV,F®N COMPANY, U.S.A. 6 CANAL ROAD•PELHAM MANOR,NEW YORK 10803-2798 ; MARKETING DEPARTMENT NORTHEASTERN REGION CONSTRUCTION&MAINTENANCE CENTER + f November 10, 1983 Mr. John Kelly Board of Health Hyannis, Massachusetts 02601 Dear Mr. Kelly: , Enclosed are the Kent Moore Pressure Test results for our station on Main Street, Cotuit, Massachusetts.. The test was done by Zecco, Inc. and all tanks were tested and found to be tight. If you have..any further questions, please call 617-381-2925. Very truly yours, LFR:GI L. F. Ripley i A DIVISION OF EXXON CORPORATION i DATA ,CHART (J.2 5515-88j ,,.,_.` For Use With .�. � , x � � _ � �_• KENT-MOORE J 25515.LIQUID VOLUMETRIC LINE LEAK kTESTER , r S h 1 LOCATION: GM n :., r�', r.., iYM Sol l No.end/of Coma - Z p 1 OWNER Nana .MrMt .. ;. •:. z,.. - 1 . •. ,- k a 7 OPERATOR:. D; Mp.N / Naga. ' t REASON FOR TEST S e 0 M 3 u i TEST REQUESTED BY: „ roahbll N 0 ; s i SPECIAL INSTRUCTIONS: + T CONTRACTOR OR COMPANY MAKING TEST • /W1 MECHANICS) NAME �YES_c• I MAKE ANO TYPE OF O B IS A K•M TANK TEST TO BE ►UMW OR 0)SPE�(SERS #A MADE VATH THIS LINE TEST �', ❑ NO 1 \ C0% �s , 1 C /� •F..._.�•�• OVER LANES. rew►� ova Tam oat ^r 10 WEATHER "�— TEMPEMTURE IN TANKS.�� 1� PRESSURE is VOLUME 13 LOG OF TEST PROCEDURES, pa!OR RPa BURETTE READING ,.'1 NET ;-t CpNCLUfI �1 IDENTIFY 11 TIME AMBIENT TEMPERATURE. CHANGE _ EACH LINE (MILITARY) WEATHER. ETC. BEFOR! 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See manual sections appl Water in tank ❑ ❑ Stage 11 lasted ❑ Vapor recovery systems Stelae 1 a R h water table in tank excovotion ❑ Lin•(s)being ❑ ❑ High a Z ° CA TO TEST THIS TANK M 19. TANK MEASUREMENTS FOR 21. TEMPERATUREIVOLUME FACTOR (a) Expected Change >� Inventory Top_.--•F Center_'F Bottom_•F On Truck_•F TSTT ASSEMBLY •F t Bottom of tank to Gtod■'••••---••••••••.-•.•••• 22. Thermal-Senor reading#her circolation digits Nwreet > Assemble tubing+30-lot 4•L.....:............71 -- +24-for 3•L................. .23. Digits per'F in range of expected change digits 2 � gallons Total tubing to asaombie IAPproximatal �'— 24• X volume change in this tank per•F total quantity coelliclent of expansion la 1 ZO. full tank(T7) for involvwG Product is S _ >� Tank top to grade'........................... 25. t + Volume change per digit. test Z Extend hose on Test Elbow 8'a nroie change per'F(24) Digits per'F in test Cate to 3 decimal places. factor(a) volume tits p . � Panpel251 m below tank top................................ _--�— i N cod *If Fill pipe extends above grade.use top of fill. - 39 34 38.NET VOLUME ACCUMULATED 30. HYDROSTATfc 31. VOLUME MEASUREMENTS TEMPERATURE COMPENSATION CHANGES CHANGE PRESSURE (V)RECORD i0 .00T GAI. USE FACTOR Is) ........ EACH READING - 26. LOG OF TEST PROCEDURES CONTROL - 35. 36. 37. Tomperstats At High Level##cord 29. Stoodpips laWei 32. Prodect io 33• Pre/ad Cksya Cmpatatioa Adjostweat total sad defkrctiso 27 28. in lockss Graduate Mplud(-I Tltarmal HieMr+ (c)x 101 Volvo$Mines Record dauils of setting up hod raft + « M low level nwpets Date Sees•r fewer- Eapamina+ Contr 1 1 �■►■r horn ill Ileginaine level a fleslwp/ (et Ceetrutlea- Ceatradiea(-).. FPA criteria) .. Time end running test.(Use toll lie. After he/■a ; hl-Itl � of Wbkb were .,� (241u.) MnjttA e}Ims i1 needed.) R..dinp Restored R.adiM Reading Recovered l�l if t'1 .� x . pe i • F - _ 7' � S ,'�,, ,� �•, } i � .t"CS q'Ii' n '� .+.. �.*Y? ,^a' y4A� .:l �;' do � 2 '�.._ 9g1`�5����,:. .. `F :) v `'6", v{ P f M .. �:.�s � .n.• � y x d'.1 .'.