Laserfiche WebLink
lodb Dynamic Back Pressure Test <br /> AnordamTe $ t 4162nd Street F1 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 : 10/2/ 18 TIME : UST ® AST ❑ <br /> SITE NAME : PACIFIC SERVICE STATION ED STEARNS ❑ PT ❑ Startup Test ® Compliance Test <br /> Address : 6131 PACIFIC AVE AGENCY: SJVAPCD <br /> I declare, under penalty of perjury under the laws of the state <br /> City: STOCKTON, CA 95207 of California that based on information and belief formed Inspector: <br /> after reasonable inquiry, the statements and information <br /> Phone: provided in the document are true, accurate, and complete. <br /> •i ❑ Present ® Not Present <br /> Contact: <br /> Confirmation # TECH SIGNATURE: <br /> or Facility # <br /> # DISPENSERS 4 DISPENSER Make: GILBARCO NOZZLE Make: HEALY PV Valve Make: HUSKY <br /> # TOTAL NOZZLES 8 Model: Model: Model: 5885 <br /> MANIFOLDED: Yes ® No ❑ BALANCE ® ASSIST ❑ Assist Type: <br /> Tank 1 Tank 2 Tank 3 Tank 4 TOTAL <br /> Fuel Grade 87 91 Initial pressure before testing- 0 " we <br /> # Nozzles per Tank 8 8 8 <br /> EQUIPMENT <br /> Actual Tank Capacity 11495 1 11495 22990 Decay : X Blockage : X <br /> Gasoline Volume 8629 1 3593 12222 <br /> Incline Manometer ❑ Incline Manometer ❑ <br /> Ullage (Capacity minus Volume) 2866 7902 10768 <br /> Magnehelic Guage ❑ Magnehelic Guage <br /> Phase I System Type: 2pt EVR CoaxialEVR <br /> Digital Manometer ® Digital Manometer ❑ <br /> Initial Test Pressure (Inches water) 2i0 2 . 00 <br /> PSI @ 1 Minute (Inches Water) 1 . 99 <br /> PSI @ 2 Minutes 1 . 99 <br /> PSI @ 3 Minutes 1098 <br /> PSI @ 4 Minutes 1 . 97 <br /> Final Pressure @ 5 Minutes (Inches water) 1 . 97 <br /> 1 . 87 <br /> Allowable Final Pressure CARB <br /> PASS Liquid Removal Check, Dynamic Back <br /> Pressure (if due), and Parts & <br /> ------- ------- <br /> Repairs Are Listed on Page 2. <br />