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416 2nd Street ❑ Drop Tube Integrity <br /> Afforda—Te$t Galt,Ca.95632 ❑ Static Tor ue & Rotation <br /> (209)744-0112(800)524-9087 FAX(209)744-0116 q <br /> TEST DATE:10-05-2021 <br /> SITE NAME: PARKWOOD SHELL TECHNICIAN NAMEFELIX RAMIREZ AIR QUALITY AGENCY: <br /> Site Address: 1612 HAMMER LANE INSPECTOR NAME: <br /> I declare, under penalty of perjury under the laws of the state of <br /> City: STOCKTON CA 95213 California that based on information and belief formed after <br /> Phone: reasonable inquiry, the statements and information provided in ❑ Present ® Not Present <br /> the document are true, accurate, and complete. <br /> Contact: <br /> ❑ Straight ® Overfill Prevention Device <br /> TECH SIGNATURE: <br /> Confirmation # Permit Equipment: <br /> Facility# ® Incline Manometer ❑Flow Meter Calibrated Dail <br /> DROP TUBE & OVERFILL PREVENTION DEVICE PRESSURE INTEGRITY TEST <br /> Drop Tube Drain Valve Pressure Test Drop Tube Overfill Prevention Device Test "Corrected" Overfill Device Leak Rate <br /> Flow Rate 80m1/min .17 Flow Rate 200 ml/min .42 <br /> Tim]80 <br /> Minus Equals <br /> R-Regular reacDrain Valve Final Time to reach 2" Overfill Leak Final Overfill Device Drain Valve Corrected Lk Rate <br /> P=Plus H2O Leak Rate pressure H2O at 200 ml rate Pressure Leak Rate Leak Rate for overfill Device <br /> S=Super 2"H2O—30 sec 2"H2O—30 Secml/ <br /> Tank Grade ml/min In H2O (in sec) ml/min In H2O ml/min ml/min ml/min <br /> R 160 0 2.09 <br /> S 144 0 2.03 <br /> STATIC TORQUE & ROTATION <br /> Vapor Adaptor: 1 2 3 4 Product Adaptor: 1 2 3 4 <br /> Brand: OPW OPW Brand: OPW OPW <br /> Model; VSA VSA Model: FSA FSA <br /> Product Grade: 87 91 Product Grade: 87 91 <br /> Torque#1: 90 90 Torque#1: 85 70 <br /> Torque#2: 90 90 Torque#2: 85 70 <br /> Torque#3: 90 90 1 Torque#3 85 70 <br /> Average: 90 90 Average: 85 70 <br /> 360 Rotation <br /> YES YES --- --- 360 Rotation: YES YES --- --- <br />