� t`-� t�}} f y r,-y, 14. kill, 14h kt: kek t tYgE { AYeON OWwer or Deaw AMw•• Ise City.aM zts) Uew Tat iw. a4t,y F J} 16. TANK TO TEST , , AsIitattoesonvou Clisrt NenAktNrCapaeNy SV y.bN Q " rTont MenubetAwr'.CAM V.t1 'b{ � Con+ areostttett 6eeeeo ;� ' , a Oettwis i , artVEeAoitteerittDOea Is dwo doubt to True Cp"hy 1 ❑ "' ' r r ' r 'i"O Chatla supplied wfM TSTT. a s� we eM race Se•Section DETERMINING TANK CA►ACfTY'• :Odw S 7P a4y 17. FILL-UP FOR TEST f_- . sua�-wins.qr ;- (_ F to X k Gabris °."Total MTenk S t�`eta r' f. ''� " Stick Wear botbm �/ A P Q 4 T t o ks'm.Fi-uP IrtventorV yta r. to X k GeNais FW ttp STICK BEFORE AND AFTER EACH COM►ARTMENT'DROP s r i OR EACH METERED DEUVERT OUANTtTY D.A s. � •: �� b' �' ,,`'a s� f tire'"= o Product in full teak(up a fiR pipe) Tank Diameter Product Ji 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANKF. ? apple" Cheek See wrnual secdone tt.foAn and nteote prooadAwe In (26). r (� ,� a ❑ tA►els.In tank ❑ ItigA.aw table in Sank eepwtioai ' Q LiN(a)tt.kq Mead ❑ Vpo.woovvy apMtM< 'Q Sleoe l f "" -S � , ��P� ` t € 'x rr.ti 4j4j m 18. TANK MEASUREMENTS FOR " 21. TEMPERATURE/YOLUME FACTOR(a)TO TEST.,-M"TANK TSTT ASSEMBLY M..__ on ■ Soneat of tank t0 Gtede' as 22.'A Tllawd•Saisor Sher eiadatan YF �' ,5J 7i j a j rrt Aeeete0le Iubitg+3V for 4'1. ... wadrq�q'�" Mane t K Nearest 9 �V . � �, J; yF4 - � rA •14'1or3.� _ 23. obN.o« N rrto.at ePrpefad tdtana. .Tout tubing to wemae (Avpro:tn ewl......... ;_i ww::.i 1: Y ) �4} coeHrciont of erpene�on far a M.n"in this Ink :o fue tank(17) Ea fMOfv�d por'F I Twnk top So Ettlertd home onTest EDww 6'a mpo ab • .. y 26 �Q� „ f +` �'"yt�)Q��'�7� -1 1 The is y r Jv • `� vokoni chatnoe per��(14) Dipiu PW'F in test y volume cAenae Mr digit ast o below tank I"................................ 25) Comptta to 3 dech"places faetar(e) itriY f0.l •N FiN pipe extends above prwk.use top of fiO. AenAe 6, 30. NTDROSTATIC 31.}. " TEMPERATURE COM►EXSAT10N,';;y 38•NET VOLUME 39 ACCUMULATED f. i VOLUME YEASUREYENTS < USE FACTOR • CHANGES CHANGE l0G OF TEST ►ROUOURES PRESSURE (V)RECORD TO.Aol SAL I 1 ........ CONTROL EACH READING 3 7. 28. 19. st.mops Lewi 32. Itiwea w ..� 33. hee.et 3S.: 36. 37. TewPI! tv At Hkk Level t•ta1 y Date Record details of attinp UP fa fees TxN..a a"A• Caoyatettee Ar1.et..a tn•I sad r.listie. > i s. Rglecd(�) ikermel Hyper♦. td a N) Vehas Mien f 4 Time and running test.(Use full ie MICA Lewl a 4 y. Isaw ,' Lawn Etgenf-♦ Exa—iw N)a At low Ievol sae I a '} 24 hr.) MgtA of line if needed.) me. M IF" Refers After he" fa!MM k! t.•etrmon- Ceeuesti•e(-1 GA&W Per►'is Re•Iiy Mnerd MMip RealfPy ReaeetN(•1 (/)'ly (MF►AwHari•) ... .r.: u.1 L44 c/� o 1 � i• O c 1 K�. e- X= 4 T ♦ { S i - t - t t J ._ - ... _.. ._._.,.. s.,._...� __.,�_. _.._.._a. _a..a.,,..� .w,.....n.�......vx_ev a..,+nxe.•a.s....'... xs'.J. -�"s:*���. �,.�.-. s'. ,. v ti ,*THETp�`O TOWN OF BARNSTABLE OFFICE OF ST BafiM"G. E, :. BOARD OF HEALTH 9�G M6 9. 0� 'Olf�Mp 367 MAIN STREET HYANNIS, MASS. 02601 April 18, 1983 Mr. Bernard J. Procopio Cotuit Exxon Main Street Cotuit, Ma. 02635 Re: Underground Fuel Tanks at Main Street, Cotuit Dear Mr. Procopio: You are reminded that underground fuel tanks, twenty years of age or older that have a capacity of over 500 gallons must be tested each year for leaks. The Kent Moore Pressure Test is the preferred test; however, an empty tank can be tested by a 5 PSI Air Pressure Test held for a minimum of two hours. The air pressure test can only be done on an empty tank and is not the preferred test. -- - Your tank-s--are-of unknown age and were tested om-September.9, 1983. You are directed to again have the tanks tested by November 1, 1983, and a copy of the results must -be sent to this office by November 1. Failure to have the tanks tested .could result in a fine of not more than $200. Each separate dayfs 4aifilure to comply with an order shall constitute a separate violation. We would appreciate your cooperation in this matter so vital to publie safety and .the water quality of the town. Ye all if,:-you have any questions = 775-1120, extension 182. yours, i A4 Ti9H/4 11,4 yE ,6M T�57"o . Childs, Chai �N � O �T e cc'a . Ca P, �7 A Ann Jane E shb ugh y0 U►� 0FF/c` t�I« r?--Cewle h cde y j .vE. HnF1 M.D. 1 r9M ViTA"y /rNTZyt-57" bv7W 4VAWTy BLTH Of 0VJe w472-7z S'v//t y- I-,''5WL 77.4T JMK/j mE r'^'S77Io4G N d u rr•P ¢ 7�/E SEl✓ GG �/L o cE3Si�u(r �tA�- /,v if yrl��✓rs ���Srq� O F (7 v Ty O N 5�6-,n t0 I ®A >/1Ve-XEZY ec-�C� C46�0 0.4 Zv- Toe r t! INC 345 WEST MAIN STREET ECCO. R0+ + i NORTH60 MASSACHUSETTS 01532s TEL: (6171 393.2637 SENVINQ THE PETROLEUM INOUfTgV , tf '`# 'xD 4•f }` EOUIPMENT SAL43. SERVICE. INSTALLATIONS ` " no Nov. 20, 1980 Town of* Barnstable Office of Board .of` Health :f t397 Plain St. , Hyannis , Ha 02601 )° Location: Exxon Company.,. Alain & Schaal S,s, Cotuit•, 14A In compliance with Town: Bylaws, underground storage tanks and related ;,: ; ;,; piping were Kent-Moore3ested at .:;the above location and ,f•ound TIGHT. ' 44 Kent Hoore results Lare enclosed. rr t r,{; ,it `, "fx�F i Y�, f ta� i i : - a!