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HomeMy WebLinkAboutUnderground Storage Tank Tests - Correspondence - 3 MASSACHUSETTS AVENUE 7/22/1991 GLOBAL TANK SERVICES, INC. 4 TURGEON LANE PO BOX 678 SOMERSWORTH, NH 03878 1-800-262-0106 603-692-7917 July 22, 1991 ATTN: Chief William Dolan North Andover Fire Department 124 Main Street North Andover, MA 01845 Dear Chief Dolan, We recently performed underground storage tank tests for Merrimack Valley Oil located at 3 Massachusetts Ave. in North Andover. Enclosed you will find the Fire Dept. reports along with our result and data chart sheets. If I can be of any further assistance to you, do not hesitate to contact me. sincerely, GLOBAL TANK SERVICES, INC. Diane LaCourse Business Manager GLOBAL TANK SERVICES, INC. 4 TURGEON LANE PO BOX 678 SOMERSWORTH, KH 03878 1-800-262-0106*603-692-7917 July 22 , 1991 ATTN: Mr. William O'Brien Merrimack Valley Oil Company 3 Massachusetts Avenue North Andover, MA 01845 RE: Underground Tank Testing Results Dear Mr. O'Brien, Global Tank Services, Inc. performed Horner EZY Chek Leak Detection tank tests on the underground storage tanks at the above mentioned site. The test were conducted by a certified technician in conformance with the National Fire Protection Association Pamphlet 329. The results of the tests performed on the tank systems are as follows: NET VOLUME DATE TANK # PRODUCT RESULT CHANGE 712191 5&6 diesel/ passed +.049Gph #2 oil 712191 4 #2 oil passed -.015Gph 713191 3 #2 oil passed -.004Gph 713191 2 #2 oil passed +.027Gph 713191 1 #2 oil passed +.003Gph A copy of this letter and reports have been sent to the North Andover Fire Department. If you have any questions or need assistance please do not hesitate to contact me. sincerely, GLOBAL TANK SERVICES# INC. (A Diane LaCourse Business Manager GLOBAL TANK SERVICES, INC. 4 TURGEON LANE PO BOX 678 SOMERSWORTH, NH 03878 1-603-692-7917 ATTACHMENT ngn Please Print: _ TEST METHOD t PR ,cP 7- C Date: u/�, 1�4/ Tank Owner �p Lfd59 ° IIA&yale, Tank Location/� Tank Identification Number (on Dept. of Public Safety form F>P> 290 part 3 posted at storage facility) NOTE: iF F.P. 290 was not on file for this facility, notify local fire dept. /district) Reason for Test? S �7z '6 Tank Usage � ��� Fill pipe diameter Tank age v_ - Construction 7-j4,6(_ (inc es years) 'W0,000 Tank capacity 10`o ors Was tank calibrated? Yes No ,® (gallons) If calibarated attach the calibration strip chart indicating product level. amount added or removed and number of increments. When was the last bulk delivery made? (time, date, type of product) Type of product in tank at time of test , Aeg Level of water (if any) at time test Amount of product added at time of test 4 (gallons) Groundwater height relative to tank bottom (inches) Does test compensate for groundwater pressure on tank? -Y--ir- Vapor pockets found? Yes Where they eliminated? Yes- 1+& Where any modifications made to the tank/piping prior to, during, or after the test? Yes If yes explain what modifications: FOR THE PURPOSES OF THIS SECTION A NON-TIGHT SYSTEM SHALL BE DETERMINED BY A DEFINABLE LEAK RATE OF 0.05 GALLONS PER HOUR OR MORE. Was the test not completed or considered inconclusive? Y 4P If yes explain: According to the test results is the tank leaking? Yes No If the tank and or piping is considered leaking was the head of the local fire department notified? Yes No DATE NOTIFIED TIME NOTIFIED *I CERTIFIY THAT THE TEST WAS CONDUCTED ACCORDING TO THE PROTOCOL OF THE TEST METHOD USED. TESTING WAS DONE IN ACCORDANCE WITH ALL COMMONWEALTH OF MASSACHUSETTS RULES AND REGULAT S (testors signatur ) (print name) (certification (date) number) Attach calibration chart as well as all pertinent data to copies of the test charts clearly indicating the product level, temperature and time of reading at intervals of no less than every 15 minutes The completed test form as well as all other data shall be sunmitted to the head of the local fire department/district immediately upon completion of testing ' l GLOBAL TANK SERVICES, INC. DATA CHART FOR TANK SYSTEM TIGHTNESS TEST 4 Turgeon Lane•P.O.Box 678 (EZY CHEK) Somersworth,NH 03878 603-692-7917 1-800-262-0106 CLIENT NAME OF SUPPLIER, OWNER OR DEALER 14ERa1MAc11, (�Al1v Q/L COM AN V DATE OF TEST T"(`/ ADDRESS(NO.