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AEf <br /> �r 416 2nd Street <br /> 1 $t Gait,Calif'ornia 45632 Dynamic Back Pressure Test <br /> �. (209)744-0112 (800)524-4087 FAX(209)744-0116 X Static Pressure Decay Test <br /> OwnevvontractorlEn : TESTDATE: �1111�. 1^1' '" <br /> x � (ST AST (ST38) <br /> SITE�iAl1iE: - PT Itlit[alTest x Coro llanceTest AIR QLtALiTY AGENCY: <br /> Address: S L S <br /> v <br /> Ci re c- 9 TrCMC"NAME: F Itx a treZ II <br /> NAME- <br /> 0 Phone' ) _ f Present Not Prevent <br /> COOCScf: �� SN erdficati aU238 <br /> H IGNA r <br /> r ermit or Facility# ��7 f 3 <br /> STATICPRESSUREDECAYTE A A <br /> Confirmation# - � <br /> Y DLSPE.'�'SERS �,.,^- <br /> N DISPENSER Make. WC C p NOZZLE Make.L_�,A <br /> LCA PV Valve Make: <br /> #TOTrtL NOZZLES <br /> Madel: Model. t_ <br /> MAVIFOLDED: yeS . NCO <br /> BALANCE <br /> ASSIST Assist r e; <br /> Tank I Tank 2 Tank 3 Tank 4 TOTAL. <br /> Product Grade <br /> Initial pressure before testing-- 11-0. 'live <br /> � � fl�L <br /> -Nonje per Tank EQUMIE\rT <br /> Actual Taak Capacity 1 I <br /> Deca►': Blockage: <br /> � a <br /> Gasoline L'otume (t �} �r <br /> facline Manometer Incline hfanoireter <br /> 'I {� ? lies e�rlic Qua a htaenebelic Gua e ?� <br /> LRfa a lcapKwas v J J <br /> � Phase S-stem te: 2 I n <br /> f b E ui merit Calibration Daie: <br /> t EVR Ca <br /> CcV 1�- <br /> Initial Test Pressure flneha w.;,,i Va <br /> PSI 9, 1 hfln➢t[ {Inches R".tu) <br /> Allowable Fill Time @ <br /> � , 2 S CFM _ - <br /> Time 1: <br /> 0 <br /> PSI 3 Minutes <br /> r. <br /> PSI 2 4 'Minutes jj <br /> Time 2: <br /> � <br /> O l � �Ffnal Pressure 6D 5 M1010"uM1010" ock.Wow ` Time 3: <br /> Lo , 4 <br /> fU -Allowable Final Pressure CARE <br /> IL { ' Liquid Removal Check, Dgeamic Back <br /> Pass / Fail Pass 1 Fail Pass / Fall Pass 1 Fall as, Fail Press➢re (if due), and Parts & <br /> N Repairs Are Listed on Back <br />