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"3;,». � '� y'bCR, a�P .;�eW .,r + M :..;; ,."m, � 'r,��r'..• +r:,�i e.�"�''x Yw '"a �'r aka.,w:� ,�h� .�a� r¢,Y. ,i P ,,n °'� Y :.�{°WP P'° �,� i> ^w.v w.'�, ,+ �. wx.�C�C F� .. °�`��.:..¢n�°.:°:'@tr:q,��� :;b+t $w �,^ `,e" si' °'.r�' P.. .'" y,y:. ,� ,, .._ ,* r..� 2, .,K ,''�+^ `�;: r.'�f'1'''�' �•.. .. � .',i�` '�', �.. i d , i r t u `i, raa n .� _.r . a ,_ :. is :.'+ :V i.a;". ro <;a e,"¢i nr.,:. .,• d T:'maP ,. , ,..wn 'P 7' '� + ., a i 4h ' `` "" . �, may.« .�•:, v.. -'-• �Cn.F a ! 1 ,. . /' '-t _ i= �.. TOWN OF BARNSTABLE -UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER AND INSTALLER INFORMATION ADDRESS: r .lrrr '. i (�4P /a. „ ,,, t _' . '�' : MAP NO. PARCEL NOJ� OWNER NAME: VILLAGE: INSTALLATION DATE: ./9 Pv BY: ADDRESS: lco�� ' " J `'�/ �a%y .t CERT. NO. �It Co&trAcr TANK INFORMATION � 1, LOCATION OF TANK: .y e� r Y CAPACITY ) � TYPE AGEy. I FUEL/CHEMICAL ' TESTING CERTIF-ICATION E J PASS E J FAIL DATE LEAK DETECTION E- J CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION E J YES J NO DATE TO BE REMOVED FIRE DEPT. PERMIT _ISSUED E/J YES E '3, NO DATE CONSERVATION E"'J CHECK IF N/A DATE t BOARD OF HEALTH,, TAG NO. J J E J E a J E J DATE I oh/ � t ' PLEASE PROVIDE -A SKETCH SHOWING' THE TANK LOCATION ON THE BACK- OF .THISCARD uF!. aV•'.„... v...L... £.. - - } 3��-( ����� � - ��. t' :u r' sM ar••a. LIC.� wft$7 G•.O : -•{ w. _ ` .ys•YL. TQJM t " i•.LAM+ast aati.L.a.. :. a ASE "New 57oq \ACOITIOMAS yat 1. + � � �:. •.\�� / of 1-7 5 ERVI CENTER /!/d ,;;,.,r.•,..,,... i vcwlt 7.1 r c° `r1V•LT••T . t .' .' '. .. � +' Lam• _ .. '-_-. .. .. 1 .. -• it r aa•r.' ` t W • '' •: . ' .T :...,,., ' SOUC _ tv ..• r w , E)(CON COMPANY. U.$A op I �M►.YZA. ! Airc� �W ST:4v .J.:.-:rr1W iM .f•wy�Lt•�YO• fa.rw•�.all./rr ' ! I..r wear •s N.T .� !•• • rnsfarr.wr rRp�a,srLsl+.ary waw•.t n•.sfllft a•�srsrsmw i • - • 575/ r, .. G =_4. =a -- Department of Public Safety—Division of Fire Pr�'vention .x a `) 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE.- OF REGISTRATION .................................. .... 191... i (City or Town) (Date) In accordance «with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned herebv certifies that EXYC,'1 CCFPORA-IOid A dress P.O. Box 2169 — Houston, Texas 77001 ........................................................................... ...... ......... .. .... .. .................... (Name of holder c license) ./ is the holder of the license granted.f�u G S�So 3 y�s1 s Glo .l for la ful use 5�.of the buildings) or other structure(s) situated or to be situated at........ ...... (Street and number) as related to the KEEPING, STORAGE.MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. f`t^� .:................................................................. QQ (City or Town) :.- Note: This certificate of registration must be signed by the hold of the lice said license was granted prior to July 1, 1936,otherwise by the owner. upant o 41, d li nted. Received .:..........:. . .......................................19........ ............ ::..................... ............ irnature)by .......................................................................... EXXO�d CO. &�TI0,1 ' ... ...................................................................... ..........._ .. ate e w .......................................or . ` (......... Tl...) (St ther ner oe t 2-older) �• wh• t:upan icial a.C. Box 216 — Houston 7001 :............ ..... 69........ s... .n:.. .....--•-••?--............ . ............ .... . .... (Addreea) he 5751 aIJ4 af 4j Lassadjutl Is Department of Public Saf ety—Division of Fire Prevention 101O CODIMON`�'EALTH AVE., BOSTON REGISTRAT` IOI`' ..... . ............................... . ...... is�'8.. (City or Town) (Date) This is to-certify that..... �r1....CO??PODr TC...............I ..P;..............................................has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set- ti g forth t ... '0 J COF... ?TIOid........................................ .............................. ..................is the holder of the license granted y.