&STREET)—? Al,45SA,;L,r4tr WEATHER 4r 541 (la£ez6 TEMPERATURE OQ s CITY AND STATE A,) AmO,G E e_ &A, TANK INFORMATION CAPACITY(NOMINAL) 10,020 GALS. SIZE OF FILL OR TEST OPENING IN. CONTENTS(PRODUCT)�uE C oiG #of CAPACITY(CHART) la.',(a GALS. TOP OFF TIME 9,9 //A S GALLONS TANK MATERIAL STFF L DIMENSIONS: DIAMETER I26 NUMBER OF GALLONS ADDED TO START TEST 4 APPROX.AGE /5��- LENGTH 23'to" TANK NO. a# eT HAjrlro(nAD 6;iM 7,i,'i0`G PUMP SYSTEM(TYPE) INCHES OF WATER — BEFORE TEST_O AFTER TEST -0- TEST CALIBRATION TANK LAYOUT SIZE OF CAL.BAR OR ML'S ADDED O S — f.3 Z =,00234 (ALM) (FACTOR A) LINE MOVEMENT 1 5-1 to _ I a LINES 2 50 to 71 = A l LINES Tee,x 3 �(8 to 6 4 = R l LINES K 4 TOTAL 4 L( LINES_3= ;2 L 3 LINES (ALM) Y RmMK Rt��Fa� END OF TEST CALIBRATION 3 SIZE OF CAL.BAR OR MUS ADDED rAux (ALM) (FACTOR AI 'r.s Tfn T_ LINE MOVEMENT a 1 to = LINES NK v 2 to = LINES �b rnw t 3 to = LINES "°1 TOTAL LINES:3= LINES (ALM) MEASURED API SPECIFIC GRAVITY%AYui'"` q,,,3 PRODUCT TEMPERATURE 71/ API SPECIFIC GRAVITY @ 600 F 33 3 (FROM TABLE A) D k=c6 COEFFICIENT OF EXPANSION (FROM TABLE B) fl np 00©45605 x /C?{�� = Y,6.Z Pt (FACTOR B) C.O.E. TANK CAPACITY(GAL) VOL CHANGE&F ADDITIONAL NOTES OR COMMENTS 1RNKS #S*6 A+ze. 9nn~1�folCr� RAq e 1 TECHNICIAN(S) DATE DATA CHART FOR TANK SYSTEM TIGHTNESS TEST (EZY CHEK) P„JF # PRODUCT MONITORING ON LLR Product PRODUCT MONITORING IN S.P. Product '6=ao TEMPERATURE COMPENSATION NET VOL.CHANGE Time Reading +Gain +Gain +Gain +Gain +Expansron (M�ta7) No. Start End � Factor A -LOSSStan End _ X Factor A -Loss Siam End _ X Factor 8 -Contraction LLR S.P. LDSS 0 7 - t 0 7 TAUK *5 956 q4 C?(I Y. 8 i 706,02 t „ #(� ol-t a oo - 64 -ao 6 cf *�a Fen 53 4t; 7 3 .wk »5 oto- ylz - #6 S 001 9 1#5-64 - + O,6 q 3 63 56' 9 O(e TA6if4#S 93 9c2 7 -00 87 -03 3 6 1 i- 9, ty S�56 -oo . - - zr+NK #5 Ra 77 9^0 - q,6'J 991 C- t01o. - -o 4 -os E9 t0319 JJ! S Y7 3a -J O'ss Ao1< �s f3t oo y.d 9 ftl5 00,71,1 Le p y v "S P11 170.27 77 61 t l o t l4S6b + cea -Cl 77 fi t" ,U/tlO�r 7gNK SO O i �I. 0�7 7 # aot- 6 -009/ A. Tank Bot. to Grade Send Report to: Tank Top to Grade B. �/ -- D 8 Client ��;oR,�rA�K y C Go-pnry GRADE C. Tank Diameter 4 Address 3 Aess- -v tfS 4 4, D. Test Level above grade -7 City, State /V A/Ms-s o%kvs` B E. Depth of water in tank a " Phone(sv1)6 9 3- 3171 G F. Depth for taking sample I ok" " Attn: r?,/,/ F H G. depth Probe Temp. (connector) 4t " p p ( CERTIFICATION This is to certify that this tank system was rested A H. Test level to Tank Bat. 160 an date shown.Those indicated"Tight"meet the criteria established 1. Groundwater above tank bottom — " by the National Fire Protection Association Pamphlet an. o J. Product Pressure per 1" height,011 PSI Tank No. � 41, -;A � le-7 w,t� ¢ Tight Ye s WATER Test Pressure Formula ro4367Gr6. DEPTH Ep x�^y I _( - x .036 )= S!96a Technician a>?a�A�/ V� �>� H t NET TEST Date Tested d T Jy 1991 PRESSURE GLOBAL TANK SERVICES, INC. DATA CHART FOR TANK SYSTEM TIGHTNESS TEST 4 Turgeon Lane•P.O.Box 678 (EZY CHEK) Somersworth,NH 03878 603-692-7917 1-800-262-0106 CLIENT NAME OF SUPPLIER, OWNER OR DEALER RUPI MAc/`llAjjE v QIt � 'PA v DATE OF TEST ADDRESS(NO.&STREET) 3 MnrsAr.L�reTTs Rds. WEATHER Su . - L�4AT fis ZmE TEMPERATURE 20 S CITY AND STATE �IU AU�ad6Q � O/P�lS TANK INFORMATION r CAPACITY(NOMINAL) 20 odo GALS. SIZE OF FILL OR TEST OPENING l IN. CONTENTS(PRODUCT) QlF5F_L CAPACITY(CHART) 00, l 3 4 GALS. TOP OFF TIME R6 HRS. GALLONS TANK MATERIAL STeF L DIMENSIONS: DIAMETER (a(,.. NUMBER OF GALLONS ADDED TO START TEST © APPROX.AGE I s+� LENGTH 3( t TANK NO. f - aiAu 4;F IDA D To Tauk # S PUMP SYSTEM(TYPE) -.­Lr u INCHES OF WATER - BEFORE TEST o AFTER TEST o TEST CALIBRATION TANK LAYOUT SIZE OF CAL.BAR OR ML'S ADDED (ALM) (FACTOR A) LINE MOVEMENT SkE RAgz # 1 to = LINES 2 to = LINES 3 to = LINES TOTAL LINES 3= LINES (ALM! END OF TEST CALIBRATION SIZE OF CAL.BAR OR ML'S ADDED - (ALM) (FACTOR A) LINE MOVEMENT 1 to = LINES 2 to = LINES 3 to = LINES TOTAL LINES_3= LINES MEASURED API SPECIFIC GRAVITY %AA/,( '�E i3 9 PRODUCT TEMPERATURE 74" API SPECIFIC GRAVITY CAD 600 F 32.8 (FROM TABLE A) COEFFICIENT OF EXPANSION cooysg�4 (FROM TABLE B) oon43-Y2,il x d0/?t/ = 9lq' W6 (FACTOR B) C.O.E. TANK CAPACITY(GAL) VOL CHANGE.'F ADDITIONAL NOTES OR COMMENTS lPNK#G MANI€o1DEDvwlrN TANS S pi � TECHNICIAN(S) DATE DATA CHART FOR TANK SYSTEM TIGHTNESS TEST (EZY CHEK) PRODUCT MONITORING ON LLR Product PRODUCT MONITORING