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Form 1 <br /> Field Data Sheet <br /> Pressure Integrity Of Drop Tube/Drain Valve Assembly <br /> Facility: EXPRESS MARKET Test Date: 5/27/09 Tester(s): B.Z. Service Station Maint. <br /> Address: 419 S MAIN STREET City: MANTECA Zip Code: 95337 <br /> Phase I System Type: PHIL TITE Phase II System Type: HEALY INCON ISD <br /> Date of Last Flowmeter Calibration: New Date of Last Pressure Device Calibration: water Manometer <br /> Test Results <br /> Time Product Nitrogen Make/Model Spill Make/Model Make/Model <br /> To 2" Grade Flowrate (CFH) Pressure Containment Rotatable Rotatable <br /> (inches H20) Bucket Product Adapter Vapor <br /> 2:01 87 .17 2.10 PHIL TITE PHIL TITE PHIL TITE <br /> 85000 100-101P 100-101V <br /> PHIL TITE PHIL TITE PHIL TITE <br /> 1:52 91 .17 2.15 85000 100-101P 100-101V <br /> Comments: <br />