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Afforda-Te$t POB 36 "" N. Sacramento Blvd. Dynamic Back Pressure Test <br /> Thornton, California 95686 <br /> (209) 794-0102 (800)524-9087 FAX(209)794-0112 X Static Pressure Decay Test <br /> Owner/Contractor/Eng: TEST DATE: 05- X I UST (ST30) AST (ST38) <br /> `r,ter <br /> F" ' <br /> SITE NAME: i— ��F_!.i�,r.� PT InitialTest 6 ComplianceTest AIR QUALI`T'Y AGENCY: <br /> Address: , 1 $ r, (� liy?<_=r a r` Zane <br /> A g � <br /> City: �j (OG4G'(p� Q 5 20—L-. TECHNICIAN NAME: `lane A. Mmmo Present Not Present <br /> Phone: ( 've7 )r, Cj le� 15— V Certification#0120 <br /> Contact: (_P, €- TECH SIGNATURE: 4t Permit or Facili # <br /> STATIC PRESSURE DECAY TE DATA Confirmation# 0 5 - 3 6Z-1 <br /> #DISPENSERS DISPENSER Make: �- t �`(j NOZZLE Make: F, f,,/ , PV Valve Make: <br /> # TOTAL NOZZLES Model: Model: i f 0''...js Model: t/gg S <br /> MANIFOLDED: Yes YLINo BALANCE ASSIST Assist Type: <br /> Tank 1 Tank 2 Tank 3 Tank 4 TOTAL Initial pressure before testing- "WC <br /> Product Grade <br /> EQUIPMENT <br /> # Nozzles per Tank g a Decay: Blockage: <br /> Acmal Tank Capacity ilZ.01 U 3,A7 '] D (� Incline Manometer X Incline Manometer <br /> Gasoline Volume -7I b Maimehelic Gua e Ma nehelic Gua e y <br /> Ulla2e (Capacity minus Volume) Zo 7 3 O 3 Equipment Calibration Date: <br /> Phase I System Type: 2 t EVR Coaxial a. ( L l-T i:-- F J E 4(1- <br /> Initial Test Pressure (inches water) 2/0 a v Allowable Fill Time @ <br /> PSI @ 1 Minute (inch" water) g 2 SCFM - -r"A Lill <br /> PSI @ 2 Minutes Time 1: <br /> PSI g 3 Minutes � Time l: <br /> PSI 4 Minutes Time 3: <br /> Final Pressure na 5 Minutes (Inches water) 0 <br /> Allowable Final Pressure (CARB) ' d5_ Liquid Removal Check, Dynamic Back <br /> Pressure (if due), and Parts & <br /> Pass ! Fail Pass / Fail Pass / Fail Pass / Fail Pass Fail Repairs Are Listed on Back <br />