IN S.P. Product TEMPERATURE COMPENSATION NET VOL.CHANGE Time Reading +Gain +Gain +Gain +Gain +Gain +Expansion (Military) No. Start End -Low Factor A -� Start Eta _ X Factor A LOWLoss Start End -loss X Factor B +E'P atsion LLR S.P. Q I + 7 6-1 ` - Au 05 got 796' oob- 4• a 81 -0a77 #6 O!o + .t45 0000r 277 7 ta067 6 40 4` 1 1Oo 9 3 F`s 5 7 O 00 - 4,6z I o 0og .001- 9, -bG .eo4/,/ (`o3a 8 !Oa2`7 T,., 116* ? O 7R5 c>o ~' '',6Z / :G 3/ O ' 6 Oo + 4•/11s66 �00000 lit I 69 GS 4" oa 3 I-F Rs -7IFT 1,720 no' t..62?P1 0 3r rt t f # OQ Q to t ,/ 6 .Co004 t i1 1152 12 99 65 C 7-4 k s ,q 776 4 i"5 Q 0196-1 I "'4 o 4 00 t I 9./Y 6 009 t f I 0 6 -;t. �6 o000t 9/vs 0000 009 0 6 67 S y g Ati �s ,77 7 l' ssd A. Tank Bot. to Grade B. Tank Top to Grade Send Report to:. D tis Client Uet/sy o;c Co9�ANy GRADE C. Tank Diameter I Address 3 AfArs»c&v,,E7T �vL. D. Test Level above grade -to City, State 41a. ,�N ea�c e AM, o l"s e E. Depth of water in tank -fl` Phone(sor)683- 31 s l G F Depth for taking sample rc8 Attn: (3rft oEa,' F YS H G. Temp. Probe depth(connector) n CERTIFICATION This is to certify that this tank system was tested A H. Test level to Tank Bot. A"' on date shown.Those indicated"TgM"meet the criteria established 1. Groundwater above tank bottom — a by the National Fire Protection Association Pamphlet 329. o J. Product Pressure per 1" height ,n3/ PSI Tank No. "6 Tight WATER Test Pressure Formula Leakage Indicated r DEPTH E M/ x�-( x .Q36)= y 991 Technician � a�� ;l avoF_I IZ 7R. IVY 60IL " ' PRESSURE Date Tested a Tu I y r g l DATA CHART FOR TANK SYSTEM TIGHTNESS TEST (EZY CHEK) � qE 3 PRODUCT MONITORING ON LR Product PRODUCT MONITORING IN S.P. Product TEMPERATURE COMPENSATION NET VOL.CHANGE Time Reading +Gain +Gain +Gain +Gain +Gain +Expanson (Military) No. Start End -Lam FawA _L. Start End -LOSS X PazmrA -LOSS Start Erb _ X Factor B -Contraction LLR S.P. ILI 46 08 002000, Q 1T00000 +_a -010,16 C.T q,2 q 15 -7 I 67 4- TANk"9 -7"1 00 - 19-A192f 1 00925' 15 "6 -008 00& 000# 9/vs66 0 00 g oo9a O t03 ! t7 7S 00d3 RN r ar 7 7 0 4. D (, *6 008 0-7 00t IC?,IqS64 vo t (�a,3 i o23 ,00709 TANK 15 76q ooa; w.624 i � ©92- 1 00 — t062 0 3 t f /1 aq I 7 7 3 - 00-7 TA K*s 16' 001 62 1 - 0c #6 Oo-7 voo` r4S e +0000 0 3 Z 7 C10 6 6 - i ANiC# 74 7 6 5 00 1(.6.2'R .-0(09 19 oo-7 G oot19, t 1100omn 00 - t03 . ( { ;!O 7 G 75 f .O 34 p k"s Gor r162F& o - # 00 Ooi� 9 lq5,46- O' O 3 6 0//C/ .�Y9 A. Tank Bot.to Grade AA iE. B. Tank Top to Grade " Send Report to: Olt CoH A D " Client MPRi2tr+ncK Un(tEy � • Y GRADE C. Tank Diameter Address 3 MAzz A'£ D. Test Level above grade " City, State Pr(A. o'g t5 I3 E. Depth of water in tank n Phone(soa)G 2 5-s I s I F. Depth for taking sample Attn: i?,tl 013pJEij F H G. Temp. Probe depth(connector) " CERTIFICATION This is to certify that this tank system was tested 7,4� A H. Test level to Tank Bot. an date shown.Those indicated'Tight"meet the criteria established �J �/ �,,/ / I. Groundwater above tank bottom " by the National Fire Protecuon Association Pamphlet n9. N��yn�JNfE(�1A�E ?C 4'96761 G J. Product Pressure per #" height PSI Tank No. %n✓E' Tight YE s WATER Test Pressure Formula Leakage Indicated tOYU7 GAG, DEPTH E x _( x A36 )= Technician 2 4AP D T 13NuNE l/I< TR. h1.t(--©ore " ' ' NET TEST PRESSURE '�Date Tested y Tel +q q I ✓Q' �i _.lf� �l fir• 'L'�c�1. �1 � ' � � . ., ! 1 `I r' T �I I-4 x rjN v , J f. f y l,:r fi _} cli 199 Ob GLOBAL TANK SERVICES, INC. 4 TURGEON LANE PO BOX 678 SOMERSWORTH, NH 03878 1-603-692-7917 ATTACHMENT "B" Please Print: TEST METHOD Date: F2 Tank Owner .Tank Location[�� go/�,� fvW Tank Identification Number (on Dept. of Public Safety form F>P> 290 part 3 posted—at storage facility) NOTE: iF F.P. 290 was not on file for this facility, notify local fire dept. /district) Reason for Test? 4 : X Tank Usage 0 Fill pipe diameter Tank age � �° Construction (inc es ((years) Tank capacity aQ000 Was tank calibrated? Yes—No A/ (gallons) If calibarated attach the calibration strip chart indicating product level. amount added or removed and number of increments. When was the last bulk delivery made? (time, date, type of product Type of product in tank at time of test Level of water (if any) at time test Amount of product added at time of test (gallon Groundwater height relative to tank bottom f3 inc es Does test compensate for groundwater pressure on tank? Vapor pockets found? Yes - Where they eliminated? —N-o- Where any modifications made to the tank/piping prior to, during, or after the test? Yes CD>If yes explain what modifications: FOR THE PURPOSES OF THIS SECTION A NON-TIGHT SYSTEM SHALL BE DETERMINED BY A DEFINABLE LEAK RATE OF 0. 