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fforda-Te 416 20'Street Phone:(209)744-0112 Galt,Ca 95632 Fax: (209)744-0116 afforda@)softcom.net E.O. VR-202 Veeder-Root In-Station Diagnostics Vapor Pressure Sensor Reference Test & Site Shutdown Test Report Form Permit Number:N-388 Test Company:AFFORDA-TE$T Site Name:PACIFIC SERVICE STATION Technician: ZANE NIMMO Site Address:6131 PACIFIC AVE Certification Number Expiration Date City: STOCKTON, CA Zip: 95207 District:#0083 Date/Time of Test:8/28/2018 Veeder-Root:A28446 7/28/18 VAPOR PRESSURE SENSOR UST PRESSURE TEST Calibration date for digital manometer(must be within 12 months of the test) 7/13/2018 Ending value for digital manometer drift test(must be 0.01 in.w.c.or less) .00 Digital manometer ullage pressure,inches of water column(in.w.c.) 1.96 TLS console pressure sensor value,inches of water column(in.w.c.) 1.890 Is pressure value between-0.20 and+0.20 in.w.c.? PASS VAPOR PRESSURE SENSOR AMBIENT REFERENCE TESTI,' Pressure sensor located at dispenser number(s) 5 / 6 Pressure sensor number 3 5 8 2 Non-calibrated pressure sensor value, inches of water column(in.w.c.) -0.056 Is pressure value between-0.20 and+0.20 in.w.c.? PASS SITE SHUTDOWN TESTS Test Parameter Test Result(Y/1) Was power removed from the TLS-350 console? Y Was power to the submersible pump(s)removed by the TLS-350? Y Was power restored to TLS-350 console? Y COMMENTS (Include Description of Repairs Made) NOTES: lValve must he returned to normal operating position after testing is completed. 2The ambient reference port cap must be in place after testing is completed. 'A certified Veeder-Root technician must perform this test. I declare, under penalty ofperjury under the laws of the state of California that based on information and belief formed after reasonable inquiry, the statements and information provided in this document are true, accurate, and complete. Signature of Technician: Date: 8/28/2018 Ver. 13—08.07.09