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AFFORDA-TEST <br /> E.O. G-70-187 <br /> Aboveground Healy 400 Vapor Recovery Performance Test Report Form <br /> Permit Number:N7987 Test Company:AFFORDA TEST <br /> Site Name:SANGUINETTI BROS CIRCLE K SHELL Technician:DAVID WINKLER <br /> Site Address:4391 ESCALON BELLOTA RD Certification Number Expiration Date <br /> City:FARMINGTONCA I Zip: District: SJVAPCD-N <br /> Date/Time of Test: 9-30-09 3PM <br /> VAPOR RETURN LINE VACUUM INTEGRITY TEST <br /> Diameter of vapor return line(in inches) 2 <br /> Length of the vapor return line rounded to the nearest 20 ft.(N) 450 <br /> Calculated allowable change in pressure,AP(AP=800/N for 2"line and 800/N x 0.5 for 3" line) 2 <br /> Vacuum at start of test,inches of water column(in.w.c.) <br /> Vacuum at one minute,in.w.c. <br /> Vacuum at two minutes,in.w.c. <br /> Vacuum at three minutes,in.w.c. <br /> Vacuum at four minutes,in.w.c. <br /> Final vacuum at five minute,in.w.c. <br /> Allowable minimum vacuum,in.w.c(Initial vacuum—calculated ❑P) <br /> Pass/Fail passed <br /> FILLNECK VAPOR PRESSURE REGULATION FUELING TEST <br /> range+0.25 to—0.50 in. w.c. <br /> Nozzle#1 Nozzle#3 Nozzle#5 Nozzle#7 -.30 <br /> Nozzle 42 Nozzle#4 Nozzle#6 Nozzle 48 <br /> System vacuum when dispensing(magnehelic reading) <br /> I declare, under penalty of perjury under the laws of the state of California that based on information and belief formed <br /> after reasonable inquiry, the statements and information provided in this document are true, accurate, and complete. <br /> Signature of Technician: Date: 9-30-09 <br /> Ver. 1.2—08.05.08' <br />