05 GALLONS PER HOUR OR MORE. Was the test not completed or considered inconclusive? Y If yes explain: According to the test results is the tank leaking? Yes No If the tank and or piping is considered leaking was the head of the local fire department notified? Yes No DATE NOTIFIED TIME NOTIFIED *I CERTIFIY THAT THE TEST WAS CONDUCTED ACCORDING TO THE PROTOCOL OF THE TEST METHOD USED. TESTING WAS DONE IN ACCORDANCE WITH ALL COMMONWEALTH OF MASSACHUSETTS RULES AND REGULA I �/I (testor signat re) (print name) (certification (date) number) Attach calibration chart as well as all pertinent data to copies of the test charts clearly indicating the product level, temperature and time of reading at intervals of no less than every 15 minutes The completed test form as well as all other data shall be sunmitted to the head of the local fire department/district immediately upon completion of testing GLOBAL TANK SERVICES, INC. DATA CHART FOR TANK SYSTEM TIGHTNESS TEST 4 Turgeon Lane•P.O.Box 678 (EZ`f CHEK) Somersworth,NH 03878 603-692-7917 1-800-262-0106 CLIENT NAME OF SUPPLIER. OWNER OR DEALER %iERRA�dgt� 1&V G/C C ��_Sf c DATE OF TEST -2 JAL /99� ADDRESS(NO.&STREET) WEATHER TEMPERATURE CITY AND STATE t64 p>d Ate. rangy I1'IR. t?/PS S TANK INFORMATION !f'r IN. CONTENTS(PRODUCT) CAPACITY(NOMINAL) 10. 00,2 GALS. SIZE OF FILL OR TEST OPENING F�aL aiL a CAPACITY(CHART) '2a1,?`/ GALS. TOP OFF TIME / k GALLONS TANK MATERIAL STAF_L DIMENSIONS: DIAMETER 1,2A "' NUMBER OF GALLONS ADDED TO START TEST S APPROX.AGE Is./ LENGTH 3t'tr" TANK NO. a°4- PUMP SYSTEM(TYPE) 5—rka.0 INCHES OF WATER - BEFORE TEST 0 AFTER TEST o TEST CALIBRATION TANK LAYOUT SIZE OF CAL.BAR OR MUS ADDED 0 S — 3a 00 =,001 1�;`A (ALM) (FACTOR A) LINE MOVEMENT 1 TIP to 91 = 33 LINES 2 14() to 92 LINES 3 S-9 to Q 0 = 3 I LINES TOTAL 6 LINES_3= 37.00 LINES P(� foR/ti (ALlh) END OF TEST CALIBRATION SIZE OF CAL.BAR OR MUS ADDED n - 5.33 ooi 47 #3 (ALM) (FACTOR A) LINE MOVEMENT 1 70 to 4'7 = 2-I LINES 2 -7 to 1 -7 = a 5 LINES TnN C 3 -7 to q-7 = aLf LINES G 7n#1 TOTAL -7A LINES_3= a5.33 LINES (ALM) MEASURED API SPECIFIC GRAVITY 32 3 PRODUCT TEMPERATURE 1 0 API SPECIFIC GRAVITY a 60-F �?12,t/ (FROM TABLE A) COEFFICIENT OF EXPANSION r onft G�+ (FROM TABLE B) O,cre L �o nP j0-2'fsa7g x ZO 13 -7 (FACTOR B) C.O.E. TANK CAPACITY(GAL) VOL CHANGtt'F ADDITIONAL NOTES OR COMMENTS tTf Sly TECHNICIAN(S) DATE DATA CHART FOR TANK SYSTEM TIGHTNESS TEST (EZY CHEK) gs Time Reading PRODUCT MONITORING ON LLR Product PRODUCT MONITORING IN S.P. PMtuct TEMPERATURE COMPENSATION NET VOL.CHANGE Gain Gain Gain (Mkw) No. Start End +Ga Factor A ± Start End ± X Fatxar A ± Start End ±a X Factor B +Expansion LLA S.P. Contraction 44 17 6 1,758 1.-7y 9 1,0017- 91r87 906'- 44 o - " orQ4 - Qa - 7 44- + 6 IL106 3 4P 61 7- " 0 - 00 - N71- + Y -7 1 .6 " a3ta 73 73 0 - " 036117-1+o333 8 S - a O " o-34q 7" O 6 4 67 G - 1,00t3 777 71 - 73 00887 14130 7 g 3 b 2, - " 7 .oo. 1 " 1,0 t 8 1,3 1+ Q S7 -z P, 67 L00790- L 7.2 1 1,_7 a 00 009 J 1- +00czl i 7 " oo - "7 2 -7 a +oto tuu8 71 o0 36� 710 1.71 q Qo l- 000 S4 It it - 1 00 " 4.1 73 1,;?a t1- ITooa87 Qo;.87 (s t 4 - " - -71S 1 00 1" }o0a fQCt�7� 15 1 67 40 -7 _J � " 000 f 006 '00050 'S I. �? - '" l -7/4 .00 i .Oo9lJ- f(X? 87 37 stg / 70 C 7 Q Ot OODOOt ,00t2L ,00327 1 0tiz,4 1,00-780-10 9.1197 t - +eai31 1 6 g - { , " 00 1` r -ooi d [I 536 A 70 6S 6- ', e o y L( Dort oa000f 00 0 00 a t5 6' 4- 'r a '4- 1qf oo_t .000 ' 70062 i5�1 13 7 A. Tank Bot. to Grade -" D B. Tank Top to Grade -,y r Send Report to: . Ua// o GpM AN Client GRADE C. Tank Diameter -� --" Address Derr^°Ld:EtTs D. Test Level above grade 'a City, State &,,,. - o JE E. Depth of water in tank 4 Phone(s-o�)6?y-?'3i F. Depth for taking sample 137 Attn: FH G. Temp. Probe depth (connector) �_" GEFTIFtCATICNJ This is to certify that this tank system was tested TF's NK x jy S rE M T 9 T A H. Test level to Tank Bot. J 7 B n on date shown.Those indicated'Tight"meet the criteria established �/ / f7 J !. Groundwater above tank bottom a by the National Fire P otect on Association Pamphlet 329. zl,l�L.c1 �s