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,.._ nuc eus jump sevwces <br /> nps 601 1st Ave , Suite B <br /> Sacramento , CA 95818 <br /> Phone : 916 - 3824761 <br /> TP -201 . 1C/7D Fax: 707 - 638 - 0484 <br /> Leak Rate of Drop Tube/Drain Valve Assembly and Leak Rate of Drop Tube Overfill Protection <br /> Devices and Spill Container Drain Valves Report Form <br /> Permit Number: Test Company : Nucleus Pump Services <br /> Site Name : CHEVRON Technician : Chris Bishop <br /> Site Address : 10878 N , HWY 99 Certification Number Expiration Date <br /> City: STOCKTON Zip : 95212 District: 8216429 5/4/2020 <br /> Date/Time of Test: 10/2/2019 10 : 00 AM <br /> DROP TUBE DRAIN VALVE AND OVERFILL PROTECTION DEVICE PRESSURE INTERGITY TEST <br /> ❑ Straight Drop Tube )X( Drop Tube with an Overfill Protection Device'- <br /> Pressure measuring device digital manometer ❑ mechanical gauge <br /> Calibration date for pressure measuring device ( must be within 180 days of the test) 9- 15-2019 <br /> Ending value for digital manometer drift test if applicable ( must be 0 . 01 in . w. c. or less) 0 . 00 <br /> Drop Tube Drain Valve Pressure Test: Drop Tube Overfill Device Pressure Test : "Corrected" Overfill Device Leak Rate <br /> Flow rate 80 ml/min Flow rate 200 ml/min <br /> Time to reach 2 in. Drain valve Final Time to reach 2 in . Overfill Final Overfill Minus Equals <br /> w.c . at 80 ml/min leak rate' pressure w.c . at 200 ml/min leak rate' pressure Device Drain Valve Corrected <br /> Leak Rate Leak Rate Leak Rate <br /> Tank Grade mins . ml/min in. w. c . mins. ml/min in . w. c. ml/min ml/min ml/min <br /> 1 87 2035 MIN 10 ML 2 . 19" <br /> 2 91 2 . 37 MIN 15 ML 2008" <br /> 3 91 3 . 05 MIN 25 ML 2 . 10 " <br /> 4 <br /> NOTES : 'A straight drop tube must be tested with a bladder in place and using a flow rate of 80 ml/min. <br /> 'The bladder section of TP-201 . 11) may be skipped if the entire drop tube passes with a leak rate below 80 ml/min. <br /> 'Leak rate = nitrogen flow rate needed to maintain a constant pressure (at least 2 in. w.c.) for 30 seconds. <br /> I declare, under penalty ofperjury under the laws of the state of California that based on information and belief formed after reasonable inquiry, the <br /> statements and information provided in this document are true, accurate, and complete. <br /> Signature of Technician : j ,5 Date : 10/2/2019 <br /> Ver. 13 — 08 . 07 . 09 <br />