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MW <br /> 2825 Railroad Ave. Ceres, CA 95307 <br /> TP - 201 . 1 C/ D <br /> Leak Rate of Drop Tube/ Drain Valve Assembly and leak Rate of Drop Tube Overfill <br /> Protection Devices and Spill Container Drain Valves Report Form <br /> Permit Number: NA56- 1 -4 Test Company: DONLEE PUMP COMPANY <br /> Site Name: - Van De Pol Enterprises , Inc. Technician: Mario Romero <br /> Site Address: 816 S . Frontage Rd . Certification Number Expiration Date <br /> City: Ripon Zip: 95366 District: SJV-0346 <br /> Date�me of Test: 9- 11 - 19 9 :00 <br /> DROP TUBE DRAIN VALVE AND OVERFILL PROTECTION DEVICE PRESSURE INTERGITY TEST <br /> X Straight Drop Tube1 Dro Tube with an Overfill Protection Devicez <br /> Drop Tube Drain Valve Pressure Test: Drop Tube Overfill Device Pressure Test: " Corrected" Overfill Device Leak <br /> Flow rate 80 mi/min Flow rate 200 mi/min <br /> Overfill Minus Equals <br /> Time to reach 2 Time to reach 2 Overfill Final Drain <br /> Drain valve Final in . w.c. at 200 Leak Rate Device Corrected <br /> in . w.c. at 80 leak rate3 pressure leak rate3 pressure Valve Leak Leak Rate <br /> ml/min ml/min Rate <br /> Tank grade mins. ml/min in . w.c . mins. ml/min in . w.c. ml/min ml/min ml/min <br /> 1 87 2:30 0 2.02 <br /> 2 91 4: 15 0 2.00 <br /> EE] <br /> NOTES: 'A straight drop tube must be tested with a bladder in place and using a flow rate of 80 ml/min. <br /> 2The bladder section of TP -20'1 . 1 D may be skipped if the entire drop tube passes with a leak rate below 80 ml/min <br /> 3Leak rate = nitrogen flow rate needed to maintain a constant pressure (at least 2 in. w.c.) for 30 seconds. <br /> I declare, under penalty of perjury under the laws of the state of California that based on information and belief formed after <br /> reasonable inquiry, the statements and information provided in the document are true, accurate, and complete. <br /> Signature of Technician : Date : <br /> Ver. 1 .0 — 12 26. 07 <br />