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Attorda-Te$t <br />YOB 36 26515 N, Sacramento Blvd. <br />Thornton, California 95686 <br />(209) 794-0102 (800) 524-9087 FAX (209) 794-0112 <br />Dynamic Back Pressure Test <br />Static Pressure Decay Test <br />Owner/Contractor/Eng: <br />TESTDATE: 06, 'Q 3 —051--UST <br />(ST30) <br />As�r (sT38) <br />P �� <br />SITE NA1N1E: u ,l r' �!�/ A/` � _ r'r <br />PT <br />Initial Test <br />lCouiplianceTest <br />AIR QUALITY AGENCY: <br />?� � � D <br />Address: 70 :5, <br />// <br />city: -""'l 1? r !t; '} o - rA �� D 6 <br />as <br />TECHNICIAN NAME: David Wink ler <br />Present Not Present FT <br />Permit or F acility # <br />Plione: ( 7,0 ) ' - 0 ' <br />w <br />�/) ertification # <br />TECH SIGNATURE: /,^ ) <br />Contact: J� / <br />STATIC PRESSURE DECAYTESTDATA <br />I Confirmad n4 15 325 <br />#DISPENSERS (r DISPENSER Make: NOZZLE Make: G o' C� PV Valve Make: <br /># TOTAL NOZZLES Model: Model: ��� p Model: <br />MANIFOLDED: Yes No 71 BALANCE <br />ASSIST = Assist Type: <br />Tank 1 <br />Tank 2 <br />Tank 3 <br />Tank 4 <br />TOTAL <br />Initial pressure before testing-" we <br />EQUIPMENT <br />Product Grade <br /># Nozzles ler Tank/� <br />pp <br />�j <br />0 <br />G <br />0 <br />Deca : <br />Blockage: <br />Actual Tank Capacity <br />J70 <br />V "! <br />�S U <br />z 0 0 V <br />Incline Manometer <br />FX <br />Incline Manometer <br />Gasoline Volume <br />z <br />7 <br />�D <br />Ma ehelic Gua a Ma nehelic Gua e <br />�' <br />Ullage (capacla minus votume) <br />' I�J <br />7 5> <br />1�-'h <br />) `�1 v � `I <br />Equipment Calibration Date: <br />Phase I S •stem T e: 2 t EVR Coaxial <br />r I�y�! <br />6-V <br />- V <br />6�%VI\- <br />Allowable Fill Time @ <br />2 SCFM <br />Time 1: Z ✓In ti YO ,SpC, <br />Initial Test Pressure (Inches water) 2/0 <br />''V- <br />s V <br />D <br />1. V <br />FSI a 1 NIhtute (Inches Wfiter) <br />�� <br />PSI @ 2 Minutes <br />/ 4,2 <br />PSI @ 3 Minutes <br />�• L <br />Time 2: <br />PSI a 4 Minutes <br />/, <br />Time 3: <br />Final Pressure a 5 Minutes inches \Pater <br />Liquid Removal Check, Dynamic Back <br />Pressure (if due), and Parts & <br />Repairs Are Listed on Back <br />Allowable Final Pressure (CARR) <br />Pass / Fail <br />Pass / Fail <br />Pass / Fail <br />Pass / Fail° <br />/ Fail <br />