�lf �`..19. for the wful se of the buildings) or other structure(s) situated or to be situated at........... ........... ........ (Street and Number) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. .......................................................................................... (Signature and Official Title) Note: A certificate of registration must be filed on or before April 30th of each year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) Porn FP-5. SMFi•o&-?a65C3 �' op r��( OIL" i TOWN OF BARNSTABLE OF THE t0 OFFICE OF BAR35TAM S BOARD OF HEALTH 6 367 MAIN STREET s639. HYANNIS, MASS. 02601 o Jul August, 1988 4 1 Dear Underground Tank Owner: You are now required by the "Health Regulation Regarding Fuel and Chemical Storage Systems" published in the- December 17 , 1987 issue of the Barnstable Patriot, to register your underground tank with the Board of Health. Please complete the enclosed Registration card. Include any evidence of the date of purchase and installation, a copy of the permit from the Fire Chief, and a sketch map showing the location of such tanks on the property. Upon entire completion of the Registration card , you _will_ beissued a _brass valve tag by the Board of Health. �- This valve tag shall be picked up by you or your representative at the Health Department located in the Barnstable Town Hall . The tag shall then be attached to the filler pipe of the underground tank. Please return completed Registration card to: Town of Barnstable Health Department, P.O. Box 534 , Hyannis , MA 02601 , as soon as possible. You were required to comply with this regulation by May 31 , 1988 . After this date, if you do not have an attached valve tag, your oil supplier is required to report to the Health Department any untagged underground fuel tanks . If you plan to hand deliver the Registration Card or if you have any questions, please see or telephone ( 775-1120 extension 182) Donna Miorandi or myself during office hours . Office hours ale Monday through Friday at 8 : 30-9 : 30 a.m. and 12: 45-2: 00 p.m. . Ve ours , .,erg � � Thomas A. McKean Director of Public Health Cwa TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER AND INSTALLER INFORMATION" S; /A MAP NO. � �r'� PARCEL NO. ADDRES _ 1''S 4r OWNER NAME: V fit/ , µ .. VILLAGE: 7 4 _H INSTALLATION DATE: l ,a BY: ADDRESS: CERT. NO. TANK INFORMATION LOCATION OF TANK: s CAPAC I TY . 0 TYPE 't' AGE FUEL/CHEM I CAL . .� 1 TESTING CERTIFICATION E I PASS E I FAIL DATE LEAK DETECTION I : 3 CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION E I YES E ] NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED E 7 YES E I NO DATE CUNSERVATION E I CHECK IF N/A DATE �f /!;1 d ! BOARD OF HEALTH TAG NO. C, � E ]C ]E ]E ] DATE 10 PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD-, r TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER AND INSTALLER INFORMATION ADDRESS: d"`► ' A � r MAP NO. W PARCEL NO. OWNER NAME: t )(Y/)A 1 VILLAGE: IIYAAIAIA!� INSTALLATION DATE: BY: ADDRESS: CERT. NO. TANK INFORMATION LOCATION OF TANK: ff CAPACITY is TYPE AGE FUEL/CHEMICAL �l TESTING CERTIFICATION C ] PASS ; C ] FAIL DATE LEAK DETECTION C CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION C ] YES �] NO DATE TO BE REMOVED . FIRE DEPT. PERMIT ISSUED C ] YES C ] NO DATE UUNSERVATION C ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. SE /q, ]C ]C ]C ] DATE PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD, TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER AND INSTALLER INFORMATION ADDRESS: '�!/�(.)"J ���(,J/ � �k"' � � A MAP NO. `.. OE PARCEL NO. � OWNER NAME: Jl coo VILLAGE: !!+�I V .!V 3 INSTALLATION DATE: 5?