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DYNAMIC BACK PRESSURE TEST DATA (BLOCKAGE) TECHNICIAN: ED STEARNS Site: WEST LANE FUEL Cert # Exp. Date 7/15/20 Time: LOAM Nozz / Fuel 20 CFH 60 CFH 100 CFH PASS/FAIL Nozz /Fuel 20 CFH 60 CFH 100 CFH PASS/FAIL Grade (.15" Water) (.45" Water) (.95" Water) Grade (.15" Water) (.45" Water) (.95" Water) .60CFH .80CFH --- --- 1 ALL .27 .37 PASS --- 2 ALL .29 .38 PASS --- 3 ALL .28 ,39 PASS --- 4 ALL .28 .38 PASS --- 5 ALL .28 .41 PASS --- 6 ALL .29 .38 PASS --- 7 ALL .27 .38 PASS --- 8 ALL .29 .39 PASS --- LIQUID REMOVAL CHECK **See Long Form Test Report for wet Failure Testing Blockage Tester Integrity: D=Dry 1 .50" w.c. 5 minutes PASS 1 ®DRY M1 ❑ DRY ml ❑DRY ml ❑DRY ml [-]DRY ml ❑DRY ml ❑DRY ml [-]DRY ml ❑DRY ml 2 ®DRY M1 ❑DRY ml ❑DRY ml ❑DRY ml ❑DRY ml ❑DRY ml ❑DRY ml ❑DRY ml ❑DRY ml ❑DRY M1 ❑DRY ml ❑DRY ml ❑DRY ml ❑DRY ml ❑DRY ml ❑DRY ml ❑DRY ml ❑DRY ml [-]DRY M1 ❑DRY ml ❑DRY ml ❑DRY ml [-]DRY ml ❑DRY ml ❑DRY ml [-]DRY ml ❑DRY ml ® Job Complete Repairs Done to Pass Test: ❑ I Not Complete Repairs Still Needed: Parts: None Drop Tube rings Fill Adaptor Gaskets Hoses Whip Hose Nozzles Breakaways PV Valves Others: