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Dynamic Back Pressure Test <br /> AnordaliiiiiiiiiiTe $ t 4162nd 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 2013 <br /> Owner/Contractor/Eng : F Pr;: rx TEST DATE : 05 /29/2019 UST ® AST ❑ <br /> TECHNICIAN NAME <br /> SITE NAME : QUICKI KLEEN CAR WASH ❑ PT ❑ Startup Test ® Compliance Test <br /> 11ONMENTAL HEAL tLIXRAMIREZ <br /> Address : 707 E YOSEMITE AVE OEPARTVIENT AGENCY* SJVAP NORTH <br /> City : MANTECA CA 95336 I declare, under penalty ofperjury under the laws of the state Inspector: <br /> of California that based on information and belief formed <br /> Phone : 209423 -9159 after reasonable inquiry, the statements and information Present ❑ Not Present <br /> Contact: FRANCENCE provided in the document are true, accurate, and complete. <br /> Confirmation # 19 -27029 TECH SIGNATURE: <br /> Permit or Facility # N643 - 1 -3 <br /> # DISPENSERS 4 DISPENSER Make : WAYNE NOZZLE Make : HEALY PV Valve Make : HUSKY <br /> # TOTAL NOZZLES 8 Model: Model: 900 Model: 5885 <br /> MANIFOLDED: Yes ® No ❑ BALANCE ❑ ASSIST ® Assist Type: HEALY <br /> Tank 1 Tank 2 Tank 3 Tank 4 TOTAL <br /> Fuel Grade $ 7 $ 7 ALL Initial pressure before testing- .36 " we <br /> # Nozzles per Tank $ g <br /> EQUIPMENT <br /> Actual Tank Capacity 10005 5001 15006 Decay : Blockage : <br /> Gasoline Volume 1003 1032 2035 <br /> Incline Manometer ❑ Incline Manometer ❑ <br /> Ullage (Capacity minus Volume) 9002 3967 12969 <br /> Magnehelic Guage ❑ Magnehelic Guage <br /> Phase I System Type : 2pt EVR Coaxial EVR EVR EVR <br /> Digital Manometer ® Digital Manometer ❑ <br /> Initial Test Pressure (Inches Water) 2/0 2 . 0 Equipment Calibration Date: 03-0149 <br /> Drift Check End Value: 0 <br /> PSI @ 1 Minute (Inches Water) 2 ' 0 Nitrogen Intro. Point: PHASE 1 <br /> PSI @ 2 Minutes 2 , 0 <br /> PSI @ 3 Minutes 1 . 99 Allowable Fill Time (a) 2 scfm 8 MIN 35 SEC <br /> PSI @ 4 Minutes 1 . 99 Time 1 : 3 MIN 02 SEC <br /> Final Pressure @ 5 Minutes (Inches Water) 1 . 99 Time 2 : <br /> 1 . 90 <br /> Allowable Final Pressure (CARB) Time 3 : <br /> Liquid Removal Check, Dynamic Back <br /> ------- Pressure (if due), and Parts & <br /> ------- ------- ------- PASS Repairs Are Listed on Page 2. <br />