* BY: ADDRESS: CERT. NO. TANK INFORMATION LOCATION OF TANK: CAPACITY 0190 TYPE AGE FUEL/CHEMICAL IF f TESTING CERTIFICATION C I PASS C I FAIL DATE LEAK DETECTION C ] CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION C ] YES C ] NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED C ] YES C ] NO DATE CUNSERVAiION C ] CHECK IF N/A DATE C BOARD OF HEALTH TAG NO. C ' ]C ]C ]C ]C ] DATE 10L�11 u , PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER AND INSTALLER INFORMATI.rO-�N �J ADDRESS: MAP NO. PARCEL NO.' J� ''I ��C����`+1 OWNER NAME: F~' ,i of rIvA VILLAGE: INSTALLATION DATE: BY: ADDRESS= CERT. NO. TANK INFORMATION LOCATION OF TANK: ,ry } CAPACITY TYPE AGE f!Q FUEL/CHEMICAL [ llLrl11 T �-r TESTING CERTIFICATION C I PASS C I FAIL DATE - LEAK DETECTION C ] CHECK IF N/A TYPE/BRAND j ZONE OF CONTRIBUTION C I YES C}Y] NO DATE TO BE' REMOVED FIRE DEPT. PERMIT ISSUED C 7 YES C ] NO DATE CONSERVATION C I CHECK IF N/A DATE 0, '"�r, / � BOARD OF HEALTH TAG NO. C ] ]C ]C ]C 7 DATE fw/,/. �J PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD, 30g- l 4 1 UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME �.X x0 L) S A • SOU T 1-k A u 17 5r=A ST S 10ij C F` ADDRESS j 0 6EH Ate �CN , 1. UTJ2T�' T �`l VILLAGE 14 A N tj l S LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL kiDaacp.or TU)eA, I0,00, 0 G-AsaLI,va )ew Y4 k4 00 0 &A50L#0 e iJeAjj F.vQse� �t00 0 (S*sOLt iv Q Nam, - A - &, U t®U. (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT:101 L $ TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS A P P R O V E D Barnstable Conservation Commission Signed Date TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME EXXON STATION #5751 ADDRESS South & Sea Sts. VILLAGE HYANNISa � LOCATION OF TANKS: CAPACITY: TYPE O FUEL AGE: (gals.) FOR C.HEMICE , Service Station Yard 3000 dasoline 14 Steel " 4000 it14 " 4000 " 14 " 5000 " 14 " (Give same information for any additional tanks on reverse side of card) (see reverse side) DATE OF PURCHASF OF EACH: 1. 1966 2. 1966 3 1966 4. 1966 DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS LOCATION NAME South & Sea .Sts. Exxo orp. Hyannis i Box TX 77001 HAC44 Section, P.O. Box 2169,Houston, Owner of land. - i'�obert Knight and Victor Horst BOOK & PAGE "DATE GJ?ANTED AMOUNT STORED 37/11}c� September 15, 1936 Under - 5000 gals.capacity 195a Gasoline 37/279 ,,une 5, Total capacity - 13,000 gals. . 77/62 March 14, 1957 77/i63 April 5, 1966 17,500 gals.Grand Total DATE_-PAID 1973 - April- 3 MAR. 19750 APR r� 1973 MW C .175 1979 Paid 3.-12-79 TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME '0 ADDRESS SO �7� VILLAGE &JA Ad14 LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL A 19& . (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1 04ZP/th- 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS APPROVED Barnstable Conservation Com3lssion GI a �_��. Signed Date /o%If .40/ 9?at�� O�TM l0 SARTITLEL ■ail tDate► ?Eo xir►' 397 MAIN STREET HYANNIS, MASS.02601 APPLICATION FOR LICENSE. For the lawful use of the herein described building . . . or other structure . . . , application is hereby made in accordance with the provisions of Chapter 148 of the General Laws, for a license to use the land on which such building . . . or other structure . . . islare or islare to be situated, and only to such extent as shown on plot plan and/ or building plan which is filed with,and made a part of this application. Location of land SC�CT 1A ---Nearest cross street 5-e lt'� gr P C (Street & Number) Owner of land EXxoo U. S Address 30 `,EECVA ''� ST- kU�ETT V&5S Owner manager V—CVt0 DAU 15 Address 1�0oTj-k Aup e>--t4 �, �YAuNtS� r1A Home office Address RYxvy,.) 64Qk6LE 61t- Nt &P(VjIILN6- 00 P.0- bu x 531 RuusT000 Tx -7 7c)v Number of buildings or other structures to which this application applies o w is Occupancy or use of such buildings GA`-�t_t"� �Ctzy►o �rtT t o y�i Total capacity in gallons: Container Size Underground y Kind of fluid to be stored: j�-7.Kt5-riOG- LICE►JSiE l�-upo5aD T►.Y.t 6AF -E Wc4= Tcrrac-, Aboveground O GPt50—I W i!: 11,000 (,per Q C)00 26, ovo UA51C &L- 500 15,0 ( to 06 �uE Ot� t touU o Loci 6 C-PAuI, ;oTat_ 18 Soo Qsvo Z`F5, bC) o Automatic Fire Supression System Required Yes ) No0 bo SI=.t..F S&-cuuE Tst-A#J;, Seperate Flammable Liquid Storage Room Required YesO Notes NFPA 30 Approved Disapproved A — 02 19 (Signature of Applicant) QM.e� 3J /)j4Y E2e.y QUAi>� �U(��Y .KA, CZ17( (Head of Fire Dept.) (Address) (at7- 32, -Dt2 (. �4 Fire District THIS APPLICATION MUST BE TYPEWRITTEN OR PRINTED LEGIBLY THIRTY SEVEN YEARS PETROLEUM INDUSTRY EXPERIENCE EDWARD J. GALLAGHER ASSOCIATES INC. 30 Bayberry Road, Squantum, Mass. 02171 {' 'Edward J.Gallagher ��Squantum,MA(617)328-0121 Engineer Otisfield, ME (207) 627-4724 i •1• S .rpJ 346 WEST Z STREET LCCV. INC. NORTHBO O IMASSAC USETTS 01632, TEL: 16171 393.2537 SERVING THE PETROLEUM INOUSTRV f EOUIPMENT SALES. SERVICE. INSTALLATIONS Dec. 1 1980 Town of Barnstable Board of Health 397 Main S t. Hyannis, Ma 02601 Location: Exxon Station, Sea & South Sts . , Hyannis, ma In compliance. with Town Bylaws, underground storage tanks and..related piping were Kent-Moore tested at the above 'location and found TIGHT. Kent-Moore results are enclosed. Sincerely, : . ZEG00 INC. • a r. "` - y-- -- Robert �Tr of ano f�4 . r��- t 4 a i- AFC tFTr�� x � ar'�?�fS�4:'&'''' i t e-9 aFR�^r F kP v,�: .k r'M ''ir'd'S �•y'. rA, r VA, egsdf ycl {E £ ¢yrr " � .w s� �"}t ; ay,`,v4'�w i 7 as���"t 'K t d''4�`,�'z��+�t F �ti• �'a`r+: y„ i• - v e� fir. Y't b{A,�� �� y._; t�� � .#r F�r' y ,�} < (;� .� Ir - t • , ,�; w ,fit#a 4� -?"���y,� ;� �f a,� it'd� ".c ,fir ,a j.,�a ,, " `. i�rj f,, a ,�Y�'� e�• `��atA� �,ti t y`" " '+��q .f �s l '; 14. �XXDn� i13 %/ow �%a Soy Alh;� o . • Name of Supplier,Owner or Dealer Addross No.and Street(S) City , State Dote of Test 15. TANK TO TEST 16. CAPACITY From _ \ U Station Chart T� By most accurate Z Tank Manufacturer's Chart J lr tJ t� K Nominal Capacity capacity chart available I� Identity by Position _ Gallons - _ Gallons L 1-1 J Company Engineering Data Charts supplied with TSTT o Is there doubt as to True Capacity T�x ia� 0 3t^oo � _ ❑ Brand and Grade See Section"DETERMINING TANK CAPACITY" ❑ Other r 17. FILL-UP FOR TEST Stick readings C $ to X in. Gallons total in Tank (p Stick Water Bottom 0 before Fill-up ~� Inventory. Z to X in. Gallons 1 Fill up. STICK BEFORE AND AFTER EACH COMPARTMENT DROP I OR EACH METERED DELIVERY QUANTITY ` m Product in full tank(up to fill pipe) Tank'Diameter `� 2 D .— 0,, i 18. SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK v C_ . p See manual sections applicable.Check below and record proceduro,in log(26). 00 Water in tank High water table in tank excavation Lines)being tested Vapor recovery systeM Sr El Stage I Stage If OD fit Z (n M m 19. TANK MEASUREMENTS FOR 21. TEMPERATURE/VOLUME FACTOR (a)TO`.TEST THIS TANK TSTT ASSEMBLY Inventory Top_'F Center_'F Bottom_.'F On Truck_'F Expected Change =L- II ■ Bottom of tank to Grade'....................... D 22. Thermal-Sensor readingafter circulation -F 0 Assemble tubing+ 30-for 4"L.................. digits Nearest + 24'for 3'L........ O """"' .23. Digits per 'F in range of expected change Z Total tubing to assemble (Approximate)......... digits . n - 24. 0 L X gallons _ 20, total quantity coefficient of expansion for volume change in this tank full tank(17) for involved product per 'F Tank top to grade'...................... Extend hose on Test Elbow 6-or more 25. 1 •05.3 t.; This is a volume change per'F(24) Digits per'F in test Volume change per digit. test m below tank top...................:............ " os Range(25)Y Compute to 3 decimal places. factor(a) 'If Fill pipe extends-above grade,use top of fill. �XXo�va �Tq?Loh SEA So LIT H -10trv'IS ' 26 r *, 4, v;.-..- , 3O. .HYDROSTATIC 31. VOLUME MEASUREMENTS 34 TEMPERATURE COMPENSATION 38•NET VOLUME 39. ' s .� u l0 OF TEST PROCEDURES PRESSURE CHANGES ACCUMULATED e CONTROL IV) RECORD TO .001 GAL. USE (ACTOR (a) ...... EACH READING CHANGE nti9 Vrt,1,e90Pt�RISE 29. Standpipe Level 32. 33. 35. 36. 37. Temperature At Hi h Level record ProductJn gProduct in Inches Change Computation Adjustment total and deflection Date } Record Retails of Setting up Read- Graduate Replaced(-) _ -r ' 4 and running test. Use full Thermal Higher+ (c) ■ (a) Volume Minus fr �wWTtme a gyp+ g , r^g Beginning Level to Sensor Lower— Expansion♦ Expansion(+)or At low level compute t g (24 hr.)' length of hne it needed.) No. of which Before After Product Reading (c) Contraction — Contraction(—) change per hour Reading Restored Reading Heading Recovered(+) (r)'—(1) (NfPA criteria) T Y- �. AE .0 I T �00 J co To #tom ti.eu t?L I 3 S y a ( co $o � o 939 ;s- -; I eo T Q��'� a yo �� 90 io _ i o 9 y 1 �g t' t keoL 1y 02 Z 06Z �13V0 S �tz4)YL yz �� 7�I O� yS/ + 2- .0622 002Z z ra:lw �'o !nPU2L y3 LtZ 7�{ g1 - 07 �3 r2 062z oo�3 -y�io 0 'ry s: 12 01 w TO . Irk h e�e� �( y 2_ ` I '' 8�'.. �J + ,o 3 ;t o S9 1-17(9 s 16 b IZ Wl kL TO 1•oc.v ���'L _ - �1 1. . --- i , y �' r. � E_ '` �E��II'i Tr, J� ecu J� eLfP � I J•i !2- (% '-1cj � ((i Q' `1`7— �i% ' Z— , Or;G� QD%v 0o7 � Drg 1,cw keL.-O' Z_ i3 0 ; y.p n.*-wy e-V 'To 1, aL-0 /,e�_e �- 3 / Z (� o G �- z o % Ec z �t i) z_ z_ 12 Y�C rL r r, r '3 i ��f, -; .; '=� I G {-ti r�� �.i✓• t': 3 / %- .O. r.' (r: `_( (c`l ;C'?. f ;qb. ., ..,7 , '.~ h a" '.. M +A+s-Y F�`irv�' P,rv' ryK' �' }� •tt��7 t THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) m A- /-�C& DATA M. A �' � / t ./ ///gyp/t//�//1� �•` . .! w•.yy �1 Name of Supplier,Ownecm Dealer Address No.and Streot(s) City - Slate Oetn of Tnst 2 15 TANK TO TEST. 16. CAPACITY From ?c; Station Chart By most accurate Tank Manufacturer's Chart ,. �, ti N l�?(+t 1 ✓IC�i1. �1`' Nominal Capacity capacity chart available a IdeMhy by position `l Gallons Gallons Q K r s ^' s�� s ere doubt s o rue _ oars y een Data Company Engineering D �# 1(7 ('C f: Lam) 1 there d bt a t T Capacity T /C• 'r. r' 4- Ch t supplied with TSTT P 0 ' ",.r ::Brand and Grade See Section_"DETERMINING TANIf CAPACITY �� Other 1�. 3 17 FILL UP FOR TEST Striomngs Gall at on s Total inTank Stick Water Bottom before Fdl up �- Inventory to X in. Gallons .�0 • Z ?' :. Fill up STICK BEFORE AND AFTER EACH COMPARTMENT DROP }_'OR,EACH METERED DELIVERY QUANTITY + dr r m2 Product in full tank(up to fill pipe) Tank Diamet v v, = z r 18 «SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK f�-D' See manual sections applicable.Check below and record procedure in log(26). 7 r � A., �R Q Water in tank ". High water table in tank excavation o Line(s)being tested Q Vapor recovery systems Stage 1 Stage II (A Z CA 19 TANK MEASUREMENTS FOR 21. TEMPERATURE/VOLUME FACTOR (a)TO TEST THIS TANK .: a . .<}.,TSTT ASSEMBLY ,■ r 1 x4 = Inventory Top_'F Center_'F ' . Bottom_'F On Truck_'F Expected Change ' Bottom of tank to Grade'...` p y ,. _ 22. Thermal-Sensor reading after circulation t- 'F n Assemble Lubin +30'for 4 L... - g .....:......... —� r Alplt! '� - Neatest ...r..•.• . ` O s +24'for 3'L.................. 23 Digits per in range of expected change (66, F h ^ s Z i ''Total tubing to assemble (Approximate) ..... ` y 3 �/ rdigits 24. ,)C�� x ri�t��o _ L� gallons 'A= " 20 'w total quantity coefficient of expansion for volume change in this tank lull tank(17) d pro r F G) a Tank top to grade'...:..... 25 > pet s far involve duct P Z _ , t_/ ( i .; ./� ,.. — This i Extend hose on Test Elbow B"or more _� i ( ) t0 below tank to volume change per 'F(24) Digits per 'F in test Volume change per digit.- test N P•••••••••••••••••••••••••••••••• Range(25) Compute to 3 decimal places. lector(a) p • - - ('t 'It Fill pipe extends above grade,use top of fill: S I- k Y�FF %t n. C��t� :J/r / ��/'� - C��+� cFi� .�('v j f' % - r,/ /!?/r_'/tJ:' r7�/f'• //j� -i y ' it 26" ,. V;,';. -- ° ---• ;t- - 30. HYDROSTATIC 31. VOLUME MEASUREMENTS 34' TEMPERATURE COMPENSATION - 3S.NET VOLUME 39' ACCUMULATED + LOG OF TEST PROCEDURES PRESSURE (V) RECORD TO .001 GAL. USE FACTOR (a) .. CHANGES CHANGE CONTROL L—�I�� EACH READING 27 28 - - , -_'t 29. Standpipe level 32. Product in - 33. - 35. 36. 37. Temperature AL High feral record a - ""�* in Inches Product Change Computation Adjustment total and deflection a pats ryk �.: ;Record details of setting up Read. Graduate Replaced(—) Thermal Higher (c) a (a)= Volume Minus T4c Tone K �} .and running test.(Use lull ing Beginning level to - Sensor. Lower— Expansion+ Expansion(*)or At low level compute (24 hr.)': r x, length of line if needed a No. of which Beloro Alter Product Reading (c) Contraction— Contraction(—) change per hour Reading Restored Reading Reading Recovered(r) r,_ "(r)— (1) (NFPA criteria) "/L'n, l'.