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., .> M OM Lm�MW 2825 Railroad Ave . Ceres, CA 95307 TPa201 . 1 B Static Torque of Rotatable Phase i Adaptors Report Form Permit Number: N- i56- 1 -4 Test Company : DONLEE PUMP COMPANY Site Name : Van De Pot Enterprises , Inc . Technician : Mario Romero Site Address: 816 S . Frontage Rd . Certification Number Expiration Date City: Ripon Zip : 95366 District: SJV-0346 Date/Time of Test : 9- 11 - 19 9 :00 TEST INFORMATION Measurement units : X pound-inch . pound-foot Vapor Adaptor 1 vapor Adaptor 2 Vapor Adaptor 3 Vapor Adaptor 4 Brand: Phtt-fiite Brand : Phil-tite Brand : Brand : Model : Model : Model : Model Product grade: 87 Product grade : 91 Product grade : Product grade: Torque 1 : 10 Torque ] : 20 Torque 1 : Torque 1 : Torque 2: 15 Torque 2: 20 Torque 2: Torque 2 : Ins Torque 3: 15 Torque 3 : -20 Torque 3: Torque 3: Average : 13.33 Average : 20 Average : Average : 3600 rotation: Yes X No D 3600 rotation : Yes X No ❑ 3600 rotation : Yes ❑ No 0 360° rotafiion : Yes 0 No ❑ Product Adaptor 1 Product Adaptor 2 Product Adaptor 3 Product Adaptor 4 Brand : Phil-cite Brand : Phil-tite Brand : Brand : Model : Model : Model : Model : Product grade: 87 Product grade : 91 Product grade : Product grade : Torque 1 : 45 Torque 1 : 35 Torque 1 : Torque 1 : Torque 2 : 50 Torque 2: 35 Torque 2 : Torque 2 : q Torque 3 : 65 Torque 3 : 30 Torque 3 : Torque 3 : ! Average : 53.33 Average : 33 .33 Average : Average : 3600 rotation : Yes X No O 360° rotation : Yes X No ❑ 3600 rotation : Yes D No ❑ 3600 rotation : Yes ❑ No ❑ 1 declare, under penalty of perjury under the .laws of the state of California that based on information and belief formed after reasonable inquiry, the statements and information provided in the document are true, accurate, and complete . Signature of Technician $ Date : ver. l .0 — 122IM