y J. Product Pressure per 1" height ,03J PSI Tank No. Tight �ti s WATERTest Pressure Formula -otSSy Gplr. Leakage In:�icated DEPTH 17� x"03/ -( - x .d36 }= 5. Sig Technician � �✓ 0��1� f�. tUf/oof� " ' ' PRESSURE Date Tested ,7 T-�y l y 9! r OU _J" 90 7Q -6 r� c�0 40 Ai i Go I _ Ar `` �a5. � s i _ Q, oz �& 06 r GLOBAL TANK SERVICES, INC. 4 TURGEON LANE PO BOX 678 SOMERSWORTH, NH 03878 1-603-692-7917 ATTACHMENT "B" Please Print: TEST METHOD � ��? - � Date: ;0/V 1991 Tank Owner/1��p Tank Location�� _ g � vfQdd'<z Tank Identification Number (on Dept. of Public Safety form F>P> 290 part 3 posted a storage facility) NOTE: iF F.P. 290 was not on file for this facility, notify local fire dept. /district) Reason for Test? _,�,�4 Tank Usage Fill pipe diameter 4 Tank age fS-tl Construction SI- .F- L (inc es) Tyears) Tank capacity 000 Was tank calibrated? Yes No (gallons) If calibarated attach the calibration strip chart indicating product level. amount added or removed and number of increments. When was the last bulk delivery made? (time, date, type of product) Type of product in tank at time of test Level of water (if any) at time test ` Amount of product added at time of test h (gallons) Groundwater height relative to tank bottom (inches) Does test compensate for groundwater pressure on tank? -Y--N Vapor pockets found? Yeses where they eliminated? - --No- Where any modifications made to the tank/piping prior to, during, or after the test? Yes C.Eof yes explain what modifications: FOR THE PURPOSES OF THIS SECTION A NON—TIGHT SYSTEM SHALL BE DETERMINED BY A DEFINABLE LEAK RATE OF 0. 05 GALLONS PER HOUR OR MORE. Was the test not completed or considered inconclusive? Y if yes explain: According to the test results in the tank leaking? Yes No If the tank and or piping is considered leaking was the head of the local fire department notified? Yes — No DATE NOTIFIED —� TIME NOTIFIED *I CERTIFIY THAT THE TEST WAS CONDUCTED ACCORDING TO THE PROTOCOL OF THE TEST METHOD USED. TESTING WAS DONE IN ACCORDANCE WITH ALL COMMONWEALTH OF MASSACHUSETTS RULES AND REGULA O �o E (testors signat re) (print name) (certification (date) number) Attach calibration chart as well as all pertinent data to copies of the test charts clearly indicating the product level, temperature and time of reading at intervals of no less than every 15 minutes The completed test form as well as all other data shall be sunmitted to the head of the local fire department/district immediately upon completion of testing GLOBAL TANK SERVICES, INC. DATA CHART FOR TANK SYSTEM TIGHTNESS TEST 4 Turgeon Lane•P.O.Box 678 (EZY CNEiC) Somersworth,NH 03878 603-692-7917 1-800-262-0106 CLIENT NAME OF SUPPLIER, OWNER OR DEALER PUP/Pfa I/a �y t)fL DATE OF TEST ADDRESS(NO.&STREET) Ae'E, WEATHER J1zuf) - — /?yicez TEMPERATURE AiD ?Os- CITY AND STATE TANK INFORMATION CAPACITY(NOMINAL) ZDT�oO GALS. SIZE OF FILL OR TEST OPENING 4 IN. CONTENTS(PRODUCT) Fvz/OiG f`- CAPACITY(CHART) 1 aV GALS. TOP OFF TIME 120 ffo�R s GALLONS TANK MATERIAL 57cE L DIMENSIONS: DIAMETER 1,26" NUMBER OF GALLONS ADDED TO START TEST .5- APPROX.AGE LENGTH 'it,& TANK NO. 'F 3 PUMP SYSTEM(TYPE) 2-5— INCHES OF WATER — BEFORE TEST AFTER TEST — TEST CALIBRATION TANK LAYOUT SIZE OF CAL.BAR OR MUS ADDED — ?O.00 =,00166 (ALM) (FACTOR A) LINE MOVEMENT 1 S 7 to 81/1 _ 29 LINES 2 56 to 67 = 3! LINES 3 s/ to p4 = 30 LINES 1WN�' TOTAL o 0 LINES_3= -',O-0) LINES L. D, q END OF TEST CALIBRATION aoK 7pN"—I F/"TF RM 2GK SIZE OF CAL.BAR OR ML'S ADDED C — 3t G6 s (ALM) (FACTOR A) LINE MOVEMENT 1 —1 to �/ = 3� LINES '""'K5. Tn¢K �eKI 2 3° to 7( = T LINES 3 Z9 to 70 = 3( LINES TOTAL q 5 LINES:3= 31,614 LINES (ALM) MEASURED API SPECIFIC GRAVITY 72 3 Q PRODUCT TEMPERATURE -7 7 API SPECIFIC GRAVITY @ 600 F z/ q (FROM TABLE A) on SEL COEFFICIENT OF EXPANSION O o4'cn9y (FROM TABLE B) P"p �i00Y50?� x 902 _(FACTORB) C.O.E. TAN CAPACITY(GAL) VOL CHANUEt'F ADDITIONAL NOTES OR COMMENTS Of/(4ac T/f/'K l.