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San Joaquin Valley HEWHY AIR UVIN9 <br /> www.haill#hydirliving.gom <br /> AIR POLLUTION CONTROL DISTRICT Make low etwup 1hr Wen$i71. <br /> TP-201.1C/D <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: N/A Test Company: Jones Covey Group, Inc. <br /> Site Name: Pilot 1017 Lathrop Technician: Keith Henderson <br /> Site Address: 345 Roth Rd. Certification Number Expiration Date <br /> City: Lathrop Zip: 95330 District: SJV-0242 3/31/2026 <br /> Date/Time of Test: 8/27/2024 @ 11:45am <br /> DROP TUBE DRAIN VALVE AND OVERFILL PROTECTION DEVICE PRESSURE INTERGITV TEST <br /> ❑ Straight Drop Tube ® 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 18o days of the test) 7/23/2024 <br /> Ending value for digital manometer drift test if applicable(must be o.oi 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 mUmin <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 15 Sec. Oml 2.03 4 Minutes 13 Sec. Oml 1.97 <br /> 2 91 10 Seconds Oml 2.02 4 Minutes 05 Sec. Oml 2.00 <br /> 3 <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 /> 2The bladder section of TP-201.1D may be skipped if the entire drop tube passes with a leak rate below 80 ml/min. <br /> 3Leak rate=nitrogen flow rate needed to maintain a constant pressure(at least 2 in.w.c.)for 30 seconds. <br /> I declare, under penalty of perjury 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: Date: 8/27/2024 <br /> Ver. 1.3—08.07.09 <br />