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San Joaquin Valley <br />AIR POLLUTION CONTROL DISTRICT <br />E.O. VR -201/202 <br />Vapor -to -Liquid (V/L) Volume Ratio Test Report Form <br />Permit Number: N-5020-1-2 <br />Test Company: Service Station Systems <br />Site Name: Safeway <br />Technician: Bryan Lund ien <br />Site Address: 6425 N. Pacific Ave. <br />; <br />at <br />City: Stockton <br />Zip: 95207 <br />District:SJV-0064 <br />2/14/10 <br />Date/Time of Test: 12/16/08 @ 8:30am <br />Franklin (Healy): 3537973761 <br />1/8/10 <br />/gyp <br />Gas volume meter type (i.e., Roots teeter or Tri -Tester) <br />Tri -Tester <br />Gas volume meter serial or identification number: <br />0736477 <br />Tri -Pester software version, if applicable (must be version 2.01) <br />2,01 <br />Calibration date for Gat volume meter (must be within 180 days of the test) <br />7/21/08 <br />Gas volume meter correction factor, y (Roots meter) <br />Pre-test leak check for Roots meter: Initial pressure: <br />30 sec. pressure: <br />Pre-test leak check for Tri -tester: <br />Re -inflate in 30 sec. ❑Yes ®No <br />Post-test leak check for Roots meter: - Initial pressure: <br />30 sec. pressure: <br />Post-test leak check for Tri -tester. <br />Re -inflate in 30 sec. ❑ Yes ® No <br />? <br />T _ ,t hs <br />s ,N zlc Fuel Nozzle Model'& Serial <br />- y e Nd` er <br />R.eadir�g <br />IL <br />r, e .}' is <br />final 'Total Gas <br />, Djspernser, <br />Dispensed <br />,Reading , <br />(`al.) <br />(pall, G k <br />,. --. 7 t f <br />lime Dtspensmg= <br />(pec) :.Rate (gal.) <br />_ <br />_ <br />lnival Meter <br />Reading (ftr), <br />V_.:. <br />Final Tvletet <br />- <br />"Reading <br />(ft'). Vr <br />` <br />V/L <br />,r <br />Pass/f-ail <br />I 87 Healy 900, M6(108-6403- <br />ft.06 <br />1.06 <br />Pass <br />1 89 Healy 900, M6(X)8-6403 <br />_ <br />8.06 <br />1.05 <br />Pass <br />I 91 Healy 900, M6008-6403 <br />8.15 <br />1.07 <br />Pass <br />2 87 Healy 900, M3008-0767 <br />8.06 <br />- <br />1.06 <br />Yass <br />2 89 Healy 900, M3008-0767 <br />9.15 <br />1.07 <br />Pass <br />2 91 Healy 900, M3008-0767 <br />8.06 <br />1.08 <br />Pass <br />3 87 Healy 900, M3008-0767 <br />7.65 <br />1.05 <br />Pass <br />3 89 Healy 9001 M3008-0767 <br />8.15 <br />1.01 <br />Pass <br />I declare, under penalty of perjury tinder the laws of the state of California that based on information and belief funned after reasonable inquiry, the <br />statements and information provided in this document are true, accurate, and complete. <br />Signature of Technician:Date: 12/16/08 <br />