� ` t t t t• n asrrs4• [5 }� K {� t 4 t. +)Y,} i K t r_ y' .4 A x y�Lz� Sincerely, ' S 4 E1� �+L } �t t i �{ er '� �, r r�} ZECCO INL,. *� z` .,�' ,fit ti ° :..✓i t + �`r N�ifi-x r rt frr S < f, y.>`j 5 A S t 4}f d .s �r•s j s} >S 3 f r r !,A, w WE- £�yy 1 rS kj b:.•{K•°,{4 .Z.� t!L. 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' .rJ' ,�.t�#' ttt i d¢Y. x r �`< � .*� r • Y-:r4,,yy,.. i�;..._3•�9tn .t �r n' yY�+k9K:9v f���t s:...wr a,� ,�sas s'4: ..frS'r>' :t�}}.,y�•gxa; •rT��3dap ,.°ni:Y °'r"^'.4 ft��'.A F-a,t4�Y3 'Y,•+Di a ,5 +4+`r� ti'tt.yt"+!,^J-��. �",2 r,.'�" a .., •'`5���i$`� �`}!:c ?'Y'Q+ X '..'�7,+�` ��:,J_ F`k i'{-f r�"'%4.5•S gip{ • :{'�r�+YA�� l'.�iy�ty��i)4 St:^,S.R iy,.f ✓mil�.i Y.i; �•�4j5•f r�. -:•A,yi? r���y ..#)�., .;U7 y �,.. 7?t (`,�t�Efl`.S')��: Y aka� Tir..ti-,,7i y�s. t��. � � _,. why� .:{.q{y..y. .,Y � >,sT•:Zr�t\f' �. i.,: �'' e_ .Rt 's + �`.'{ b F. -t��."�.'d:?im'�,�,..s�.aT'{�i�.,� ,zR '.$pap +r�+•- .- # f` t'`- �.. ✓. A k rr� t r Form 1000 Data Chiart for Tank System Tightness Tester IJ210.364) Y � IJ Z11oa•364) USING KENT-MOORE CORPORATION TANK TIGHTNESS TESTER MODEL 1000 Copyright 0 Kent-Moon Corporation 1977 PLEASE PRINT 1. OWNER Property LJ US1 17 I O Yv Vti1 k)f it. �)G 1/70�r,_, 7" ' am• Address Reornenuuw teieonone Tank(s) Name - Address .Reotesontative TereOhane 1. OPERATOR i C!� n 1 O Name Address Telephone - 3. REASON FOR TEST ��U it) -- L At uo (Explain Fully) 4. WHO REGUESTEO r��� ( 1,1. -G -7 1,'C: // i s' O TEST AND WHEN Name Title ComoaoyofAffiliation oats Addraaa Telwnone 5. WHO IS PAYING Y C X n 1v Company.Agency or lnoividuaf Person Auinonzlna Tide Talsonone FOR THIS TEST? Billing Address t Sun ZIP Attention at: Order No. Other Instructions Identify by Direction Capacity Brand/Supplier Grsde Approx.Age Steel/Fiberglass 6. TANK(S)YINVOLVED EXX 0/U t_e000 clot sT is �c o L _. �7- 0n,lft,90eQ F... 000 3R In SC ylooL 1' jL• e0nif� 00 0 G 0 1 eS I o WW,At. q-7 - 0AT/7!9 V L r .�i. Location Cover Fills ;, Write - I Siphones, Pumps 7. INSTALLATION G'a iLr®� c 16 'Top DATA . 7'�Oh :. IT'SCol . North Inside driveway. Concrete.Black Tpo. site.Titafill motto.Oros °. Suction.Remote. Rest of station.ere. Eanh,ere. tunes.Remora Fills site.Manif61ii i 1° Which rooks T Make if known S. UNDERGROUND Is the water over the tank WATER Depth to the water table a rag (2-_�No - Tanks to be filled hr. Dote Arranged by. �i4 ly ' 9. FILL-UP Name Telsonons ARRANGEMENTS Extra product to"top off"and run TSTT. How and who to provide t Consider NO Lead. d�-elf tetci FYIi'/ F" — �,s' 7 // .S'��. S?; m - . Terminal or other contact for notice or inquiry • Comosnv Name THeonans •10. CONTRACTOR, MECHANICS. any other eor into► . . involved -.4 11. OTHER - r E b 0C+J IL � 0 1>0 N �y) 767 JP I iL INFORMATION OR REMARKS "_ Additional information on any items above.Officials or others to be,advised when testing it,in progress or completed.Visitors or observers present during test ste. Twits were made on.the above tank systems in accordance with test procedures prescribed fat Kent-Moore Tank Systems Tightness Tester Model 12: TEST RESULTS 1000 as detailed on attached test Chant with results as follows Tank Identification Tight Leakage Indicated Data Tested ti 0 ,. / r�. I)g'..Ie,/;~Pell Z %/ p IL Fik. I /. �eTG i tint, GCS c• �L:' I / / e This is to unify that these tank systems were tested on the dits(s)shown Those iAdtealed as"right"meet the criteria established by a Nation I 13. C ATIF TION .1 Fin lrotection Association Pemphlet 29. � C .- �P C� c � l_e c� �� r t '1i4A )NICE /��ee .,.v r v . i troop naaetotel o By. a uvre .i aY.MyY i �' 't. /•�f"/l 'al rl !l a('1I`1 f r�S y2 Jllt•1"11'� .1 f I" f •i,,. •awt qm Tastes ecnMaan "r' ' c oo a 1 t 617.334.94.13 r A i.. K -c. ,has.;.