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Tp�/• Y <br /> ffo rola- 1 V L{yl 416 2nd Street Phone:(209)7640112 W <br /> Gait,Ca 95632 Fax:(209)744-0116 Nm <br /> afforda@softcom.net w <br /> E.O.VR•201(102 <br /> Y <br /> Vapor•}o-Ilaprid(VIl)Vohane Rollo Test Report Form cn <br /> Y <br /> Permit Number:N 643 Test Company:APEORDA-IEST W <br /> Site Narna: QUICK(KLEEN Technician:DAVE wINKLER a <br /> 0 <br /> Site AdcYess: 707 w YOSEMSIE AVE <br /> e <br /> City: MANTECACA Zip: 95336 Oishicl:SJVAPCD-N <br /> DATE 10-16-13 UAM <br /> Gas volume meter type(f.a,Roots meter or Vi-Tesler) TRI-JESTER <br /> Gas volume meter aerial or Identficafion number. 940143 <br /> T S Tester sofhvare venton.it applicable Imust be version 2Al) 201 <br /> Cakbrotion date for Gas volume meter(must bewitlin 180 days of the test) 416-13 <br /> Cas volume meter correction factor,y(Roots meter) .997 <br /> Pre-fest leak check tot Roofs meter: Inilialpressure: 30 sec.pressure: Pre-test leak check for TA-tester. Re-inflate in 30 sec. Yes No <br /> Post-test leak check for Roots meter: Initial pressure: 30 sec.pressvre: Post-test leak check for Tri-lester. Re4nllale in 30 sec.❑Yes®No on <br /> A <br /> gym-, - <br /> -i. i'1 <br /> I 87 1 900 2 GAL 7.01 1.03 PASS <br /> 1 87 2 900 2 6.42 1.06 PASS <br /> --I <br /> o <br /> 2 1871 19W 2 7,11 .99 PASS 4 <br /> 2 872 9W 2 6.09 1.12 PASS 07 <br /> LAJ <br /> 3 871 900 2 17.44 1.02 PASS won U <br /> 3 872 9CA 2 16.81 1.06 0 <br /> 1 declare,under penalty of perjury under the fmvs of the state of CaVomia that based on infonnotion and belief tamed after reasonable inquiry the statements andij v /� <br /> providedin the documentore hue.accurate,and compete. qA G ` , <br /> mZ i-, <br /> Ta <br /> Signatwe of Technicecan: Date; 10-16-13 TZ � M <br /> N <br /> U <br />