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A fforda-Te$t <br />Owner/Con tractor/Eng: <br />SITE NAME: FOOD MART &GAS VALERO <br />Address: 2185 E FREMONT ST <br />City: STOCKTON CA <br />Phone: 209-547-1700 <br />-ontact: <br />Confirmation # 09-9851 <br /># DISPENSERS 4 <br /># TOTAL NOZZLES --8 <br />HA.VIFOLDED: Yes <br />Fuel Grade <br /># Nozzles per Tank <br />Actual Tank Capacity <br />DISPENSER Make: WAYNE <br />Model.- <br />No <br />odel:No ❑ <br />asoline Volume <br />tillage (capacity minus volume) <br />Phase I System Type: 2pt EVR Coaxial <br />Initial Test Pressure (Inches water) vo <br />PSI �R I Minute (Inches Water) <br />PSI (aD 2 Minutes <br />PSI (a) 3 Minutes <br />PSI ✓ 4 Minutes <br />Final Pressure ; 5 Minutes (Inches Water) <br />Allowable Final Pressure (CARB) <br />416 2nd Street ® Dynamic Back Pressure Test <br />TP 201.4 <br />Galt, Ca. 95632 <br />(209) 744-0112 (800) 524-9087 FAX (209) 744-0116 <br />Static Pressure Decay Test <br />TP 201.3 <br />TEST DATE: 6-15-09 TIME: 1030AM UST ® AST [ <br />TECHNICIAN NAME: <br />David A. Winkler SJV#0082 Exp 02/27/10 PT ❑ Startup Test ® Compliance Test <br />I declare, under penalty of perjury under the laws of the state <br />of California that based on information and belief formedIns ector: <br />after reasonable inquiry, the statements and information <br />provided in the document are true, accurate, and complete. Present ❑ Not Present <br />TECH SIGNATURE: <br />V)—j <br />Permit or Facility 4 N4721 <br />NOZZLE Make: EW <br />Model: A4005 <br />PV Valve Make: HUSKY <br />Model. 4885 <br />BALANCE ASSIST I� <br />"Tank 1 <br />87 <br />Tank 2 <br />91 <br />Tank 3 <br />Tank 4 TOTAL <br />ALL <br />8 <br />8 <br />8 <br />17056 <br />12019 <br />5037 <br />2752 <br />2050 <br />4802 <br />9267 <br />2987 <br />12254 <br />E <br />V <br />R <br />EVR <br />2,0 <br />1.98 <br />1.97 <br />1.95 <br />1.94 <br />1.92 <br />1.87 <br />------- I ------- ; <br />------- -- PASS <br />Assist Type: <br />Initial pressure before testing- 0 it we <br />EQUIPMENT <br />Deca : Blockage: <br />Incline Manometer ❑ Incline Manometer ❑ <br />Map <br />nehelic Guage ❑ Magnehelic Guage ❑ <br />Digital Manometer ❑ Digital Manometer ❑ <br />Equipment Calibration Date: 5-2-09 <br />Drift Check End Value: 0 PASS <br />Nitrogen Intro. Point: <br />Time 1: 3MIN 45SEC <br />Time 2: <br />Time 3: <br />Liquid Removal Check, Dynamic Ba <br />Pressure (if due), and Parts Se <br />