+t• .,>., r ! ' I (- x�xx�.D' 'Tii�r �.. '� <,`^• '� i ".r~ r (F Irv-.1 t• "`T 5 :..r 1 �_i ' i .�i », ._ _ ._ �'I�i?'• r.I s s'� �... -! I x r'g "' - ic.Y -•� ��; v .Mtst 1�i� � � � ' r' ', r$ ys ' .I :?,I 1 .I, lf. -.rs,. ,#`.iii�'` �. �y,�y5� ^- � •14 IL � �' I P1, � ��1Ct? S•� .n /Ci r ` �SS ... , //,.:� �� -�ft;' `t-'� y.4,, „y;.•b:'�',.Nan»ae Supplier.Owner of Dealer - Address No.and Street(s) CItY State Oa d Tert - ' i STANK TO TEST a ,. 16. (CAPACITY 0 ns f i� , .Statioe a Chn I By most accurate i 1 ' 0 L Nominal Cepeclty "r- •� ' capacity chart available�U y ❑ Tank Manufacturer i Chart ! w t DY poallion I ..' ' _. (Gallons _ �� p•i ons tr + i ! ❑ Comp ray Engineerin pate I Is there doubt as to True Ca'ecit Y I t i ! Charts supplied with-SLTT m 3i.V/tJ C PD r , P Y f 'ram t. �I Brand and Grade ; ! See action D ERMINING TANK CAPACITY If r j � �� ' ❑ Other ? J .� 'I 17 fHII-UP FOR TES f t I 1teK readings I f r 1 r X in. Ga :Tool 1n Tank . . ! ' (n • s � _Stilt ate►Bottom ;..... j F� Imrent 0 1 to X fn , Gallons FMW STICK BEFORE AND AFTER EACH COMPAi`MENTS DROP i t I .. OR EACH METERED DELIVERY QUANTITY Pro0 In full tank(up,to till pipe) ? I ' 1 I 'Tank D ameter �` '• �• ! ! � 1 f i I is ! !� 1 � '•. SPECIAL CONDITIONS AND..PROCEDURES TO TEST THIS TANK I ( f I ` _ l .I t "i t :.1 ► °t j I Spa e ranusl tiorts applicable.Check below end record piocedu in log(28). I I ' .Y l ` E I 1 I i • ' ! VYat In tank High weer tablf in tInk ex vation ! ❑ Une(s)being tested ❑ spot recovery stems; Stage I ❑�Sts a 11 A Z _(, , , Ii 1 I I f i� t t ; I s: 1- ! ( l •, ji (I IlIi ' 1 '. �I - - I� ' (• �! ) - I ! • ', ,,4 I. 1 I i •} � rn 19 TANK MEASUREMENTS FOR : , r 21. TEMPERATURE/VOLUME FACTOR (a)Tp�TEST THIS TANK 4: • ! TSTT �SSEMBLY ' y 1 „(. ( I + ,I ! t Inventory Top_'� Center 'F' lii.,.t} ` 'F: n Truck F Eipeclred Change j `•. t Bottom of tank:to Grs�A' , !' L I �� ` t , , 22. ermal-sensor:readirig after cireubtton t 'F p embb to *30'fa L .� _ , f �: i digits Neatest p + ( ' :•) •° I23. bigits per'F in ange of expected change' j e dlens tubing to assembtd (Approximate) ..... I ` -'l _ 1 , � .` •? �] � � , t ! 24. �, V r.,�,li1O 7 I I a / •J / Sc' I gallons 1 ?_ tat quantity coefficient of expansictn for volume change in this tank J Iltank(17) for involved prodt?c4 per'F Tank to grade' 1 i ........ ....... I I� � , �r� III I Z Extend on,Test Elbow} or mon I 1 25. ' . 1 + a o Z- � This is a v°� ' ' I• Digits per test thera ge Volume change per digit. test blow tank top!...........:.......• , gange i 25) t Compute to decimal places factor(a) all FIND pipe extends above grade.use top of fill ( I � r ;s i 3 w L tj- ` o J , C6 c f ,�, £� ,�; � �� { a � (("vim r/v'� ti f'� " �' � �• ^ n �+., n uv _ 4r v. rja tom', •�" 1 / ` - 1. � � . r _ f� c lnk4 =3 V w IF vi } Ar M a� /£ o ' r v, .fir t�L�. �� r�r Mt " } t- .J ,• � � (� �'a PO G gyp: •9aFY� Y5 �1 / �/ l�S! Ay 7( " a V ==y 3 • t =} �. s ' 7 i� r 1 � � Yam`, ,}F"" Yx� '� t, a, +.r � '#• �. 3> tr,,. � k �o s :+ 7• i" `� - r '� Z • - y S _ f f.,y 7E wy` .� � ^ " it rY•• .' xal. ems#" +S.' ;• x+£ r '` h }Z t e. t trk `,t �`` L e T �.�t� x. �. .#�r TXr:., +,*.r?.1.,. r -•^?x .psi:,t�r _ - ::✓'t r' - '< :gar ,a 4 "� 't:4.�y r S C k t ! '• .„a:+ 4: i''l Y :'F y 1 ..r S Pr :d-4 ''" '" is 'p yv,. '.-: �..r:f 4 k -cy 1J ::i`x t t .,:. .. :-._,., ..:a. i't ., .y y. i :.. i:x- - wn '.;.- P 'aK `rf 5 '.h „y.' Y-I: rdOF3 s.r" r . , -:,..t..,. , ,.z„ <w .a. - ,,.F W new ,. i5 ..�:.: ,. ,�,<� a e.+:S+' t" ;+„• z- L t .. ;•\..x. .. - ,.y„-+?y,_ .'"r .''1: ,, :L,... a.s:.. y- p :i I '?`. a.-# ✓4 s A ,,iJ f .;:,'1;,M .f r ,2,,<; r ::3- .. .•: _ o �G ''r 91„ v.+4 .% .3-. ,,+"r^Jv'J�'h«. i >d..'x$s n 1 - 5w.y ,...X ::7 - Pr r y�-.,t-".z ,::.,u § j:.. \ y;,.:-. . .-w� � '..4e2•.: ,t ...x`,t,t,:...,, ",,. :,-p a" i T,.L.. z }s,.3;�. r ._ .- :s �J .,.,. .� ta. f /���� PV �` C � r' /UI // ! �D Name of Supplier,Owner at Dealer - ddress No.end Streets) City State oat.o/Test n 15. TANK TO TEST , "., r11 ' r 16 CAPACITY fi k ? � Y,A - } rz F ,x. % �i;` r _ -� �. k: fix. ,,. :' , a ... .