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-12 - <br />Figure 3 <br />Data Form for Determination of Static Pressure Performance <br />of the Healy Clean Air Separator <br />SOURCE INFORMATION <br />GDF Name and address <br />GDF Representative and title <br />GDF Phone No. <br />Date and Time of Last Fuel Drop to GDF: <br />P/O #: <br />A/C#: <br />District Test Witness: <br />Date of Last Calibration of Pressure <br />Measurement Device: <br />VACUUM TEST (Section 7.1 through 7.2.7) <br />Vacuum at start of test, inches water column (7.2.3) <br />Vacuum at one minute, inches water column <br />Vacuum at two minutes, inches water column <br />Vacuum at three minutes, inches water column <br />Vacuum at four minutes, inches water column <br />Final vacuum at five minutes, inches water column <br />Allowable minimum vacuum, inches water column (from Table 1) <br />POSITIVE PRESSURE TEST (Section 7.3 through 7.3.9) <br />Pressure at start of test, inches water column (7.3.6) <br />Pressure at one minute, inches water column <br />Pressure at two minutes, inches water column <br />Pressure at three minutes, inches water column <br />Pressure at four minutes, inches water column <br />Final pressure at five minutes, inches water column <br />Allowable final pressure, inches water column (7.3.9) 1.77 <br />Test conducted by <br />Test company <br />Date of test <br />Healy Phase 11 EVR System Including Veeder-Root ISD, Exhibit 4 — VR -202-A <br />