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POB 36 26515 N. Sacramento Blvd. Dynamic .Back Pressure Test <br /> Afforda—Te$t Thornton,California 95686 <br /> (209)794-0102 (800)524-9087 FAX(209)794-0112 Static Pressure Decay Test <br /> Owner/Contractor/Eng: TEST DATE: v'( =UST <br /> (ST30) � (ST38) <br /> its" <br /> SITE NAME: L A GA) .{- Lp -700 PT )0 Initial Test Com lianceTest AIR QUALITY AGENCY: <br /> Address: Co Y✓ �0 I ()i,,1 j <br /> Ci : TV- �$ TECHNICIAN NAME: Bob Bowman <br /> Present SQ Not Present <br /> Phone: ( ) - Cetification#0197 <br /> COntaCt: a��,�� TECH SIGNATURE: Kf,,11V <br /> Permit or Facility# <br /> STATIC PRESSURE DECAY TEST DATA I Confirmation# 0S__3 c3_ i <br /> #DISPENSERS DISPENSER Make: NOZZLE Make: 7VhCa.,o PV Valve Make: <br /> #TOTAL NOZZLES Model: Model: Model: d.; <br /> MANIFOLDED: Yes No BALANCE ASSIST Assist Type: <br /> Tank 1 Tank 2 Tank 3 Tank 4 TOTAL Initial pressure before testing-j !�5_6 "we <br /> Product Grade <br /> EQUIPMENT <br /> # Nozzles per Tank DeCa Blockage: <br /> Actual Tank Capacity 7 Incline Manometer cline Manometer <br /> Gasoline Volume oc,� M ehelic Gu e M ehelic Gua�e <br /> rx <br /> Ulla @(Capacity minus Volume I � Equipment Calibration Date: g � <br /> Phase I System T e: 2 t EVR Coaxial <br /> Initial Test Pressure (Incheswater) zro q Allowable Fill Time @ <br /> PSI I Minute (inches water) i I wt,1" <br /> 2 SCFM - � „1 ! <br /> PSI Q 2 Minutes I Time 1: v 5� 5� <br /> PSI 3 Minutes I t Time 2: <br /> PSI @`4 Minutes b Time 3: <br /> r <br /> Final Pressure @ 5 Minutes (inches Water <br /> Allowable Final Pressure (GARB) Liquid Removal Check, Dynamic Back <br /> -7[ Pressure (if due), and Parts & <br /> i Pass I Fail Pass / Fail Pass / Fail Pass / Fail Pass / Fail Repairs Are Listed on Back <br />