=Rs �E£NGvE.PJ��Ef� Tc.Q t3::EP� ��fI�S, TECHNICIAN(S) DATE DATA CHART FOR TANK SYSTEM TIGHTNESS TEST (EZY CHEK) o PRODUCT MONITORING ON LLR Product PRODUCT MONITORING IN S.P. Product TEMPERATURE COMPENSATION NET VOL CHANGE Time Reading PRODUCT +Gain +Gain +Gain +Gan +Expansan (Military) No. Start End -Low Factor A -LOSS Start End -Lou X Factor A _� Start Erb _ X Factor B -ContractionLLR S.P. o t S 00' v33 b?a OG ©o / 90 - room rz 0-71 S Y7 2- OJ?3 - 06% p67 000 oo Y Oo '} �a Y S �- e33z- C-,6 1 " ov90 'oc7 O S `/3 �� 0033Z� QG •4- i- -0,` ate- O"-7 Y3 42 l� 166 d-r 041.1 oo; 9 02,01 ro' vz Qn� 0"2 - 1/0 r G s 3;z O G Oo;- " r;o,<O - *Z,05-7 b -74R -0 Y c/ i " ,.6� 0'3 ©'- rO�r UG ec�eT 00 - - - + i i `/Q r ;-r 0033�L- ",f 1 01)0+ 0901 ococo QO IGOY J_0/97 Y S ' zq&3 l- 55 vs oz3 054 058 _ c7t-?Y3 42 l o? ss ©bit C74 r i 7 a y O' o n �Y onccr { �p - 0 -008-7 9 . yp - �'EL ?3 � � v� f» - CG - - d 7 /a a 3 I T 0 + - A. Tank Bot. to Grade i"� O D B. Tank Top to Grade s n Send Report to: C. Tank Diameter Client GRADE Address 3 P/Fs:�ytlb.r.�Tr� l'c't. D. Test Level above grade - `t Add State t�,� 9 ��R s E. Depth of water in tank �—" Phone(sue?} 3.a? G F. Depth for taking sample Attn: F H G. Temp. Probe depth (connector) " CERTIFICATION This 6 to cenify that this Bank system was tested A H. Test level to Tank Bat. ?s on date shavn.Those indicated'Tight"meet the aheria established t. Groundwater above tank bottom — " by the National Fire Protection Association Pamphlet 329- fS - c J. Product Pressure per 1" height,031 PSI Tank No.-�- f Tight � :i Gid, WATER Test Pressure Formulas �- �/,�S Leakage Indicated , DEPTH E 17s x�-( - x 036}= Technician rP-l;,,ol T J.>��E�� ✓ s�'h H t NET TEST Date Tested 3 T r' !r9/ PRESSURE y 7D 60 J , oft I � - V OG Ifi4 fi q -r III i1i11 I Ei II II 08 fLl J ,I Ir I i` I� i Or S r r � r I. r I 77 J ` GLOBAL TANK SERVICES, INC. 4 TURGEON LANE PO BOX 678 SOMERSWORTH, NH 03878 1-603-692-7917 ATTACHMENT "B" Please Print: TEST METHOD Date: Tank Owner Tank Location/,rfj-s-,, o Tank Identification Number (on Dept. of Public Safety form F>P> 290 part 3 posted a storage facility) NOTE: iF F.P. 290 was not on file for this facility, notify local fire dept. /district) Reason for Test? 5-7�Zk- eix- Tank Usage � �- � ✓. mil' ° � Fill pipe diameter 4 Tank age Construction (inc es years) Tank capacity 2o,vo o Was tank calibrated? Yes No ga ons) If calibarated attach the calibration strip chart indicating product level. amount added or removed and number of increments. When was the last bulk delivery made? (time, date, type of product) Type of product in tank at time of test Level of water (if any) at time test Amountof product added at time of test (gallons) Groundwater height relative to tank bottom .nc es Does test compensate for groundwater pressure on tank? --i�� Vapor pockets found? Yes T where they eliminated? Y-es-- Where any modifications made to the tank/piping prior to, during, or after the test? Yes ( If yes explain what modifications: FOR THE PURPOSES OF THIS SECTION A NON--TIGHT SYSTEM SHALL BE DETERMINED BY A DEFINABLE LEAK RATE OF 0. 05 GALLONS PER HOUR OR MORE. Was the test not completed or considered inconclusive? Y If yes explain: According to the test results in the tank leaking? Yes If the tank and or piping is considered leaking was the head of the local fire department notified? Yes No DATE NOTIFIED - � TIME NOTIFIED v *I CERTIFIY THAT THE TEST WAS CONDUCTED ACCORDING TO THE PROTOCOL OF THE TEST METHOD USED. TESTING WAS DONE IN ACCORDANCE WITH ALL COMMONWEALTH OF MASSACHUSETTS RULES AND REGUA T S f S zo (testors signature) (print name) (certification (date) number) Attach calibration chart as well as all pertinent data to copies of the test charts clearly indicating the product level, temperature and time of reading at intervals of no less than every 15 minutes The completed test form as well as all other data shall be sunmitted to the head of the local fire department/district immediately upon completion of testing GLOBAL TANK SERVICES, INC. DATA CHART FOR TANK SYSTEM TIGHTNESS TEST 4 Turgeon Lane•P.O.Box 678 (EZY CHEK) Somersworth,NH 03878 603-692-7917 1-800-262-0106 CLIENT NAME OF SUPPLIER, OWNER OR DEALER X%Z,',P7-df/� Ua/f v iJrL � A��V DATE OF TEST 3 T-I�z IF!/ ADDRESS(NO.&STREET) ? ass-n l,r tTc fTvE WEATHER 6,FX r 1jlR6BzE TEMPERATURE /✓// ?o r CITY AND STATE /v R &„Ea l R a/kYS TANK INFORMATION -f CAPACITY(NOMINAL) 20000 GALS. SIZE OF FILL OR TEST OPENING dl0 'a//© D,r 2 22/Z IN. CONTENTS(PRODUCT) FL a.-L $2 CAPACITY(CHART) aU 34 GALS. TOP OFF TIME r' E/'r!!