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Afforda-Te$ Healoispenser Vapor <br /> 4162 nd Street Galt, Ca. 95632 Line Integrity <br /> 209 744-0112 Fax 209 744-0116 <br /> Test Date:03-25-14 Time: 1100 <br /> Site: PLAZA OASIS <br /> Address: 800 S Cherokee GDF#N639-1-3 Confirmation 14-18258 <br /> City:Lodi CA LD <br /> Startup o <br /> Technician: Felix Ramirez#5273934 <br /> declare,under penalty of perjury under the laws of the state of California that based on information and beliefformed alter reasonable inquiry,the statements and <br /> information provided in the document true,accurate and complete. JUL. Q 204 <br /> ,1 . <br /> Tech Signature: ENVIRONMENTAL HEALTH <br /> ealy Cert:2866213761 Exp.2014 <br /> Pump#1-2 Motor Serial#M490822468 Pump#3-4 Motor Serial#NA <br /> Vacuum Pressure Test : Vacuum Pressure Test : <br /> Initial Reading 78 Final Reading 76 Initial Reading 77 Final Reading 77 <br /> Vacuum Dispensing Test Side A YES Vacuum Dispensing Test Side A YES <br /> Vacuum Dispensing Test Side B YES Vacuum Dispensing Test Side B YES <br /> Vacuum Test Both Side A&B YES Vacuum Test Both Side A&B YES <br /> Electric Button Test—All grades tum on low&high Electric Button Test—All grades turn on low&high <br /> speed: speed: <br /> ® Yes E] No ® Yes ❑ No <br /> Pump# Motor Serial# Pump# Motor Serial# <br /> Vacuum Pressure Test : Vacuum Pressure Test : <br /> Initial Reading Final Reading Initial Reading Final Reading <br /> Vacuum Dispensing Test Side A Vacuum Dispensing Test Side A <br /> Vacuum Dispensing Test Side B Vacuum Dispensing Test Side B <br /> Vacuum Test Both Side A&B Vacuum Test Both Side A&B <br /> Electric Button Test—All grades turn on low&high Electric Button Test—All grades tum on low&high <br /> speed: speed: <br /> ❑ Yes E] No ❑ Yes ❑ No <br /> Pump# Motor Serial# Pump# Motor Serial# <br /> Vacuum Pressure Test : Vacuum Pressure Test : <br /> Initial Reading Final Reading Initial Reading Final Reading <br /> Vacuum Dispensing Test Side A Vacuum Dispensing Test Side A <br /> Vacuum Dispensing Test Side B Vacuum Dispensing Test Side B <br /> Vacuum Test Both Side A&B Vacuum Test Both Side A&B <br /> Electric Button Test—All grades turn on low&high Electric Button Test—All grades turn on low&high <br /> speed: speed: <br /> El Yes 1:1 No ❑ Yes ❑ No <br />