* :` ❑ Station Chan ,,t �s. T. >$ ;„ �1. I tiomine!CapaeitY-f- T capa city than available-�0�� ❑ T u actt ,i ik , ,- x . Identify by position :„.•_ r.V Gallons - ' J GNlons. •m annEl rnaerte ClCD•U . rt�IFOF,O B�V C 1s time doubt as to True Capacity T ❑ , q l �1 y• ❑ Charts supplied with TSTT . ;: . O ? - Bts+w and Grad $•e Section DETERMINING TANK CAPAGTY"' ' ❑ ..:y: x.,., r other r :- - F.. _ h gy -�vi. -"�r�•M` .•y„t S �:., $tiCk RadinQ. "' a ,,aY -x. `Y ,,,a. b .'. -.. O , 17. FILL UP FOR TEST J 4 `r *_:.' to%In. Gelions Tow In Tank { , :._ s-- ..... a «'-r:? £ :yi'?� x ♦C �'4.,a,-..3^� .k_ "1,' +i -r .� •� .a`-- ..s 9- ..; ,c' ::•« 7'- 't'..t`'t '� >aF •`,. 1 ;,.r. ,., .., �"4,_y,,..; - ?.� ' 6- -s� - w �,"< ''r"�'} •r - ��//�� - $tick Water BOltem ''>•'': , -'? _ ,>:' ?'�` s"11 ._ r ►r ".r-.tr..,n..ti,_t `c' : - f `, t+ ,' , 71a.�.,Y-',• �.�^ .' s'. before Fill up ti. s -Inymttory F s ti aa„� . P ,� : x 'C.4Y` ;.Z�_ •.?.y,ti 3' s ,f' .•.a 1 Yt '"Y�.' i S .,q b s_. ..w:x ., ,' ,.V� . 'Fill op. STICK BEFORE AND AFTER EACH COMPARTMENT DROP ` � _ ��, _ - - p�m i ,. tea. : i OR FACN METERED DELIVERY OUANTiTY- ._ Y3f vf. 1 < ,t. ,. s S 11 a 3'' ,. .. , ,:w,. .. �-j. inn )' g ! ..�j f Wg, 4 N .. Product M fuR tank(up to M pipe} s - r t Tank Diameter ^ 3 . 4=: ... •' 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK � `^� r s, � ;aY ' '$ -11 a ; r _ .,,. V!` r - - _ -x£.- .;F:_ ti :.:i `., >y a: L t r v>• . ".?y " ,,-. 4 .L2 s"4s..i r<_ s, it,: : ¢`+S",,,�,,'^ss I: x > See menu al sections applicable.Check below and record procedure irr fey(28) u + 3 c y ' t7 - •..._.. . . :-.. t t;. n < 4 ; r� is 7+r 1. ^ ' ❑ Water in tank ❑ High water table In tank excavation ❑ Line(s)being tasted � Vapor recovery systemsr` � Stape 1 � $tape II � > .i. Rt 19. TANK MEASUREMENTS FORy � q� T1. TEMPERATURE/YOLUME FACTOR (a)TO TEST THIS TANK.; TSTT ASSEMBLY F x `� � .,- f .r.. 11 ., - ,� x y . .. 4, a ,k inventory Top -'F Center nom 'F Ort 7rvclt F Expected Change 'F Bo . S • ... ,_ •t`G' '"k-. ..''� 4 , s. r rt'#a Y S yq ` Bottom d tank to Grade - ,_, 1 �; �w` ,.. . �- .. a a t .` �- z -' ZZ. Thermal-Setasor reading alter cicuistion "I 'f , , '., Z, "�t; I "If) Assemble-tubing-+30'ford'I.... >, �:: s dipld - "sets" �:.,'�.r 'x:'�.., ." + w , 1 yx q+fi g < s e. i ' { r .fir . saw:st % r�3 ,tZa .,.N P- _ _ .:t. - ri:,: �r::,s. mil '>. .-t �.,-.. -L _ -x^. .,-"z'crt ,;fa.'S'k+.'... ',3 .le-.-L r`� "_,.:.� P.. f. "S.. .y4 `. v+'18 1m 3 L y ! w.Y tt r -yr w ' ';sr� ,:x?' :.,,:, .. . . ,,- 1. Digits per'F In tarlg•'OI expected change' , f<fi Rzg • ....... ..± a"'..,,-A .. ;r,# Jam. yw •i. �' S' :+: y 'zz > - 'r+'�r.- �. ` �_ : E9 Total tubing to ensemble (Approx{mete) c /�r� a �� 51 T;r /'.� a xv, c° y " r ; :-g;,i; .s,,: „ ..:r .:y fj%q .w,?!+ti.tiw: 24. L' - -X +.'.fk4•G'�� ear / / �•F=' 'i� `,�'�.t>' C«.yatllOn� �; ■ x vr• 4.a rat �{ coefficient of expansion for trolunN Chang*a to this tank "" :, p total quantity �aa .: p +:.'. ✓a'`., ec g "m;urss`}rc>r., <:a:' (! 1 in Iv OduCt �F '4.,».c-25�:..:' y�„'^a. 4" "a r 3 a vo sd pr K �. Q Teak top t0 grade ........ p., t. r ;, n;�:^ �s z - Extend hose on Test Elbow 6'or men ri e` 25.E fu�an �� s Y•P + �T � r , 1. :c. _.y z trolurne change Dar'F(24) Digits per F In teat a Volume eherge par Wt� xahst>14 w , ro below tank top .................. ........ Range(25) J Compute w 3 itactor(s} ... tart ,--.-; afl f� CP a'�t '1>$ :+.-;,'-„i, i.= x'r .'.. ,s..:• �"' ..ti r^r x y,c..yrd""chi �1-r'%'-41 ,.* xx•�'h .y�:,, hak�s:t""- t 'f.:., «7 .. .. :a,. .... f>�extends•bOVe y►ade Yee(Op OI IiIL �k -�.:n-. -,,,,".-�a','- ,..."a, .'°'a- +. .t» '� .h r x+' `sx "`.3a a x'r..,+. -' ,fie' rc'. e�'��a''�` ?,z. 'a,,;,. +K . .t., s.,; .>r k%�-:,.x w: ... i. z:%.: a� •A i;.z ,. tar ..i:; f tb:*' "..uz t^.' "`G','"° .. yyg 1. e <t .,,, b ,�'. 'i.l. a t. yf,._.,Ll vr` t .t "5. 4 :;. + ,; - �"-:�..'f' e-. e- I y` i -t O. �. �.-r__.-`..N..' .. J>y. b,r_`� ya:. M a.aa: -a`� ,- ? .ti'z •4t �. t. a� Via' .'� • .^.w +1. .... .. -' ,,,._.S, s;�,.at. 4rpv- :r. x d,. 