Sample Manual Tank Gauging Record Month: Year Tank Identification: Person Completing Form: Facility Name: Monthly Standard Tank Size Minimum Duration Of Test Weekly Standard (1 test) (4-test average) Up to 550 gallons 36 hours 10 gallons 5 gallons 551-1,000 gallons 44 9 gallons 4 gallons (when tank diameter is 64”) 551-1,000 gallons 58 hours 12 gallons 6 gallons (when tank diameter is 46”) 551-1,000 gallons 36 hours 13 gallons 7 gallons (also requires periodic tank tightness testing) 1,001-2,000 gallons 36 hours 26 gallons 13 gallons (also requires periodic tank tightness testing) Initial Change In Tank Second Gallons End Gallons Tank First Initial Average End Second End Average Passes Test (month, Initial (convert End Test (month, (convert Volume In Stick Initial Stick Stick End Test day, and time) Stick inches to day, and time) inches to Gallons Reading Reading Reading Reading Reading (circle Reading gallons gallons [b]) + or (-) Yor N) [a]) [a b] – Date: Date: Y N Time: Time: AM/PM AM/PM Date: Date: Y N Time: Time: AM/PM AM/PM Date: Date: Y N Time: Time: AM/PM AM/PM Date: Date: Y N Time: Time: AM/PM AM/PM To see how close you are to the monthly standard, divide the sum of the 4 weekly Y N readings by 4 and enter result here Keep this record for at one year.
Sample Manual Tank Gauging Record Month: Year Tank Identification: Person Completing Form: Facility Name: Tank Size Minimum Duration Of Test Weekly Standard (1 test) Monthly Standard (4-test average) Up to 550 gallons 36 hours 10 gallons 5 gallons 551-1,000 gallons (when tank diameter is 64”) 44 9 gallons 4 gallons 551-1,000 gallons (when tank diameter is 46”) 58 hours 12 gallons 6 gallons 551-1,000 gallons (also requires periodic tank tightness testing) 36 hours 13 gallons 7 gallons 1,001-2,000 gallons (also requires periodic tank tightness testing) 36 hours 26 gallons 13 gallons Test (month, day, and time) First Initial Stick Reading Second Initial Stick Reading Average Initial Reading Initial Gallons (convert inches to gallons [a]) End Test (month, day, and time) End Stick Reading Second End Stick Reading Average End Reading End Gallons (convert inches to gallons [b]) Change In Tank Volume In Gallons + or (-) [a – b] Tank Passes Test (circle Yor N) Date: Time: AM/PM Date: Time: AM/PM Y N Date: Time: AM/PM Date: Time: AM/PM Y N Date: Time: AM/PM Date: Time: AM/PM Y N Date: Time: AM/PM Date: Time: AM/PM Y N Keep this record for at one year. To see how close you are to the monthly standard, divide the sum of the 4 weekly readings by 4 and enter result here Y N
om_final_3-31-16.docx