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San Joaquin Valley Air Pollution Control District <br />TP 201.1 C/D Drop Tube Tests Report Form <br />Northern Reg4ou F-1 Central .Region M southern Region <br />4320 Kiernan Ave., Suite 130 1990 E. Gettysburg Ave, 2700 "NP' Street, Suite 275 <br />Modesto, CA 95356-932.1. Fresno, CA 93726-0244 Bakersfield, CA 93301-2310 <br />(209) 557-6400 * FAX f209) 557-6475 (559) 230-5950 e FAX (559) 230-6061 (661) 326-6900 * FAX (661) 326-6985 <br />Permit Number: IQ 1-4 ',o -) 0 <br />Site Name: <br />Address: <br />6JO, -AD a 11zp <br />City:16(zj�3o ri_ I , 6' Zip: __2 52 2-1 iC <br />Test Company: * < LS Min 42 Zq <br />Technician: (gn <br />Test Certification. / 74Y <br />Calibration Date of Pressure Device: <br />/ -/f- 07 <br />Drop Tube Drain Valve and Overfill Prevention Device Pressure Integrity Test <br />❑ straight Drop Tube ... 21 Overfill Prevention Device <br />Drop Tube Drain Valve Pressure Test: Drop Tube Overfill Prevention Device Test: 'Corrected" Overfill Device Leak Rate <br />Flow Rafe 80 milminImin <br />- --r— Flow Rate 200 ml I <br />Tank Grade <br />2. <br />3. <br />21 <br />Time to reach 2 1 Drain Valve Final Time to reach 2 Overfill Leak <br />in, H20 at 80 nil I Leak Rate* Pressure 11 in, H2O at 200 nil I Rate* <br />MI/Min I in. <br />M <br />nil/min <br />/0,11/ <br />Final overfillL;M!22�: <br />.Pressure Device Leak Drain Valve <br />Rate Leak Rate <br />in. H2O ini/inin MI/rain <br />�f 13 <br />Leak Ra e = Mtrogen flow rate needed to maintain constantpressure(at least 2 inches H2O) for 30 seconds, <br />Signature of Technician: Date: 1-6 <br />Corrected Leak rate <br />for Overfill Device <br />MI/Min <br />Revised December 16, 2004 <br />