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Afforda-Te$t Dynamic Back Pressure Test <br /> 416 2nd Street ❑ TP 201.4 <br /> Galt, Ca. 95632 <br /> (209)744-0112(800)524-9087 FAX(209)744-0116 ® Static Pressure Decay Test <br /> TP 201.3 <br /> Owner/Contractor/Eng:JD Singh TEST DATE: 08-31-17 TIME: 1300 UST ® AST ❑ <br /> TECHNICIAN NAME: <br /> SITE NAME: Pacific Service Station Felix R. Ramirez SJV#0099 2018 ❑ PT [jStartup Test ® Compliance Test <br /> Address:6131 PACIFIC AVE <br /> AGENCY- S IVAP NORTH <br /> City: STOCKTON CALIFORNIA 95207 1 declare, under penalty ofperjury under the laws of the state <br /> Of California that based on information and belief formed Inspector: Octavio Haro <br /> Phone: 209-952-4862 after reasonable inquiry, the statements and information <br /> Contact:TRAN provided in the document are true,accurate,and complete. Present ❑ Not Present <br /> Confirmation# 17-24 1 10 TECH SIGNATURE: <br /> Permit or Facility#N388-1-7 <br /> #DISPENSERS 4 DISPENSER Make: WAYNE NOZZLE Make: HEALY I PV Valve Make: HUSKY <br /> # TOTAL NOZZLES 8 Model. Model: 900 1 Model:5885 <br /> MANIFOLDED: Yes ® No ❑ BALANCE ❑ ASSIST ® Assist Type:CAS ISD <br /> Tank 1 Tank 2 Tank 3 Tank 4 TOTAL <br /> Fuel Grade 87 91 ALL Initial pressure before testing-0"we <br /> 4 Nozzles per Tank 8 8 8 EQUIPMENT <br /> Actual Tank Capacity 11495 11495 22990 Decay: Blockage: <br /> Gasoline Volume 5096 2105 7201 <br /> Incline Manometer ❑ Incline Manometer ❑ <br /> Ullage(Capacity minas Volume) 6399 2105 8504 <br /> Magnehelic Guage ❑ Magnehelic Guage <br /> Phase I System Type:2pt EVR Coaxial EVR EVR EVR <br /> Digital Manometer ® Digital Manometer ❑ <br /> Initial Test Pressure(1nches water)210 2.0 Equipment Calibration Date: 06-15-17 <br /> Drift Check End Value: 0 <br /> PSI a 1 Minute(Inches water) 2.0 Nitrogen Intro.Point: PHASE 1 <br /> PSI(a?2 Minutes 2.0 <br /> PSI @ 3 Minutes 2.0 Allowable Fill Time(7 2 scfm 4 MIN 16 SEC <br /> PSI @ 4 Minutes 2.0 Time 1:3 MIN 12 SEC <br /> Final Pressure @ 5 Minutes(Inches water) 2.0 Time 2: <br /> Allowable Final Pressure(CARB) 1.92 <br /> Time 3: <br /> Liquid Removal Check,Dynamic Back <br /> ------- PASS Pressure(if due),and Parts& <br /> ------- Repairs Are Listed on Page 2. <br />