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t0stPOB 36 26515 N. Sacramento Blvd. <br />Allorda® Thornton, California 95686 <br />Dynamic Back Pressure Test <br />(209) 7940102 (800) 524-9087 FAX (209) 794-0112 <br />Static Pressure Deca Test <br />Owner/Contractor/Eng: TEST DATE: <br />=LTST(ST30) AST (ST38) <br />SITE NAME: jLj tv � i— I , L PT Initial Test Com IianceTest <br />AIR QUALITY AGENCY: <br />� w <br />Address: -t <br />city.9AV,, Lyle A Mmm® <br />TECHNICIAN NAME: <br />Present Not Present <br />Phone: ( --)I S.AC.Certification # 0119 <br />Contact: TECHSIGNATURF <br />Permit or Faci <br />STATIC PRESSURE DECAY TEST DATA <br />Confirmation# <br /># DISPENSERS DISPENSER Make: <br />•p V4 NOZZLE Make: <br />PV Valve Make: <br /># TOTAL NOZZLES Model: Model:Model: <br />id <br />'0V <br />MANIFOLDED: yes No BALANCE ASSIST = Assist <br />Type: <br />Tank 1 <br />Tank 2 <br />Tank 3 <br />Tank 4 <br />TOTAL <br />Initial pressure before testing- "wc <br />EQUII'1VIENT <br />Product Grade <br />�— <br /># Nozzles per Tank <br />Decay: <br />Blockage: <br />Actual Tank Capacity <br />/! <br />19 <br />Incline ManometerD <br />Incline Manometer <br />Gasoline Volume <br />V <br />—Z <br />Ma ehelic G e <br />Ma ehelic Gua e <br />lla a aei minus Volume <br />/ <br />/ <br />/ 632r— <br />0 <br />E ai ment Calibration Date: 10/23/20( <br />Phase I S3mtem T 2 -t °®Coaxial <br />Allowable Fill Time @ <br />2 SCF <br />Initial Test Pressure (Inches Water) 2ro <br />Z' <br />PSI @ 1 Minute (inches Water) <br />4 <br />Time 1: 2 3 p <br />PSI @ 2 Minutes <br />PSI @ 3 Minutes <br />pj% <br />Time 2: <br />PSI @ 4 Minutes <br />iR 7 <br />Time 3: <br />Final Pressure 5 Minutes(Inches-Water) <br />Allowable Final Pressure CARB <br />r �Iv <br />Liquid Removal Check, Dynamic Back <br />Pressure (if due), and Parts & <br />Pass / Fail <br />Pass / Fail <br />Pass / Fail <br />Pass / Fail <br />22 Fail <br />Repairs Are Listed on Back <br />