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TANK TO TEST � 16.: CAPACITY �,.• 1 ;. ,r, , 'f ❑ atat n Chart ,(' P C / N Inel Cs ecit •� By Ibost'accurate ! ) + 7 Capacity 1 C u icy chart available ` O z ❑ Tank Manufaettuei s aR r, , Identity by position ( '.. . ii Gallons' }., } :.+. peons. ❑ Corn arty Engir4.win Data s . .� r Is ero doubt is to True Cdpaeity , t ❑ Cho supplied with 75TT Stand and Grade SepI Section"DETERMINING TANK CAPACITY' 1 k" r w ® f II I i I ❑ Oth " ® 17 FILL UP FOR TEST r Stick read1I gs ' ' / dons Total in Tank t to% G ® Stick Water 80ttons before Fill-up Irnen ®) to X in aj. tlons Fiil up. STICK BEFORE AND AFTER EACH COMP RTMENT DROP OR EACH METERED DELIVERY OUANTIT� 0 at v Product in fun tank(up to fan pipe) I Tank ismeter, �n �� j aFt ii 19 SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK c > See menusf sections applicable.Check below and record procedure/n log(26) do „❑ Water in tank High vwta table tanks vatlon ❑ tf�ne(s)being tes0ed ❑ Wpor recovery Ifystems ❑ Stag I ❑ S. gel[ 1 M " 19. TANK MEASUREMENTS FOR ,`s 21. �TEMPERATURE/VOLUME ACTOR a~ TO TEST THI TANK TSTT ASSEMBLY: t� op_ .acbaw. Inventory T Center 'F Bott m 'F On Truth F a Ettpeat IL ` Bottom of lank to Grade' > • Thermal Sens reading alter ireutatlorr Y 'F a, t ; Assemble tubing i 30'for 4 L L ` r , ° = �" 2L Hoofs" 4 24 for 3 L...... 23. of a r� «s s .. i Digits per F rsrlgs xpe led change ' , f� ap ;' �k Total tubing to assemble (ADproximats).......+... I elalh sm 5 =.1 r r - r ;te 24. }t �� ;,; , 2 20. x3 a total uenti eoetNcient of expansion for: volume chairing,in this tank s. ,K; Talk top to oracle'. .... .... r fuN tank(1) for involved product , pas * t # u � ' � x 'ACt ^� f Extend hose on Test Elbow 6 w.trtore 25. ;•Ct C •7 + I ,a 3� *' x O below conk top............ u eng per F(24) Digits per'F in fast Volume than go digit rvM�vo! me ch f Rs (26) .z y Compute t deeimds»tatsae(e �y C ..... �t u33 y tJ - 41R.� k sahy^' '0 Fit pipe extends above grade,use top of fX. aq ..0 t r v" / .t. ' Pi} ..,^.:R+'..v. ��.. -.'.. 4f:. i 1 ! ,T.' kP i••6r A Y �•,'. 4 .Hh„ .. ,3: :w: ,.-.i' . •q' ,..r t+-'�..s-... ^�,. '-�, .h ,+rc+ -ram: ,•..� �`s ,. .,. i:•Ay2,-Ja;.•.t'',�; ...A... .r n€'r.> 'two i' a'xi' - ... .,.... '' ;�. ::. � fy. --.fig n>:. .. •'. _i� -r'h+'_t:, M"'i'' 't a.^ .s_• �,:�� t r. •4.t ... .. N-Y Y.y:_v.<r,�'.". ,r...,..- �`� "Y`V � 1. "i. ,� .#5'a W J�F _ t. •^?9. ar r s .� h ti � K R.- in Sc�o sTS. �o%vi 26. 30. HYDROSTATIC 31. VOLUME _ .. 34. 38.NET VOLUME 39.EF1E TEMPERATURE COMPENSATION ACCUMULATED LOG OF TEST PROCEDURES PRESSURE GE CONTROL N RECORD TO 0 GAL. USEFACTOR ' EACH RE NG MNGE ule— 2l. 28. = 29. Standpipe Level 32. hodect In 33• Product35. 36. 37. Temperature At High Leeet record Record delatls 0(setltng Up Read• to Inches Gradsete Re laced Change Computation Adjustment total and/rlltcliee Date P (-1 Thermal Higher+ (c) ■ (a)- Volume Minot Time and running test.(Use lull In BeginningLaval to Sensor length of line it needed.) No. - - Lower— Expansion+ Contraction n a At law teed competehow et which Blots Alter holed "Fading c) Contraction— Centnctioe(—) change per her 1116161 ��Cn c^/t/Fy/�a Reading Resters Reading Reading Recovered(+) (rl—(1) (NFPA criteria) �� //(i'O>, /�/Dc t �/�4�✓ /1' j t' C S 7 A aCc <<� ��.� %jvc/l.�i1��•v� (�r't `��of nT < < c r �C5% £ yr .rle.� Ifl 4Lr� Qt7E 3!?� //1GJL /oi� '62 v /Ne lilU- c y oo c-S9S i o ev e L Z y% yam. ys •oh' �� �n 3 8 •Z 7a .61 a�. &90 i�'iS � / � - � �% ya -y�' o .off .�,2 (n ><�� •/�355/ ,�/.`�� - c:3� 70 9b 0% 1/9 1 ,z1a . 33 :07 819 --z. .06 i 9 /9//t 1 t7 /,-7 Wet `�,� /� • 33 ��• e Z'' �P_vPL— // IZ .3 l - .OZ j y -A .0619 -oe/8 _•l (, t z( h e o e Cr 2- // /Z /•y,6 p, �/ i' ►-41 J eoe C- /0 '2- / Z ,i 9 - 3 � _• ,'fie e � � 12•' �• u eC. � D ' z /2-- //. ^ ,p p 8 '/fl -,Az2 ./ till /O , C 0 e(� F� lO/� I O 1/0 V ./ �. ._O� �(/�}� Ja 6�1/GJ v - r w f • ay,X,^w-?+�r �� •' :..,_ - ',..s..:�,•Cv.,..-�w `::�-!.5 -� .��•. u*�, x 'Ar 4 '`S, r:: .a' - ';� "'.'�' - r .'�, fZ'".r ,_ +4""+; .. - s. •r': ...u; U �,..• �a' � E:��-r•+Jr�;�ji�`w�pw.T'-I"ii. �' ;� C s w •':'w a tc r,. 