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APOB 36 26515 N. Sacramento Blvd. <br /> dug* Thornton, California 95686 Dynamic Back Pressure Test <br /> (209)794-0102 (800) 524-9087 FAX(209)794-0112 ?( Static Pressure Decay Test- <br /> Owner/Contractor/Eng: TESTDATE: UST (ST30) AST (ST38) <br /> SITE NAME: '44fC6 Li 4Jra__ f-1AE f Pr I Initial Test ComplianceTest AIR QUALITY AGENCY: <br /> Address: o N. /Y//4-i/✓�u7 , J L'f? Ff <br /> Ci • M i4rr j`G c 1, ) THCHtaclAN NAME: Donald Dixon Present Not Present <br /> Phone: ( ) 3Q - y$ >;� /'� /'A'Certification# LLJ <br /> Contact: ££ f <br /> TECH SIGNATURE: .1 4s; ai./=,✓tsy:+•^�� Permit or Facility# <br /> STATIC PRESSURE DECAYTESTDATA Confirmation# 0 !y • <br /> #DISPENSERS DISPENSER Make: ^ J r <br /> � }}; � NOZZLE Make: PV Valve Make: f4(n5k1- <br /> # TOTAL NOZZLES Model: J a7�� Model: f 2l o() Model: -f �P. <br /> MANIFOLDED: Yes No BALANCE ASSIST = Assist Type: <br /> Tank 1 Tank 2 Took 3 Tank 4 TOTAL Initial pressure before testing / "we <br /> Product Grade <br /> EQUIPMENT <br /> # Nozzles per Tank % Decay: Blockage: <br /> Actual Tank Capacity 1 f.i�[ IcZ-'QIa X01—31 c� Incline Manometer � Incline Manometer <br /> Gasoline Volume 1^I L?.;i "0 I 1 C.7 MagnIhIlic Gua a M Ma ehelic Gus e �( <br /> Una a .e mi.u.van... J R��f s 6 S aS Equipment Calibration Date: 01/22/2004 • <br /> Phase I System Type, 2 t Coaxial _L/ U t f g <br /> Initial Test Pressure (Inches Wafer) ain '� o ry J - Allowable Fill Time @ <br /> PS[ 1 Minute (I.csa W.w) • 0 2 SCFM <br /> PSI Q 2 Minutes - I p --,P-e. <br /> d Time 1: 3r'h r r� <br /> PSI 3 Minutes <br /> Time 2• <br /> PSI 4 Minutes 0 Time 3: <br /> Final Pressure @ 5 Minutes (t.eher Wanr , G1' <br /> Allowable Final Pressure CARB I i q 0 Liquid Removal Check, Dynamic Back <br /> Pressure (if due), and Parts & <br /> Pass / Fail Pass / Fail Pass / Fall Pass / .Fail Pass / Fail Repairs Are Listed on Back <br />