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416 2nd Street Dynamic Back Pressure Test <br /> Afforda-Te$t Gait, Ca. 95632 <br /> (209)744-0112 (800)524-9087 FAX(209)744-0116 Static Pressure Decay Test <br /> Owner/Contractor/Eng: n M o '`� TESTDATE: 0 'n7 L - U� �" UST (ST3o) AST (ST38) <br /> SITE NANIE: e� f v 7 �u PT m ` <br /> tialTest 10 Com IianceTest AIR QUALITY AGENCY: <br /> Address: <br /> I 0 1 fig <br /> Ci : i 1"/An 1 { .'-3CA I J 7 TECHNICIAN N David inkier Present Not Present <br /> Phone: ( '1 l r) 2.? - 27.73 JV Certification#0224 <br /> Contact: yP1 11 TECH SIGNATU Permit or Facility# <br /> i <br /> STATIC PRESSURE DECAYT T DATA Confirmation# <br /> #DISPENSERS DISPENSER Make. ,P NOZZLE Make: L /1A ( JPV Valve Make: <br /> # TOTAL NOZZLES Model: Madel: I' lJO`r Madel: l,(�j K <br /> M&IFOLDED: Yes `C' No BALANCE ASSIST Assist Tv e: <br /> Tank 1 Taa2Tank Tank 4 TOTA.LtInitial pressure before testing- "we <br /> Product Grade <br /> iiEQUIPMENT <br /> # Noules er Tank p � Deca : Blockage: <br /> Actual Tank Capacity U 0 D7 �-77 t� 1 Incline Manometer Incline Manometer <br /> Gasoline Volume �v ZO > L I t� l�1' magiuMi, Guitiste magnehelic Gue e <br /> Uila a c. .dc.mina,Cowme �� �QQ� <br /> Equipment Calibration Date: , <br /> Phase I System T e: 2 t EVR Coaxial �n- _ � CU e-` <br /> Initial Test Pressure paehe, w.mr) vs <br /> Z, Z Allowable Fill Time @ <br /> PS[ a I Monte (1.ehe,wnu.) r/ 2 SCFM - <br /> 7G N <br /> PSI @ 2 Minutes Time 1: <br /> 77/ Time 2: <br /> PSI a 3 Minutes / / <br /> Time 3: <br /> PSI a 4 bHnutes C <br /> Final Pressure a 5 Minutes lashes water <br /> .Allowable Final Pressure (CARD) Liquid Removal Check, arts Beck <br /> Pressure (H due), andd Pars & <br /> Pass I Fail Pass I Fail Pass / Fail Pass I Fail Pa / Fail Repairs Are Listed on Back <br />