�''" //r,',/' ��/'' � :�? ? :r'. / /� r, 7l.'!_ v�� r., r•. I/'. r ^ /`rr � r / � ,•L :t �Uc`i�7 r �L.Y/ G � �..�G L ?��� �� �/����F /�' /r �1�`c �`l / .«��"¢�t �r�. \' %�J%// . �L�7 C r` / ���:� 62 le �';z Co TT ee ail po TO y2 � - eo 3 S %.wr Tj •J5 v l �eJ I cr?'' • ;~"e�F (_ /S �=T�/ �/ % • 0I 1 l.� rl �/2J rl (� - Z Y -•�,'. 1.�.(-' `' fL7 G L/. (� ;;. 0- i�,QS" �/�'LY)!ti • j t7 L�1 �.:. �1]C /al�� `/ z8 T• L? L 4?G`' f b� J �1. ? �l ri a. �,-�� �,2 1: OL ;�Z J-/ o� r�) S� L' j f 2, C Qv0L '2`/ 7�c) fi n� ? Fil n: ` l �«;' ��v�'p i t '% % 3 i„� o f / p i o / t f o p t .0 0� o o/ 6 o d ,ow ).� c G: rr . S 13 (� / --,o or`, �, cv �� �1 SD �f Form 77-1000 Data Chart for Tank System Tightness Tester IJ 21103•3641 USING. KENT-MOORE CORPORATION TANK TIGHTNESS TESTER MODEL 1000 Copyright m Kent-MOON Corporation 1977 PLEASE PRINT 1. OWNER Property ❑. )f?i.'!.�". C nl;) c` �7,4 or`' /9N1L'/S {�'�125� Name ' Addr"s ReDf Mtetive TNSDhOM Tank(s) E'jSX 19`t. 7�/ ��• Name - 'AAdr•ss _ _ Rsor•s•ntatly Tefsohone 2. OPERATOR - - Name Address .z •.;;-. Teiechone 3. . REASON FOR TEST D U-)".L) _ �� .f w .(Explaln Fully) 4. WHO REQUESTED - K�� ECG C t EXXox) TEST AND WHEN "'"" Title ComoanrorAffiliation Oate Address Teieohone 5. WHO IS PAYING FOR THIS TEST? ` , Comoanr,Agency of Individual Person Autnodaing Title T�Npnon• Bitting Address cry State ZIP Arlention of: Order No. Other Instrumons Identify by Direction Capacity Stand/Supplier 02 '• Grade Approx.Age Steel/Fiberglass S. TANK(S) INVOLVED 1o00 t7 r�I ail ��OD. C2 JVC�iG �/( 4 UIG . I • Location Cover Fills Vents I Siphones Pumps 7. INSTALLATION j�v�,j o� �anx0p.•{e �F&( 41 j'-5 0� DATA s North inside driveway, Concrete.Black Too. Sire,Titefill make.Orals Suction.Remots. Rut of station,Ole. Estill,Ste. tubes.Remote Fills I Size.Manifolded Which tanks? Make if known f S. UNDERGROUND Is the water over the tank WATER Depth to the Water table Yes No Tanks to be filled hr. Date Arranged by. 9. FILL-UP Name Teiaohone ARRANGEMENTS Extra product to-top otr and run TSTr. How and who to provide 7 Consider NO Lead Terminal or other contact I for notice or inquiry Comasny - Name Teleonone 10. CONTRACTOR.. -/ MECHANICS. 'n� f�/L /i�� ttl�'rY„�/r r/I /�iF/�ii:�F 1 h�cir- .�icn�%�� ' S ,.//':r1 any other contractor `l l�i'. A/ t)N t•t'e r:n " involved 11. OTHER INFORMATION OR REMARKS Additional information on any items above.Officials or others to be advised when testing is in progress or completed.Visitors or observers present during test etc. . =' Tests were made on the above tank systems in accordance with test procedures prescribed for Kent-Moon Tank Systems Tightness Tester Model. 12 TEST RESULTS 1000.as detailed on attached test charts with re"ts as follows: ft.'. "�t f Tank.ldentdieation `"' Tight I Leakage Indicated Date'es'ed r 1 i ll 0• e of v x J 9�� e O E.;� 7_ w #< 13./ ,,.'.`,!EAT( (CATIONmu a to earthy that these tank systems were tested on the date(s)shown.Thou Indicated asr-ri "meet the criteria established by •National I tFire Protection Aesoci Lion Pamphlet 29. ! C,� �fiT�� �n , Date �,� '•�ti14 A i\4 i.r. �• u rig onwetor or omoany. r. gnawuf C 5 Senal No at Tartar Technicians 7 -t. AednN f 6'49433 f ,W A !'r eft' �r . r. t i;y `.!• x yI7` s �.; ; e. - I r.!' -•+[. i -Si •,- t -t.€ .• •x z.!'thy r, r . tor Z� ,..5:t J � C. ��TN S T �1X erg 0& s i y s k t �• Marne of Supplier.Owner at Dealer Address No.and Sireel(s) City Stele Oat of Test x�r r - 15. TANK TO TEST 16. CAPACITY From "C- /o�5T Tor�s��''?� L�prr-a ❑ Station Chart L By most iccurate n T� Nominal Ca acit g Qn� ❑ Tank Manufacturers Chart P y� capacity cnart available Identity by position Gallons w Oeoona ❑. Company Engineering Data r � r Is there doubt a.toCD True Capacity? r CU/1�IP*D Q� ❑ ❑ Charts supplied with TSTT and Grade See Section DETERMINING TANK_CAPACITY ❑ Other . r: 3 ,,- , C7 17 FILL UP FOR TEST . Stick readings sf ' $ >• t t ra to X in. Gallom . _ Toot in Tank *.N • Stick Water Bottom O + betas Fin up inventory to X in Gallons Fin up. STICK BEFORE`AND AFTER EACH!COMPARTMENT DROP OR EACH METERED DELIVERY QUANTITY,lkt ;r +-C 32'7 - * Product In full tank(up to fill pipe) y ir, Tank Dismeter 2 a, 18 SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK )o • ,t See manual sections applicable.Check below and record procedure in log(26). +�`� ❑ Water in tank ❑ High water table in tank excavation line(.)being tested ❑ Vapor recovery systems ❑ Stage i ❑ Stage II 4. c`F`a..1,'.. i. x'a r`.:.