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nucleus pump services <br /> 601 1st Ave, Suite B <br /> Sacramento , CA 95818 <br /> Phone: 916 - 382 -4761 <br /> Fax: 707 - 638 - 0484 <br /> KOo V . 201 /202 or VR� 203 /20 �y <br /> Healy Clean Air Separator Static Pressure Performance Test 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 Franklin (Healy) : 1029133710 11 /30/2020 <br /> TEST INFORMATION <br /> Calibration date for digital manometer (must be within 180 days of the test) 9 - 15 -2019 <br /> Ending value for digital manometer drift test ( must be 0 . 01 in . w. c . or less) 0 . 00 <br /> VACUUM TEST <br /> Vacuum at start of test, inches of water column (in. w.c . ) <br /> Vacuum at one minute, in . w.c . <br /> Vacuum at two minutes, in . w.c . <br /> Vacuum at three minutes, in . w. c . <br /> Vacuum at four minutes, in . w.c. <br /> Final vacuum at five minute, in . w. c. <br /> Allowable minimum vacuum, in . w. c . (from shaded area below) <br /> Allowable 5-Minute Vacuum Decay for Clean Air Separator <br /> Vacuum at start of test, 840 7 . 0 6 . 0 5 . 0 4 . 0 3 . 0 2 . 0 <br /> in. W. C . <br /> Minimum vacuum after 5 . 5 4 . 7 3 . 8 3 .0 2 . 2 1 . 5 0 . 8 <br /> five min. , in, w. c . <br /> POSITIVE PRESSURE TEST <br /> Nitrogen introduction flow rate (must be between 2 and 4 CFM) <br /> Pressure at start of test, in . w.c . <br /> Pressure at one minute, in. w.c . <br /> Pressure at two minutes, in . w. c. <br /> Pressure at three minutes, in . w. c . <br /> Pressure at four minutes, in . w.c . <br /> Final pressure at five minute, in . w. c . <br /> Allowable minimum pressure, in . w.c . 1 .77 <br /> I declare, under penalty of perjury under the laws of the state of California that based on information and belief formed <br /> after reasonable inquiry., the statements and information provided in this document are true, accurate, and complete. <br /> Signature of Technician : �/✓ �, �,A Date : 10/2/2019 <br /> Ver, 1 . 1 — 07 . 06 . 11 <br />