/eO /=aA ? ",'All,s GALLONS TANK MATERIAL S/�f DIMENSIONS: DIAMETER 12A" NUMBER OF GALLONS ADDED TO START TEST 4 APPROX.AGE LENGTH 7t'/" TANK NO. #2 PUMP SYSTEM('TYPE) s To INCHES OF WATER - BEFORE TEST -0- AFTER TEST TEST CALIBRATION TANK LAYOUT SIZE OF CAL.BAR OR MCS ADDED 05 =.60/7a (ALM) (FACTOR A) LINE MOVEMENT 1 7 to 9; _ .9 LINES 2 to ;2? LINES 3 �z to I/ _ -9 LINES TOTAL & 7 LINES_3= o29.Go LINES (ALM) END OF TEST CALIBRATION rAt a ¢aa,1 Ilorc u q SIZE OF CAL.BAR OR ML'S ADDED 'T — Oo/6'3 PlatFnk n (ALM) (FACTOR A) LINE MOVEMENT i TRtvi<63 1 S t to S = �`� LINES 2 53 to g3 ?o LINES "Nk a' f��� -- ` 07o i< TR _�-J 3 SY to �? = a? LINES 7_/vw a TOTAL ci;L LINES_3= 30.66, LINES (ALM) MEASURED API SPECIFIC GRAVITY 'y 8 ao K PRODUCT TEMPERATURE 76- F M API SPECIFIC GRAVITY®60°F -7 (FROM TABLE A?7 ) COEFFICIENT OF EXPANSION a /S'St> (FROM TABLE B) 030 4 s75v x �fl r?� = oa/31 (FACTOR B) G.O.E. TANK CAPACITY(GAL) VOLCHANGE!°F ADDITIONAL NOTES OR COMMENTS t4xy /t:c.lv,�d-1/�itl.✓E/f T Ir✓�-OG/� .3��/v/9�t TECHNICIAN(S) DATE DATA CHART FOR TANK SYSTEM TIGHTNESS TEST (EZY CHEK) �. -7/© Time Reading PRODUCT MONRORING ON LLR Product PRODUCT MONITORING IN S.P. Product TEMPERATURE COMPENSATION NET VOL CHANGE +Gain +Gain +Gain +Gains (Military) No. Start End -L Fatxa A _LOSS Start End -Loss X Facmr A _Lo, Start End + X Factor 8 -Conn LLA S.P. a7 t 8! 00t7 s" 6- a ktosa- I I I 1 a76 2G4 1 1 1 f t 53 1f7 a S Y S2 I 1 1,o g a_ + 09,15 4 I SC1 /S IS "8E 1, 2,4- 9, ,- V7 tO 1 5 _ 09 - 'O _2,Iq oo 60 F2 � t0 o?57 6 qR Got 00639, � ,c - „2 /g3 _- } i t s ec-� 7 43 .to- E r?,- o t [_oolll i5 oir 4t 5- ,214 v Io D� 4 tL`9 /6 S " 1,10 - O 3 - DD + 9 t GGF 7 l So 45 13 a t c. t fac9 2 cr 6 06ri ?O< �7 - tlq ,on. -z 3 3`! 1.oor` 9 21 '' C>"' t7 St 115 - _2311 27 Go. 1 fO2.,"s S1,51 S2 46 6 " '01032 1 0 " c/ ya� �/ tG SS7 A. Tank Sot.to Grade /77 " Send Report to: D S. Tank Top to Grade Ltz " Client �fc-2.,����'11j�/y GEC C GRADE C. Tank Diameter Imp Address 3 nArsn=ti.r�J�s 1911E D. Test Level above grade -, City, State /Uo ��i✓, �P ors�� Gfi E. Depth of water in tank �- Phone(Se?)683-3t31 F. Depth for taking sample /rc Attn: F H G. Temp. Probe depth(connector) v7 " CERTIFICATION This s to ce tiry that this tank system was tested I6�. /. �Pf�6 is f p� A H. Test level to Tank Sot. ie i do date shown.Those indicated"Tight"meet the a terra established !. Groundwater above tank bottom — by the Natw"al Fie Pmteawn Association Pamphlet 329. J. Product Pressure per t" height . oa/ PSI Tank No. "a Tight Y�S DEPTH WATER Test Pressure Formula Leakage Indicated t°° 7`/,�61d, rsr x °'�-( — x .l?36)_ /' 99/ Technician H J 1 NET TEST PRESSURE Date Tested 3 /,;i'l -90 70 � CYC Y ! V F t. ?Q- ��rlr � ��' r ,� ri+�rllrlr � 1 - *_ ��/, � `f� �� r � •�f ��-� t x �ff rrrf � r ( I 1��� I r I �� I i �;: ' ,f fr �� •'•'`x� � � "[C .�- �' I M r�'I rf i i r, r•!+� .1 r ' r �a... r�)f ,. r �`F' ~O�Y• � t. rx vv--. re:rrin ..„... � �-�' 1 w.,,� ',.��� '� €�� �. .. ..__ _._ .- _ __ �+:li it III ji i'i �i� lii` t +.i 7 1 a v. � k C��f� ✓a�+�rAy� }` ;l till `!i.l . li +i,1 i f I f� .I�..L.. - =� j,�l r, f ,. t-li--{.III I.1. I p I I. i -�. ,� i'. j t- � j "o� 16A i I. ��s� _Ir I' co f pI II i' 4 r- + RR 55140 t L 11 �M 1 09. ll. I GLOBAL TANK SERVICES, INC. 4 TURGEON LANE PO BOX 678 SOMERSWORTH, NH 03878 1-603-692-7917 ATTACHMENT "B" Please Print: TEST METHOD A/&za _E,�,(,�'.`CAKA` L Date: Tank Owner y _Tank Location Tank Identification Number (on Dept. of Public Safety orm F>P> 290 part 3 posted at storage facility) NOTE: 1F F.P. 290 was not on file for this facility, notify local fire dept. /district) Reason for Test? Tank Usage r� e Fill pipe diameter Tank age � � Construction , (inc es (years) Tank capacity ZQ 000 Was tank calibrated? Yes No� (gallons) If calibarated attach the calibration strip chart indicating product level. amount added or removed and number of increments. When was the last bulk delivery made? i ,for y 17 qj F" 4 o, , (time, date, type of product) Type of product in tank at time of test ,a Level of water (if any) at time test Amount of product added at time of test (gallons) Groundwater height relative to tank bottom (inches) Does test compensate for groundwater pressure on tank? Vapor pockets found? Yes A? Where they eliminated? Yew-- Where any modifications made to the tank/piping prior to, during, or after the test? Yes o If yes explain what modifications: FOR THE PURPOSES OF THIS SECTION A NON-TIGHT SYSTEM SHALL BE DETERMINED BY A DEFINABLE LEAK RATE OF 0. 