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Dynamic Back Pressure Test <br /> Allorda - `Te $ t 416 2nd Street TP201A <br /> Galt, Ca . 95632 <br /> (209) 744-0112 (400) 5244087 FAX (209) 744m0116 ® Static Pressure Decay Test <br /> TP 2013 <br /> Owner/Contractor/Eng. TEST DATE : 10- 1 - 18 UST AST <br /> SITE NAME : JOE ' S TRAVEL PLAZA TECHNICIAN NAME: ❑ PT ❑ Startup Test ® Compliance Test <br /> DAVE WINKLER <br /> Address : 15600 HARLAN <br /> City: LATHROP CA I declare, under penalty of perjury under the laws of the state ACYFNCYo <br /> of California that based on information and belief formed Inspector: <br /> Phone: after reasonable inquiry, the statements and information <br /> Contact: Avtar provided in the document are true, accurate, and complete. Present Not Present X <br /> TECH SIGNATURE: <br /> WPermit or Facility # N435 <br /> # DISPENSERS 4 DISPENSER Make: GILBARCO NOZZLE Make: HEALY PV Valve Make: HUSKY5885 <br /> # TOTAL NOZZLES 8 Model: Model: 900 Model: <br /> MANIFOLDED: Yes ® No ❑ BALANCE ❑ ASSIST ® Assist Type: <br /> Tank I Tank2 Tank3 Tank TOTAL <br /> Initial pressure before testing- -2.90 " we <br /> Fuel Grade $ 7 W $ ] E 91 ALL <br /> # Nozzles per Tank 8 8 8 8 <br /> EQUIPMENT <br /> Actual Tank Capacity 12028 10310 4021 26359 Decay . Blockage: <br /> Gasoline Volume 1511 1857 1326 4694 Incline Manometer ❑ Incline Manometer ❑ <br /> Ullage (Capacity minus volume) <br /> 10517 8453 2695 21665 Magnehelic Guagc ❑ Magnehe6c Guage ❑ <br /> Phase I System Type: 2pt EVR Coaxial <br /> EVR Digital Manometer ❑ Digital Manometer ❑ j <br /> Initial Test Pressure (Inch" water) vo 2 .0 Equipment Calibration Date: 7448 <br /> Drift Check End Value: 0 <br /> PSI ra, i Minute (inches water) 2 ' 0 Nitrogen Intro. Point: 2 <br /> PSI @ 2 Minutes 2 . 0 <br /> PSI @ 3 Minutes 290 Allowable Fill Time @ 2 scCm 14.14 <br /> PSI @ 4 Minutes 2 . 01 Time 1 : 4.48 <br /> Final Pressure @ 5 Minutes (Inches water) 2 . 01 Time 2: <br /> 1 . 94 <br /> Allowable Final Pressure (CARS) Time 3 : <br /> PASS Liquid Removal Check, Dynamic Back <br /> Pressure (if due), and Parts & <br /> ""'—' <br /> Repairs Are Listed on Pae 2. <br />