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Afforda-Te$t <br /> 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: TEST DATE: 8-17-11 TIME: 12 UST ® AST ❑ <br /> TECHNICIAN NAME:David A. Winkler SJV#0082 Exp 02/27/10 <br /> SITE NAME: KWIK SERVE F] PT ❑ Startup Test ® Compliance Test <br /> Address: 950 WEST 1 I STREET <br /> City: TRACY CA I declare, under penalty of perjury under the laws of the state <br /> of California that based on information and belief formed Inspector: <br /> Phone: after reasonable inquiry, the statements and information <br /> Contact: provided in the document are true, accurate,and complete. Present ❑ Not Present <br /> Confirmation 11-13715 TECH SIGNATURE: <br /> W <br /> Permit or Facility#N282 <br /> #DISPENSERS 4 DISPENSER Make: GILBARCO NOZZLE Make: VST PV Valve Make:HUSKY <br /> #TOTAL NOZZLES 8 Model: Model: Model:5885 <br /> MANIFOLDED: Yes ® No ❑ BALANCE ® ASSIST❑ Assist Type: <br /> Tank I Tank 2 Tank 3 Tank 4 TOTAL <br /> Fuel Grade 87 91 ALL Initial pressure before testing-O"we <br /> #Nozzles per Tank 8 8 8 <br /> EQUIPMENT <br /> Actual Tank Capacity 9728 9728 19456 Decay: Blockage: <br /> Gasoline volume 4971 2984 7955 <br /> Incline Manometer ❑ Incline Manometer ❑ <br /> UllagC(Capacity minus Volume) 4757 6744 11501 <br /> Magnehelic Guage ❑ Magnehelic Guage <br /> Phase I System Type:2—pt EVR Coaxial E V R EVR <br /> Digital Manometer ® Digital Manometer ❑ <br /> Initial Test Pressure(inches weary zio 2,0 Equipment Calibration Date: 8-1-11 <br /> 2.0 Drift Check End Value: 0 PASS <br /> PSI I Minute(Inches waver) Nitrogen Intro.Point: PHASE 1 <br /> PSI @ 2 Minutes 2.0 <br /> PSI @ 3 Minutes 1.99 Allowable Fill Time(a)2 scfm 7M33S <br /> PSI @ 4 Minutes 1.99 Time 1:3MIN 24SEC <br /> Final Pressure @ 5 Minutes(inches Water) 1.98 Time 2: <br /> Allowable Final Pressure(CARB) 1.88 <br /> Time 3: <br /> Liquid Removal Check,Dynamic Rack <br /> ------- PASS Pressure(if due),and Parts& <br /> Repairs Are Listed on Page 2. <br />