05 GALLONS PER HOUR OR MORE. Was the test not completed or considered inconclusive? YLN If yes explain: According to the test results in the tank leaking? Yes No If the tank and or piping is considered leaking was the head of the local fire department notified? Yes No � DATE NOTIFIED TIME NOTIFIED *I CERTIFIY THAT THE TEST WAS CONDUCTED ACCORDING TO THE PROTOCOL OF THE TEST METHOD USED. TESTING WAS DONE IN ACCORDANCE WITH ALL COMMONWEALTH OF MASSACHUSETTS RULES AND REGILA (testors signature) (print name) (certification (date) number) Attach calibration chart as well as all pertinent data to copies of the test charts clearly indicating the product level, temperature and time of reading at intervals of no less than every 15 minutes The completed test form as well as all other data shall be sunmitted to the head of the local fire department/district immediately upon completion of testing GLOBAL TANK SERVICES, INC. DATA CHART FOR TANK SYSTEM TIGHTNESS TEST 4 Turgeon Lane•P.O.Box 678 (EZY CHEK) Somersworth,NH 03878 _ 603-692-7917 1-800-262-0106 CLIENT NAME OF SUPPLIER, _ OWNER OR DEALER yIERAtssRcft UA/f v ©tG Gc�-sT n�� DATE OF TEST 1 1 1 t t ADDRESS(NO.&STREET) 7lf,'Arrsd rcT>s A,14 WEATHER_e-1 czr U/r11 TEMPERATURE RioQ 7oJ CITY AND STATE "Ig Al. ©a✓S TANK INFORMATION CAPACITY(NOMINAL) 20,000 GALS. SIZE OF FILL OR TEST OPENING Ago ScltD Dao-RTU As IN. CONTENTS(PRODUCT) FVrL o;t f2 CAPACITY(CHART) '2_0 (?4 GALS. TOP OFF TIME ? fls ys GALLONS TANK MATERIAL STET L DIMENSIONS: DIAMETER 126" NUMBER OF GALLONS ADDED TO START TEST S APPROX.AGE_. _t5 LENGTH 3r'i" TANK NO. PUMP SYSTEM(TYPE) SU,Tio a INCHES OF WATER — BEFORE TEST 7 AFTER TEST 3 " =(25 attaNs TEST CALIBRATION TANK LAYOUT SIZE OF CAL.BAR OR ML'S ADDED =,n2663 (ALM) (FACTOR A) LINE MOVEMENT 1 42 to 43 = 3f LINES 2 61 to 4R = 31 LINES 3 L a to 4 2 = 30 LINES TOTAL 92, LINES_3= 20 66 LINES (ALM) YRnK a d END OF TEST CALIBRATION SIZE OF CAL.BAR OR MCS ADDED OS — = CUao,ry i (ALM) (FACTOR A) ThuK a3 FIAT I-oRM LINE MOVEMENT 1 to = LINES Tn"FK iy K 2 to = LINES 3 to = LINES r^ TOTAL LINES_3= LINES ( ) 20 20 Tttrlk#t I MEASURED API SPECIFIC GRAVITY �'-t.9 PRODUCT TEMPERATURE API SPECIFIC GRAVITY a 600 F 3.8 (FROM TABLE A) COEFFICIENT OF EXPANSION nnnva-7£?6 ru~P(FROM TABLE B) 0005157R6 x tb361 (FACTOR B) C.O.E. TANK CAPACITY(GAL) VOL CH Et'F ADDITIONAL NOTES OR COMMENTS Tf/rU�yAs h�.c6✓avbP,�f�!l FAR �Tdn yS. 3 TD/v /R / TECHNICIAN(S) DATE DATA CHART FOR TANK SYSTEM TIGHTNESS TEST (EZY CHEIC) 0 /CIO PRODUCT MONITORING ON LLR Product PRODUCT MONITORING IN S.P. ProductTEMPERATURE COMPENSATION NET VOL.CHANGE Time Reading +Gain +Gain +Gain +Gain +Gain +Expansion (Military) No. Start End -Lou Factor A -LOSS Start End -I= X Factor A -Loss Start End -LOW X Factor B -Contraction LLR I S.P. t S8 p 00 I6 b I 274 - + - Ir 003 isRo - 3 - r0101'7 4 .006 QO o 1,2 " p04 0 O S b- " ,Oo 88 7 O Ole - too8 a 4- re 0 - 987 0 - S$ 5 -A` oo. - 9.16 61 - - -,lot 1 O - „ Oohs - �" i" " ?1 - f 9 pq.2. 1,001- 00416- to _yfl a - IJ378 afl -- {Otcl? 41 I S - o' - cc'- 19t6 U1 6- fi too lc 1 - r - iR77 1.879 e,.,- 3. .` ,Ito rtl / 5-9 S? i-- - P74 ry*A 009/ic footrlf f 1 fl - q- o of00000t .O *o s/a B 1 Ai" - z 8,3 Oot- + + 3 53 j4 q I 4- 006,i - d7P73 000+ 63i� -0 T 3 53 4 - 7 g r- -6- + o .t 1/6 + d— 'r 1 oar .O 40 © 5 i4'7 t106 8 7Q - " r-0 9 m { t ? A. Tank Bat.to Grade 93-" Send Report to: D B. Tank Top to Grade �7 " Cliente�a,�,Rr�t/Al/y ors G��Pn�y GRADE CC- Diameter /:26 " Address a 141nsr��G�sq�Tr AJ� D. Test Level above grade -!� City, State 0447> 4-40-%44, W,,9. 0i,Py5' E E. Depth of water in tank 3+ Phone(sue)683-3/3! GF Depth for taking sample rya Attn: ;�1„� FH G. Temp. Probe depth(connector) s " o o " CERTIFICATION This is to certify that this tank system was tested rUbTt�aL.G`A�"j�iS 'f"00 3/?6pI H. Test level to Tank Bot. 1?1 date shown.Those indicated"Tight"meet the criteria established �1. Groundwater above tank bottom - by the National Fire Protection Association Pamphlet 329. TA,��x,fyStE,-1 TpE r J. Product Pressure per 1" height�?�PSI Tank No. �`1 WATERTest Pressure Formula Tight e Inf 4031 Q 4. DEPTH 036 = S ?Q/ Leakage indicated F r7I x,63f -( - x ' ) Technician Ln4�T h>ur, /!E Te, " ' ' NET TEST PRESSURE Date Tested 3 J,/y 01? , ,t Q° OD Ch 1 t' �r�; � r l i I � � (7 >• �, � VVV 1V V l r'• � t r�1�'� k 1 1 � \ � t � � � O � I a? on pti 1 a _ / - � `� � 1A ✓l � tY/ 7 06 09 r t ,