3 r .vv S zv s � ;. �3 yg s r i i•- ;1. .. r - e <Y yt r- ;a. .;c .1'2 m. :.^r`"r£�'a..<*ac" pia ,z--v ,�^'. � ,.s ,•tc x:f �-gK.; �^,y::. '� }.. _K. ,s;,`�'.�''�r^ 'f+�"r-,.'..k 'wc�!.- ;��.-. ^:;�c ;c �nr.,-_<.�.r -`!a.. .,.,a� ay`;^�t�.t»x�..r ' _� �Z« r5 _k K':C.! la�.A} Y*�.�, �F,• ,Js.s+.,:l � S.q*',`..Yi��', a - .. ..-.. �:. :....•..•.. ,,... .-l..S-- :�� �;. s -. ', �„ "t `x �<.�+,`'�, �.•.:. -- fir' >c Y 3a fi � 1 1 I• i r r s � i _ , �� - a- .'..•.. ��. ! �� /• .. 11 - �.a•.y. ►u .'�i t..1..(1.+' (� )1 Rul•1•f+t-+ 1.I,L/....IU•.• I t 1..t r d K:I it' :11. •�I, , It. (V( tU nU ly a 1 it u:.l ittnm ( - - It�•II r t ? 1 II 1 zt _ :.11 - r .,d?�, .'` - ,.)t ,•''�" .1 �,.,_ .;,p� rr -(;1 t� � � �~ .IG ! � + :,. Je/16. •1 ..i.~.1.�1 - {. A (e YL.. . v....l Name of Supp11er1 Owner or Dealer 1 II Address No.and Street(s) CI " -t•+ 1.... t1 . '• ii i _ !� . • ,. tFlom „Dew of stI11P1 tdu._) � . . 5 b I-,. 15. TANK TO TEST 16. ;CAPACITY I ft Ststioq Chart ' 1' �� By most accurate t r 9 1' �• �.S C� /l V 1 ' Nominsl Capacity a � uDe ity chart sveila�le D . Tank Manu(acturor i C Idenutr b ,posRo hron ;1 ( Gallons Cal oes Corn rIy E ab Q. Is there doubt as to True Capacity7 Charts supplied with T TT ® s ass d Grade Sea Section'"DETERMINING TANK CAPACITY- + w 11 �I Other 17. FILL UO tOR TEST r tick readin 8 '1/ 111 1 / to Y.in. Ga �,. Total m Tank ® Stick Water Bottom 1 I before Fell-up ` 117ven + + r �;. t •r z ® t —+ i to Y.in. Gallons �" 1 _ - ),. Fill up. STICK BEFORE AND AFTER EACH COMPARTMENT' :DROP I, I (OR EACH METERED DELIVERY OUANTITY I 11 Ir •/ ► + r . i., r F / / rroduct In lull tFnk(up�till pipej Tank Otatneter 18 SPECIAL CONDITIONS AND. PROCEDURES TO TEST THIS TANK 1 j See manual sections applicable.Check below and record procedure in log(28). J - ( 1: f '' �(;a i ' t9m l Ii f�C (-6w i1 I 1' .z • / Water In Unk. High water table iti tank excavation r I .L(ne(s)being teat Q Vapor recovery systems Stage Q Sts 11 -` -- �+ a 19. TANK MEASUREMENTS FOR EMPERATURE/VOLUME F CTOR (a)TO TEST THIS TANK s r�zr^ R / TSTT ASSEMBLY ,T I Invan TOP ! Center 'F 8ottor�n_'F n ruck . 'F - Ex :hsngr Ida Bottom of tank to Grade'......... .r :.; ..... I ( 1 . a �*:r • a ,1 r �: t U / 22. ermai-Sensor,reading after circulation n /CssembM tubing _ 30'!a 4'1... dlelts •� ( , _ I .•`'i �r r. tr vys ,� ) t �•, y'T • ti 24'Pb►3'L.. F. 23. �b' its 'F in of ex, ed.eltan • . .. +g Pw P� 9 Z r.. Total tubing to assemble (APproxlrnete) ......: �' i b ! r 1 dlp'b 24. �o y X " • 'co E 8 i v • allona __ _ ZU 5„ r oral Quantity coefficient of expanawn for volume cha to ilea lard[ pull tank(17) a for involved product Tank top to grade*......... ...... Extend hose on Test Elbows.a more 25. /�� •a C/ s. � ,Tft:e ie h m below tank top........:........................ - „ unle change F(24) D its -F in test - �� Vohtane cite pw:d•+giL ` led x ' N c Range!6) 'a, 'u t C a ate to decimal pi ,ram lacier p j e x .41 • Z s• -r i�' ,.�til kvr .is F, G;rw `: '3. 'S+o . ,."" iX.. ri; .rti�. •ae N Fq pipe extends abo+n prede.use top of 1al z4 1; �5'r,+I'2. Ott ' '•�'-i,.2.-.., •'E. % ^.y.s._ _ _ ,. ;i- , •t:- e ..: -2 c +ir .ef: ..x, k'r -.r.5. ^••<5 , .r... -•t `w� .c`'� .... ;,,. a:.,x i Y.,,- y.'a. . �. ..� ,;,.: � � t :'4 1 �}'1, •,ai .,t... k� `'`�-t - s7,.y x` ,- •;, •.A•. .'•"°�ti� i'i-,V.. .?•- �.t r'"+, ,yLL .-w�� .., . ....:,r- - .f.- Y i r �F'.' ,..:..._y y. _u-•'' .1., -f' i�*4 "f•�.0 � `�„7'+eZ... T: .din _Yl' i E'�`y.. J r• PIS h4 Q -'m Q s3 Q1Fo a n N , J 4 0 Ob ' 1 " ' ^ O 1k { O o� tv IN C6rm- 0 ro P G G �" N r r r r �• a 19 rl y + \ j ^ s... g cokA P I I I I ` `. y N90 .• ,. +:. � \. \ \ � � � � � ;v� of a-� V' ' . la MOJ \ t; Sc —3 Ai 6� -Ticu C.3 at jv a o 5 * aT ;' * a O. 0 w• (�7 O '•.� 1.s•II ;o: s a+C 7 A,+k {.`"+' ���. �..0" O •1. �,- �. � � � 1 � � ' 4 :� Y o w � t•y x V 3.2 co 6%\ aN Do "fx9 tf M� 't.rFy' S +yT�• ��; i �! tl.LAI' -.� $ It sy� c7a� ' �r• � g` �v'�` •.c { �:t,,�` pg sEy �pf' c�...i s x...ea(+%. >i• r vri. .. '�•'w,w ..:r, .;::�na -x,s "i� x y.}x.,�„+,. , . .. _ _ . . . . . . - I .... .. .. ... . rk -,'`^ t _ #. r � . 