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Dynamic Back Pressure Test <br /> Allorda®TV$ 416 2nd Street ❑ TP 201.4 <br /> Galt, Ca. 95632 <br /> (209)744-0112(800)524-9087 FAX(209)744-0116 Static Pressure Decay Test <br /> TP 201.3 <br /> Owner/Contractor/Eng: TEST DATE: 10-05-18 TIME: UST ® AST ❑ <br /> TECHNICIAN NAME' <br /> SITE NAME: KNIFE RIVER CONSTRUCTION ❑ PT ❑ Startup Test ® Compliance Test <br /> FELIX RAMIREZ <br /> Address:665 W CLAY ST <br /> AGFNCY- <br /> City: STOCKTON,CA 95206 1 declare, under penalty of perjury under the laws of the state <br /> of California that based on information and belief formed Inspector: <br /> Phone: after reasonable inquiry, the statements and information <br /> provided in the document are true,accurate,and complete. Present <br /> Contact: ❑ Not Present <br /> _ <br /> Confirmation# TECH SIGNATURE: <br /> Permit or Facility# <br /> #DISPENSERS :]:A DISPENSER Make: NOZZLE Make: PV Valve Make: <br /> #TOTAL NOZZLES 1 Model: Model: I Model: <br /> MANIFOLDED Yes ® No❑ BALANCE ® ASSIST ❑ Assist Type: <br /> Tank 1 Tank 2 Tank 3 Tank 4 TOTAL <br /> Fuel Grade 87 Initial pressure before testing- " we <br /> #Nozzles per Tank 1 <br /> EQUIPMENT <br /> Actual Tank Capacity Decay: Blockage: <br /> Gasoline Volume <br /> Incline Manometer ❑ Incline Manometer ❑ <br /> Ullage(Capacity minus Volume) <br /> Magnehelic Guage ❑ Magnehelic Guage ❑ <br /> Phase I System Type:2pt EVR Coaxial EVR <br /> Digital Manometer ❑ I Digital Manometer ❑ <br /> Initial Test Pressure(Inches water)2i0 2,0 Equipment Calibration Date: <br /> Drift Check End Value: <br /> PSI 1 Minute(Inches water) 2'0 Nitrogen Intro.Point: <br /> PSI @ 2 Minutes 2.0 <br /> PSI @ 3 Minutes Allowable Fill Time 2 scfm 1 MIN <br /> 2.0 <br /> PSI @ 4 Minutes 2.0 Time l: <br /> Final Pressure @ 5 Minutes(Inches water) 2.0 Time 2: <br /> Allowable Final Pressure(CARB) 1.95 Time 3: <br /> Liquid Removal Check,Dynamic Back <br /> Pressure(if due),and Parts& <br /> _______ ------- <br /> PASS Re airs Are Listed on Pa a 2. <br />