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416 2nd street ® Dynamic Back Pressure Test <br /> ® &$N t Galt,Ca.95632 Static Pressure Deca Test <br /> (209)744-0112(800)524-9087 FAX(209)744-0116 z TP 201.3 201.4 y <br /> Owner/Contractor/Eng:WENDT TEST DATE: December 22, 2008 <br /> ® UST 201.3 ❑ AST 201.3B <br /> TIME: 1000 <br /> TECHNICIAN NAME: <br /> SITE NAME: LODI FOOD AND LIQUOR ❑ PT ® Startup Test [:] Compliance Test <br /> Felix R. Ramirez SJV#0099 Exp. 02/2 7/20 10 <br /> Address: 1225 WEST LOCKFORD AVE AGENCY: SJVAP NORTH <br /> City:LODI CALIFORNIA I declare, under penalty ofperjury under the laws of the state of Inspector:JOHN HE <br /> California that based on information and belief formed after <br /> i Phone: 209-333-I038 reasonable inquiry, the statements and information provided in <br /> the document are true,accur te,and complete. ❑ <br /> Contact:PAUL lete. Present ® Not Present p <br /> TECH SIGNATURE: Permit or Facility#N2031 <br /> Confirmation#08-8867 <br /> #DISPENSERS 4 DISPENSER Make: GILBARCO NOZZLE M e:HEALY PV Valve Make:HUSKY <br /> #TOTAL NOZZLES 8 Model: M el:900 Model.5885 <br /> MANIFOLDED: Yes ® No El BALANCE AS ST ® Assist Type:HEALY WITH CAS/ISD <br /> Tank 1 Tank 2 Tank 3 Tank 4 TOTAL <br /> Fuel Grade 87 91 ALL Initial pressure before testing-.50" we <br /> #Nozzles per Tank 8 8 8 EQUIPM IVT <br /> Actual Tank Capacity 10153 5077 15230 Decay: BlQcka e: <br /> Gasoline Volume 2464 4840 7304 <br /> Incline Manometer ® Incline Manometer ❑ <br /> Ullage(Capacity minus Volume) 2608 5311 7919 <br /> Magnehelic Guage ❑ Magnehelic Guage <br /> Phase I System Type:2pt EVR Coaxial EVR <br /> Digital Manometer ❑ Digital Manometer ❑ <br /> Initial Test Pressure(Inches waren)Zro 2,0 Equipment Calibration Date: 11/02/08 <br /> 1.98 Drift Check End Value: 0 <br /> PSI 1 Minute(inches water) Nitrogen Intro.Point: Its <br /> PSI @ 2 Minutes 1.96 <br /> PSI @ 3 Minutes 1.94 Allowable Fill Time 2 scfm 5 min 21 sec <br /> PSI @ 4 Minutes 1.92 Time 1:2min 07 sec <br /> Final Pressure @ 5 Minutes(Inches water) 1.90 Time 2: <br /> Allowable Final Pressure(CARB) 1.86 <br /> Time 3: <br /> ------- ------- ------- ------- <br /> PASS Liquid Removal Check,Dynamic Back <br /> Pressure(if due),and Parts& <br /> Repairs Are Listed on Back <br />