1 x r nI w -ek r iS?-r" •,j ;X t- 74 4 •. 1 .i a ,t J".rr b, TM. >} ;Z xi �i`a -`R r.. v`` - k. p .. t z. �,:' �"i -'k'a h'.�:A J 1 1 f ','A ^`tr u�r..sy } ta-:*� t �: >, a._ ir' :rt' a.• ?>; :.4;<�,.,:.-.�. r y ..'.. .--__ .. .."=n .+ "'i', tc Ys%tt,,,., s;. +k r} t '^^ .. �' .�. Ri.::,r 'z:L"•.. .. .. ". .. - 5 .,.... ..,r" ':..kl:ie..<',7 - .��.5. "; S ' P i e.i 1 r.,.. ( b .%. T-. ..z a- •i• -rZ,a+.+e: .M.. 1nr�T. -� e•3oi, S �,• •7 e - ..:`.r' -„3�:'°.4'•:^ .s ..a:t ..a a - , z.c,.c .n v:F ;-s»i` h :4, ., -1. '4i 'S?.. >;t ,..:r.a .:1 ;r. t ..:.y::. �;.zcs -.. _ `4.M.- .. ci--i ' yr t'• _ ... .r ,. -;. 1a. v �3 t o rt I.iL SC�oo SIM s` r 1 �9SS. 1 �J 4 a Name of Supplier.Owner or Desist Address No.and Street(a) =a,-.: City . I State � Data or Test 15. TANK TO TEST. 16 CAPACITY = �_ _ _ *N 4 F'a" = ° 'I . + " Station ChaA a eT(t)t?Q6t f v/t. Gt40e� !,/&r- ®ymosteeeurote 11Gy'O ❑ Tank Martufeeturer/ehart,Nominal Capeetty Capacity Chart availably . soMIII br Position - - .; GalloM f Gauona . t,'�j'V LirJ �- �E� ❑ ❑ Company Engineering Data t t R Is there doubt as to True Capacity? t , ,� '� , } , 's ❑ Charts supplied with TSTT ® ? Bran d Gnda See Section"DETERMINING TANK CAPACITY" �u ,� A - r r a ® = ._ # ❑ Other w ® 17. FILL-UP FOR TEST ! , - ' .� s � sA,, i" ,. Stickroadings -- _ w s g - -- - - .. �' - `. -• -`gin ` ,Y t ' ..a �'„ 'a.fir- r `4 t0 X�f. GaGoM _ •-:Total in Tank t j - a is `2 ` r J -. t //� Stick-Water Bottom y¢pyy° <r- r"{ N a. rik-. _ aE 4,, _.c:- .:`a?..: 5� y-.yam, c ,,;;- .,: aD.1. 1,.. ' '' '�:..�h.. {/♦ � �,t -4x N-$ •L rTfl S �. ': S e * :. , 2.4)�5+�' Y v ,w� ,, i . e'I1 W::`�Mi"Z ,,,, ,- Ilp before Fill-up Katc a'a , . :.x O P T $ 4'*' 3.r a x Imrontory i. r ''°: ''- '° , _. y to X in Gaibrts -ate£ � z- r. . .T s Z _.. ,: - :;,;t ., ,�§4 `'E•s --'G- f,'�. ._„1 r a c dr, +u s ..r t M, „., Y - ! W, 1. -. , - ' sk Fill up. STICK BEFORE AND AFTER EACH COMPARTMENT DROP �• ` S zt -' OR EACH METERED DELIVERY OUANTITY z c ti � Y �.' F-'X i''f r J`y ;. 3 •g X+`L� ,,,,: :N� j 1. - . S qO Product M tutl tank(up to titl PtDe),. 1. d. ti Tank Diameter � ' %�� IO 6 18.- SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK A 'r" =", ,. k .~ t 'a4 . V ` '. -, r c r_ ._ r. .a r rs - r.5 �-. <`4 t .,, ,y.,' ) ,,�,.+; -- See trtsnu/1 sections applicable.Cheek below and record procedure in tog(28) YF r _ �1 m n If ;. 0 A ❑ W in tank ❑ Hiy6 ws�tebla in tank axeavalbn a Une(s)being tested --❑ Vapor roeoveryst system. ❑ Stag, 1 ❑ sump pa II . s F v . . .. a Z ::, - • 0 , _` - - a -a - ,-"-, l vy-.. :. ^ ',: 4- r+ r yy 5.; i- { 'x .Q r ..,�c�?. ' ` '• - - i t, a _m '•,, 't+� h t I 19. TANK MEASUREMENTS FOR , . 21. TEMPERATURENOLUME FACTOR (a)TO TEST THIS TANK � 1 :. TSTT ASSEMBLY. , s__ � }'1y-,,x �'� � _-ti`s;x ® <: ,- inventory Top_'F Canter Botto Charege L Bottom of I/nk to Grade ........ ; m F On Truck y'F E�rpected < I WSA Assemble tubing a 30'for 1'1...... ...... er ekcu tan �d6b -k: 22. Ther -Sensor ro/ding aft 4t '^- 'F mei Se 5..•e ..r- .__.... - _....'. .: .> w. :.S t4 .:x .3 Hi - ti, '.r yu- }.. a � ai+. Y�' r Naasaal .•• ' t�f u'far r�. ... - 6 i:� ,I ry < ti Z :' 23. Bits range of expected # �. «"i ae. change d`'k' t 4 v .._a. D FM Total tubing to assemble (Approximate).....oximate t+ f<t T� ` _ zt yt . ���c g" a. Z { ., { + `r < _ r gaAona = 20. c ,,i �, , _ , 5 , z` .k e2 : ;�,.,-, :total Qu/Miry a a -Coeilicienl Ol expansion for. _ - volume change m thrsttank ; -yi ' v . r =.. , tank(17) i fo►involved product per'F,� .- ,, ,, . c„ . .. :Tack lopI. ,l0 0► ......... ...... 1. . t ,Z +.. `c'_` '.,;,c."x.y1�1f..v / ,,.a L, .1^a 9~ `µ'� ,zw.'. Le k N,.' e`it'M1s. f'rs..:. :,,'!-.-r -•'.FY I r E:tend hose on Test Etbow B'a more v , ,,?vs °i 25 !1 r 7 t� �. 6 ' r Q / '2 �" 'IfIF Tits is .4 'W' blow tank t .`. < �change per F(2d) ,,,Digits per'F In last s., Volume�ehange OM�igr6 r,, test } Y.=w O : ° 1 r rt RanQs(26) °z' S Compub no 3 decimal P(aoat h baa(a)t - , Jk t ''a a Tr ...<,.,y •F .'. �r - r` r c 'x veer s .e :+-r-'. 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