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Affo rd a-Te�t E.O.VR-202 Veeder-Roof In-Station Diagnostics Vapor Flow Meter Operability Test Report Form Permit Number:N-388 Test Company:AFFORDA TEST Site Name:PACIFIC SERVICE STATION Technician: ZANE NIMMO Site Address:6131 PACIFIC AVE. Certification Number Expiration Date City: STOCKTON,CA Zip:95207 District:SJVAPCD Date/Time of Test:8/28/2018 Veeder-Root:A28446 7/29/2020 Vapor flow meter serial number 17470 57700 1 7468 61370 N / A N / A Dispenser fueling point numbers FP: I /2 FP: 3/4 FP: 5/6 FP: 7/8 FP: FP: Low grade V/Lresult#1 I.I 1 1.06 1.12 1.09 ISD A/L value#1 1.09 0.99 1.09 1.01 Difference between V/L result#1 and A/L value#1 V/L-A/L 02 .07 .03 .Oa Pass/Fail(Pass=difference within±0.15),if fail PASS PASS PASS PASS continue Low grade V/L result#2 Low grade V/L result#3 Average of 3 V/L results ISD A/L value#2 ISD A/L value#3 Average of 3ISD A/L results Difference between Average V/L and Average A/L values(Average V/L-AveraeA/L Pass/Fail (Pass=difference within±0.15) If fail,repeat steps for the second fueling point on the dispenser Vapor flow meter serial number Dispenser fueling point numbers FP: FP: FP: PP: FP: FP: Low grade V/L result#1 ISD A/L value#1 Difference between V/L result 31 and A/L value#I V/L-A/L Pass/Fail)Pass=difference within±0.15),if fail continue Low grade V/L result#2 Low grade V/L result#3 Average of 3 V/L results ISD A/L value#2 ISD A/L value#3 Average of 3 ISD A/L results Difference between Average V/L and Average A/L values(Average V/L-Avera e A/L Pass/Fail(Pass=difference within±0.15) If fail,repeat steps for the second fueling point on the dispenser I declare, under penalty of perjury under the laws of the state of California that based on information and belief farmed after reasonable inquiry,the statements and information provided in the.doocuument are true, accurate,and complete. ¢ ovem Signature of Technician: v- " � Date: 8/28/18 Ver. LO- 12.26.07