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416 2nd Street ® Drop Tube Integrity <br /> Afforda-Te$t Galt,Ca.9X(2 ® Static Tor ue & Rotation <br /> (209)744-0112(800)524-9087 FAX(209)744-0116 9 <br /> TEST DATE: 06-06-2022 TIME: 1100 <br /> TECHNICIAN NAME: <br /> SITE NAME: PAC CONNECT OVERFILL TEST <br /> Felix R. Ramirez SJV#5273934 <br /> Site Address: 610 S CHEROKEE LANE <br /> I declare, under penalty ofperjury under the laws of the state of El Present El Not Present <br /> City:LODI CA California that based on information and belief formed after <br /> Phone: reasonable inquiry, the statements and information provided in <br /> the document are true,accurate,and complete. <br /> Contact: <br /> ❑ Straight ® Overfill Prevention Device <br /> TECH SIGNATURE: <br /> Confirmation #AFTER OVERFILL TESTING 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 80ml/min .17 Flow Rate 200 ml/min .42 <br /> Time to Minus Equals <br /> R-Regular reach 2" Drain Valve Final Time to reach 2" Overfill Leak Final Overfill Device Drain Valve Corrected Lk Rate <br /> P=Plus H2O at 80 Leak Rate pressure H2O at 200 ml rate Pressure Leak Rate Leak Rate for Overfill Device <br /> S=Super ml/min 2 H2O-30 sec 2"H2O-30 Sec <br /> Tank Grade ml/min In H2O (in sec) ml/min In H2O ml/min ml/min ml/min <br /> R 154 0 2.03 <br /> S 148 0 2.04 <br /> STATIC TORQUE & ROTATION <br /> Vapor Adaptor: 1 2 3 4 Product Adaptor: 1 2 3 4 <br /> Brand: Opw OP`7`7 Brand: OPW OP`7`7 <br /> Model; 61VSA 61VSA Model: 61FSA 61FSA <br /> Product Grade: 87 91 Product Grade: 87 91 <br /> Torque#1: 80 90 Torque#1: 80 90 <br /> Torque#2: 80 90 Torque#2: 80 90 <br /> Torque#3: 80 90 1 Torque#3 80 90 <br /> Average: 80 90 Average: 80 90 <br /> 360 Rotation YES YES --- --- 360 Rotation: YES YES --- --- <br />