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llo rda—Te t Dynamic Back Pressure Test <br /> 416 2nd Street ® TP 201.4 <br /> Galt, Ca. 95632 <br /> (209)744-0112(800)524-9087 FAX(209)744-0116 Static Pressure Decay Test <br /> 'I P 201.3 <br /> Owner/Contractor/Eng: TEST DATE: 5/15/12. TIME: UST ® AST ❑ <br /> TECHNICIAN NAME: <br /> SITE NAME: GEORGE'S MINI MART Zane A.Nimm© SJV#0083 1:1PT E] Startup"Fest ® Compliance Test <br /> Address: 18662 N. 14WY 88 <br /> City;LOCKEFORD, CA 95237 1 declare, under penalty of perjury under the laws of the state Inspector: <br /> of California that based on information and belief formed <br /> Phone: after reasonable inquiry, the statements and information <br /> Contact: <br /> provided in the document are true, accurate,and complete. Present ❑ Not Present <br /> Confirmation# 12-14968 TECH SIGNATURE: <br /> Permit or Facility#N-3466-1-2 <br /> #DISPENSERS 4 DISPENSER Make: GILBARCO NOZZLE Make:HEALY PV Valve Make: HUSKY <br /> #TOT.4L NOZZLES 8 Model: Model: 900 Madel: 5885 <br /> M4NIFOLDED: Yes 1Z No❑ BALANCE ❑ ASSIST M Assist Type:VR 202 <br /> Tank 1 Tank Tank3 Tank TOTAL <br /> Fuel Grade 87 89 91 ALL Initial pressure before testing--3.14 '"we <br /> #Nozzles per Tank 8 -- -- 8 EQUIPMENT <br /> Actual Tank Capacity 10,175 4,077 6,082 20,334 Decay: Blockage: <br /> Gatinline Volume 7,752 2,915 3,575 14,242 Incline Manometer ❑ Incline Manometer ❑ <br /> I ruage((aparity minns,'nlume} 2,423 1,162 2,507 6,092 <br /> > > � Magnehelic Guage ❑ Magnehelic Guage <br /> Phase I System Type:2p1 EVR Coaxial O P W EVR <br /> Digital Manometer ® Digital Manometer ❑ <br /> Initial Test Pressure o—hes watery un 2.00 Equipment Calibration Date: 4111112 <br /> 2.02 Drift Check End Value: .00 <br /> PSI Q I Min lite(1—h-water) Nitrogen Intro.Point: 87 VA <br /> PSI 2 Minutes 2.05 <br /> PSI Q3 Minutes 2.05 Allowable Fill Time n 2 scfm 4:00 <br /> PSI n 4 Minutes <br /> 2.06 Time I: I:42 <br /> Final Pressure g 5 Minutes 2.07 Time 2: <br /> 1.85 <br /> Allowable Final Pressure(GARB) Time 3: <br /> Liquid Removal Check,Dynamic Back <br /> _______ <br /> _y Pressure(if due),and Parts& <br /> ____ _____- PASS Repairs Are Listed on Page 2. <br />