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Affords - Telt 4162nd Street ® Drop Tube Integrity <br /> Galt, Ca. 95632 <br /> (209) 744-0112 (800) 524-9087 FAX (209) 744-0116 ® Static Torque & Rotation <br /> TEST DATE 10/2/ 18 TIME : <br /> TECHNICIAN NAME: <br /> SITE NAME : PACIFIC SERVICE STATION ED STEARNS AIR QUALITY AGENCY: SACAQMD <br /> Site Address : 6131 PACIFIC AVE INSPECTOR NAME : <br /> I declare, under penalty of perjury under the laws of the state of <br /> City: STOCKTON, CA 95207 California that based on information and belief formed after <br /> reasonable inquiry, the statements and information provided in ❑ Present ® Not Present <br /> Phone: the document are true, accurate, and complete. <br /> Contact: ,n ". <br /> rl4 ❑ Straight ® Overfill Prevention Device <br /> TECH SIGNATURE: ;f <br /> Confirmation # Permit Facility # Equipment: ❑ Incline Manometer ®Flow Meter Calibrated Daily <br /> DROP TUBE & OVERFILL PREVENTION DEVICE PRESSURE INTEGRITY TEST <br /> Drop Tube Drain Valve Pressure Test Drop Tube Overfill Prevention Device Test "Corrected" Overfill Device Leak Rate <br /> Flow Rate 80ml/min 17 Flow Rate 200 ml/min 42 <br /> R-Regular Time to Drain ValveMinus Equals <br /> Final <br /> reach 2" Final Time to reach 2 Overfill Leak Overfill Device Drain Valve Corrected Lk Rate <br /> P=Plus H2O at 80 Leak Rate Pressure H2O at 200 ml rate Pressure Leak Rate Leak Rate for Overfill Device <br /> S=Super ml/min 2" H2O — 30 sec 2" H2O — 30 Sec <br /> Tank Grade ml/min In H2O (in sec) ml/min In H2O ml/min ml/min ml/min <br /> 87 174 0 2 .06 PASS <br /> 91 165 0 2 .02 PASS <br /> STATIC TORQUE & ROTATION <br /> Vapor Adaptor: 1 2 3 4 Product Adaptor: 1 2 3 4 <br /> Brand : Brand: { <br /> Model ; E V R Model: E V R <br /> Product Grade : Product Grade: <br /> Torque # 1 : Torque #1 : <br /> Torque #2 : Torque #2 : <br /> Torque #3 : Torque #3 <br /> Average : Average : - <br /> 360 Rotation --- --- --- t60 Rotation : - <br /> --- FA7 <br /> �s rya, <br />