When I was restoring my '53 Ford Jubilee, the gas tank was a mess -- rusty, dirty, and some tiny leaks. Fuel flow problems and lots of junk in the sediment bowl. I tried the "loose nuts" method, but that didn't get me very far. There seemed to be a lot of baffles and such in the tank that prevented any decent cleaning.
I wound up going with a fuel tank restoration system from POR15. The kit cost like $68 from them.
It includes:
1. A cleaning solution to remove gum, sludge, varnish, biological growth
2. A solution to convert any rust to zinc -- this was really cool to see
3. A polymer solution that coats the inside of the tank. It dries like very hard, silvery fingernail polish. Epoxy-like, it seems to me.
4. A fuel stabilizer fluid
Worked great. Never had any more fuel problems with that old tractor, and the sediment bowl stayed crystal clear after that.
This may be more drastic than most people need, but I was very pleased with the results.