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NC, <br /> VST <br /> • aa.� �uawrt wnw co•eucv.:c <br /> TP-201 . 3 <br /> UST Static Pressure Performance Test Report Form <br /> Permit Number : Test Company : Confidence UST Services, Inc . <br /> Confirmation : Technician : I Timothy Capehart <br /> Site Name : 99 Shell Certification Number Expiration Date <br /> Site Address : 7700 Moreland St District : SJV-0312 9/30/20 <br /> , City/Zip : Stockton 95212 Franklin (Healy) : 1011103708 08/17/2020 <br /> Date/Time of Test: 4/11 /2019 at 11 :00 pm Veeder-Root : 847819 10/05/2020 <br /> TEST INFORMATION <br /> Number of nozzles : 8 jAre the tanks manifolded? 0 Yes ❑ No <br /> Phase I vapor recovery system executive order (as referenced on Permit to Operate) VR- 102 <br /> Phase II vapor recovery system executive order (as referenced on Permit to Operate) VR-204 <br /> Nitrogen introduction point 0 Phase I vapor coupler ❑ Phase II vapor riser <br /> Pressure measuring device ❑ incline manometer 0 digital manometer ❑ mechanical gauge <br /> Calibration date for pressure measuring device (must be within 90 days of the test) 01 /20/2019 <br /> Ending value for digital manometer drift test if applicable (must be 0 . 01 in . w. c . or less) 0 . 00" <br /> Initial tank ullage pressure (vent if over 0 . 5 in . w. c . ) 0 . 00" <br /> Nitrogen introduction flow rate, F (must be between 1 and 5 CFM) 1 .6 CFM <br /> Calculated ullage fill-time, tz (t2 = V / 1522 x F) 5 . 59 mins <br /> Actual fill-time 4.52 mins <br /> Number of hoses with over 100 ml (balance hoses must be drained prior to testing) 0 <br /> TANK INFORMATION <br /> Tank No . 1 2 3 4 All <br /> Product Grade Unleaded Premium <br /> Actual tank capacity (gallons) 153000 81000 23 , 000 <br /> Gasoline volume (gallons) 61764 21595 91359 <br /> Ullage, V (gallons) 81212 53410 133622 <br /> If tanks not manifolded, # of nozzles <br /> 2 IN. W.C. STATIC PRESSURE TEST <br /> Test No . 1 2 3 4 5 <br /> Start time 11 :00 pm <br /> Initail Pressure, inches of water column 2 .00" <br /> Pressure at one minute, in . w. c . 1 .99" <br /> Pressure at two minutes , in . w. c . 1 .99" <br /> Pressure at three minutes, in. w. c . 1 .98" <br /> Pressure at four minutes, in . w. c . 1 . 98" <br /> Pressure at five minutes , in . w. c . 1 . 97" <br /> Allowable minimum pressure, in. w. c . 1 . 90" <br /> Pass / Fail (enter " GF" for gross failure) Pass <br /> I declare, tinder penalty ofperjtny tinder the lmvs of the state of California that based on information and belief formed after <br /> reasonable inquiry, the statements and information provided in this document are true, accurate, and complete. <br /> Signature if Technician : �� Date : 4/11 /2019 <br />