% k+•.' '-wc Fs r,,,, ., _:.� •;u+ •�' ''�.3 ''v ' :. --s� --�',s Rt 19 TANK MEASUREMENTS FOR 21. TEMPERATURENOLUME FACTOR (a)TO TEST THIS TANK ` ASSEMBLY r w Inventory Top-'F Center_'F Bottom 1F On Truck_'F Expected Change sL # 3 <;L s`Bottomof tank toGrade'.. 22. 1 r s r Thermal-Sensor reading after circulation # " ' •F C Assemble tubing+30'for 4 L _ x zta• ,C.,,� ? , diglb Nuresl a i4-for L....: .. - 23. „, ; b s. Digits per'F In range of expected change _Z Tot k zdlsile Total tubing to assemble (Approximate) . X >a V•7 24. galloro -_ ''.20. {a total quantity coefficient of expansion for volume change in this tank t Jun tank(17) fa irrvohed product 'F Z Terdt top to grade'................. C [� Extend hose on Test Elbow 6'or more 25. .J • I + below tank top................................ volume change per'F(24) Digits per'F In test - Volume change per digit- lost Range 25) Compute to decimal places, factor(a) t"t 'If Fill pipe extends above grade,use top of fill • r , - x i s 4 tihx S _ I 26 -- '" -` • 30. HYDROSTATIC 31. 34. 3J3.NEi VOLUME 39. ' L00 OF TEST PROCEDURES t PRESSURE VOLUME MEASUREMENTS TEMPERATURE COMPENSATION ACCUMULATED - (V).RECORO TO .001 GAL. _ USE FACTOR a . EACH READING , r, fi CONTROL 1 1 CHANGE . s EA DING Z7 [ Z8 '� « t Z9. Standpipe lever 32. hodael In 33. 35. 36. 37. Temperature At High 1 e.el Heard ' ' -in Inches Product g p I total and deflection , REet►rd detellS Of f011tDg ttp ReaG Graduate Replaced Chon • Computation Adjustment 4 Time. « e e z " and running test.(Use full. ta P (—) Thermal Nigher+ (c) ■.(a) Volume Mince Y Beginning level U Senior lower— Eapanaion+ Expansion + or At low level compute length of bne d needed No. of which Before After Product Rodin p ( t g (c) Contraction— Contraction(—) change per hoar Restored Reading Reading Recovered(+) i lel-III JNFPA criteria). � '_w,se t> GG ' I!f'o lee �(Jc'/L T�q lo•rS �• �o;,,,.;F... •• ;;,tom '��r =��. .:-:, .; ��: In 1.IJ —e ;_° 7 .S �c -� on I . ;;:: x t';' `x:11i .•.L'It VU f;IIIJlliilll[11��11'61I,e1aiiii.l(lli.ii: I11 •1 lili . Il�.I�n ' - _ f - ^.. ��1,�T5 f t/ 111? I t✓n t lat�;1t � I1.� 1.1., 1 I I - y,. 1 il. , I ,..•. 1 I iu - .i), '•,3;;� ,� Is, a n',vµ�};v Ih�. .r� :..1 ... � ".. � mill I.'11nAMIItilIIJ ::'I ¢iJ x'- - !1: 1i.,liu .Iil lyu�I_I.0 1i;:f (,11I1 II 1 I111 1itiJll 21, .r� 1 .:1.. ••1 t: 11•..14 ' '1. �..I 1. ...I♦ 4'b •.K .. ,..•- I...11•..1.,,II 1 1:.I fit.lr. Ilnl •1 11114a1 Vlll..l.�l, I.f. ..,In I..rl liiU.l 11 h r - '��'d 'f'�,s�€ yl�+t��y's' ��i�"Ra� i s .r _ .• - - •a r 'I 'dt .a s� ,. N j S_ � g f4 A , 8' Name of SupPller,Owner or Dealer Address No.and Streets) Otte of Test ^ 1 City stale _ t o Mr .r_Sh O 0 A Ptl/ GS From f5 TANK TO TEST J 16. CAPACITY 1/ O ;• r 4" Station Chart•. zr tl c _ .. ypop.3 B TO .'`SE'/ VT y most accurate Q i Nominal Capacity capacity chart available V�Q O Q Tank Manufacturers Chart 7r°`.•.; .`.� ?' us ,6 Iden111T by sltbn Gallons Gallons Company Engineering Data El. L, T Is there doubt as to True Capacity? 13.;Charts supplied with TSTT T`il;"'1:0*� VIM, Brand m e See Section"DETERMINING TANK CAPACITY" ry0ther- ' + 0cl 17 fILl UP FOR TEST Stick reedit �� 3� s p.. readings C 'd c x .. to!i In. Gallons Total in Tent r r e(n m Stick Water BOftOm7. before FBI up 0 a •ra O ntory �z 4 rr' fin, a to!i in. Gallons �irtve FBI up. STICK BEFORE AND AFTER EACH COMPARTMENT DROP. -. OR EACH METERED DELIVERY OUANTITY - - - - - Product in full tank(up to fill pipe) Tank DiameterJa/ Q O Q n, �,� •�' :K � . . ''. .