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Dynamic Back Pressure Test <br /> Afforda-Te$t _ <br /> 416 2nd Street ® 'I'P 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 9-17-18 UST ® AST ❑ <br /> SITE NAME: SHORT STOP DAVE WINKLER ❑ PT ❑ Startup Test® Compliance'I'est <br /> Site Address:20 WEST TURNER LANE AGENCY- STVAPCT) <br /> City:LODI CA 95240 I declare, under penalty ofperjury under the laws of the state Inspector:UDO <br /> of California that based on information and belief formed <br /> Phone: after reasonable inquiry, the statements and information Z <br /> Contact: <br /> provided in the document are true,accurate,and complete. Present X Not Present C <br /> Confirmation#18-25889 TECH SIGNATURE: o � <br /> `V v <br /> Permit or Facility#N-292 o <br /> #DISPENSERS 4 DISPENSER Make: GARBARCO NOZZLE Make: TIST PV Valve Make:HUSKY ` <br /> #TOTAL NOZZLES 8 Model: Model:EVR Model: 5885 t <br /> MANIFOLDED: Yes ❑ No❑ BALANCE ® ASSIST ❑ Assist Ty <br /> Tank 1 Tank 2 Tank 3 Tank 4 TOTAL <br /> Fuel Grade 87 91 ALL Initial pressure before testing-0 "we <br /> #Nozzles per Tank 8 8 4 EQUIPMENT <br /> Actual Tank Capacity 12041 8000 20041 Decay: Blockage: <br /> Gasoline Volume 5577 3468 9045 <br /> Incline Manometer ❑ Incline Manometer ❑ <br /> Ullage(Capacity minus volume) 6464 4532 10996 Magnehelic Guage ❑ Magnehelic Guage <br /> Phase I System Type:2pt EVR Coaxial Ei `7 R EVR <br /> Digital Manometer ® Digital Manometer ❑ <br /> Initial Test Pressure(Inches Water)2/0 2,0 Equipment Calibration Date: 7-9-18 <br /> Drift Check End Value: 0 <br /> PSI l Minute(inches Water) 2'0 Nitrogen Intro.Point: <br /> PSI @ 2 Minutes 2.0 <br /> PSI @ 3 Minutes 1.99 Allowable Fill Time @ 2 scfm3.19 12.11 <br /> PSI @ 4 Minutes 1.99 Time 1:3.21 <br /> Final Pressure @ 5 Minutes(Inches Water) 1.98 Time 2: <br /> Allowable Final Pressure CARB 1 .90 Time 3: <br /> Liquid Removal Check,Dynamic Back <br /> ------- PASS Pressure(if due),and Parts& <br /> ------- ------- ------- Repairs Are Listed on Page 2. <br />