Laserfiche WebLink
RECEIVED <br /> fforda-Tet °�T 2 2 z°'$ 4162 ad Street <br /> Galt, CA 95632 <br /> VIRONMENT/ 04440113 Fax (209) 744-0116 <br /> DEPARTMENT <br /> E.O.VR-203/204 <br /> Vapor Pressure Sensor Verification Test & VST Processor Activation Pressure <br /> Test Report Form <br /> Test Company: AFFORDA TEST <br /> Permit Number:N-714 416 2"D STREET GALT, CA 95632 <br /> 209-744-0113 FAX 209-744-0113 <br /> Site Name:FLAG CITY CHEVRON Technician:ZANE NIMMO <br /> Site Address: 6421 CAPITOL AVENUE Certification Number/Expiration Date <br /> City:LODI,CA Zip:95240 District: S I V A P C D <br /> Date/Time of Test:9/26/2018 VST:3000839502 <br /> Veeder-Root:A28446 <br /> TEST INFORMATION <br /> Pressure sensor located at dispenser number(s) 3 / 4 <br /> Pressure sensor serial number 1 0 9 3 5 <br /> Calibration date for digital manometer(must be within 12 months of the test) 7/13/2018 <br /> Ending value for digital manometer drift test(must be 0.01 in.w.c. or less) .00 <br /> VAPOR PRESSURE SENSOR UST PRESSURE TEST <br /> UST pressure from digital manometer(in.w.c.) -1.08 <br /> Pressure sensor value from TLS-350(in.w.c.) -1.138 <br /> Is Pressure Value Between-0.20 and+0.20 in.w.c.? YES <br /> VAPOR PRESSURE SENSOR AMBIENT REFERENCE TEST 1,2 <br /> Non-calibrated pressure sensor value from TLS-350 (in. w.c.) -0.057 <br /> Is pressure value between-0.20 and+0.20 in.w.c.? YES <br /> VST PROCESSOR ACTIVATION PRESSURE TEST1,2 <br /> VST processor activation pressure(in.w.c.) N/A <br /> Is the VST processor activation pressure<_0.4 in.w.c.? N/A <br /> NOTES: 'Valve must be returned to normal operating position after testing is completed. <br /> 'The ambient reference port cap must be in place after testing is completed. <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: 9/26/2018 <br /> Ver. 1.3- 12.13.08 <br />