� �, 18 SPECIAL CONDITIONS AND PROCEDURES TO TEST THIS TANK - -See manual sections applicable.Check below and record procedure In tog(28). G , �,. ,r U� p �fec1 l00 m^:... .fv'....._ �? - :. < "" e x Q Water in tank High water table In tank excavation Lines)being tested Vapor recovery systems Stage 1 a Stage II ` 19 TANK MEASUREMENTS FOR 21 TEMPERATURE(VOLUME FACTOR (a)TO TEST THIS TANK ��TSTT ASSEMBLY Inventory Top •F Center -F Bottom •F On Truk_.'F Expected Change ale. Bottom of tank to Grade'....................... . ._ 22. - Thermal-Sensor reedit after circulation Q 3 Assemble tubing+30 For 4 L........... g F digit Nearasl p +24'far 3 L....... .. 23 .4r 0 s.M 'k r r w qy �.� .- € .. y ` Totsi tubing to assemble (Approximate)•........ Digits per'F In range of expected change dioI �^ . F` 24. T 000 X ` :ODOG a •ry y art g total quantity coefficient of expansion for volume change in this tank Tank top to grade'.......... full tank(17) for involved product pei-F gy Cr +�Z Extend hose on Test Elbow is"or morn 25. �• 7 + l0 tD m • D Z' 1 This is s N below tank top... ......,.,.. - volume change per'F(24) Digits per'F in test Volume change e per digit test Reg act ) It FIN pipe extends above grade,use top of fill. Range pate 10 Or a t y_, ¢. � � 4..• - � _ . ire - .. q1`-bq1VAjlS fT1 gSS zs _ �. ;µ, n; fec 30 HTaflosTAnC 3 34. 38.NEr voluME 39. l00 OF TEST PROCEOU ES PflESSURE. VOLUME MEASUREMENTS TEMPERATURE COMPENSATION ACCUMULATED /gam (V) RECORD TO .001 GAL USE FACTOR (a) 7 CHANGES QQ � I�I/Q PQ IMPS s _ CONTROL.. . . $G. EACH READING- A: CHANGE � +. "' ate, ,.. 27 2829. Standpipe level'. 32. 33. 35. 3s. 37. - Temperatorr, At High Leval record �'. °` Product in Predoct 0 i +Reeord details of sell' U in`Inchet Change Computation Adjustment total and deflection bite• 9 p Rud- Graduate RaFtacd i—) Thermal Hi her a >< a Volume Minus Tlme end running teat(Use full InBeginning, I I lone►+ Expansion+ Es omioa, + or At Ion level compote r 0 Level to Sensor ' x 2 hr length of line it needed.) Ne• ol,a: which.- 6efote After ►roded Reading v 1 I e s: 0 (ci Contraction— Contraction(—) than0e per how 111171g Reading Restored Reading Reading Reconrad(+) (v)—(t) (NfPA criteria) ' Art �v� �r��iD�- ,lv� ' v �� v�� e ate. / u T•� r D.oS F S Sj� . TD e E� a� {/e �o '9,1 i�e 1.'. g d•'20tr� C©n� elz.'T 8 O' yt II itt lil- .1fill li.;i 4 2 Y ( 36 Y Z yz 7p � Z y� JIo7rjL , 00 , iy • .8� t5 o .`� � a 0;5p 4 fe-L �� y/.,, y 0 3 .2y7L r '.:: �,;', !�1 ,illli4; Llll,fllilillil',.,,1:.11`1ai1111111ifi1 _ -�-� .Z`/72— 7!3 S -�- I x r /0o .yz- `: 81 4- (o y9 y ( .07A{`-1 z•3 qG I F ke.'r • t - • I I Ln 1 1'•Ilul.ld J?,e ., 1- •i..,l .I,.,, , /• O.S e >' '0 �C. �i �` Z y ►. I I .207 •2 y7 Z ; . � 'llll I©�'r'/1_!y S:II _ .I .,�..ld:'f �if111{• 1,{iili .:il 1 �:.1{ �!�,i li...� �111: I 752 o 3 .0?q //Zo o �e�QL 3 yy 2-y1Z ­47 •11605K9 4 12 0 SgZo 3. boo :. , a to �eoe, �:, A �'3 vy' ,, �i Z:' .. al. 1. .1 .a.' ///� ,c,�,` r .Ir1,1F (I/t '. 1•n b. I,n, A.o ,` I -r y 3a9 G 'oq:'L y.o.p6o Z, tyZ` arZ tz byg y .3296 Y. yz s•G - i n ;..�iC'JCO Ili :'• 'cS� cS0 V l iV IV f S ` El 3 . HronosTAnc 31. 34. 38.NET voluME 39. dltVOLUME MEASUREMENTS TEMPERATURE COMPENSATION CHANGES. • LOD 1)f..TEST PROLE URES PRESSURE (V) RECORD TO .001 GAL. USE FACTOR (a) ACCUMULATED / CONTROL G CHANGE GO '"S Plff �GI�S .Q$Z 'EACH READING a 27 "< 28 s,Y - i a r r c 29. Standpipe level 32. Product In 33. 35. 36. 37. Tampentun At High Level record r. Product Change Computation Adjustment total and dellectios Necord_deta(IE of setting up Rood. In Inches Graduate Replaced(—) Thermal Nigher+ (c) >< (a) Volume Mines Time s t z a ? end running test.(Use full MI- Beginning lovel to Senior lower— Expansion+ Expansion(+)a At low level compete length of line if needed.) No. (2�F7, f.) T'` of which Before After Product Reading (c) Contraction— Contraction(—) change par how �� �7 (� Reading Restored Reading Flooding Recovered(+) Irl—Itl (NFPA aiteris) it 7 a,. I QUJ 2v AL 7 ' 1 1 �l / 43 n. .�- l Z S s ,r jel A �� � ,00 .y . �q +G •y9yy ooyy . ooy5/ _ � .,..T .ti`� •8Z 33 .3aq dopy . ooy8 L k p M Qoo4 , 00 � z, .'S z lK, sz� 1Q, 1 S � z .f b Its 3 aFs9 + � •o8is� ,.. 1 rm � � • 33 5 7 .2 y •t 3 • 2Y7Z 007Z . ova y a ' , 13 12 a 9 0 4- oe2Yj w • 5 1, N